ArticleThe British journal of ophthalmology2023
Barriers to uptake of referral eye care services among the elderly in residential care: the Hyderabad Ocular Morbidity in Elderly Study (HOMES).
Article in The British journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- The ABCs of hearing and vision care in long-term care communities: a systematic review and behavioral systems map of Actors, Behaviors, and COM-B factors.The Gerontologist · 2026Pooled it
- Barriers and Enablers to Seeking Eye Care Among the Adult Indian Population: A Systematic Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Pooled it
- Support for Older People With Vision Impairment: A Rapid Realist Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Review
- Article
- Financial vulnerability of the elderly population undergoing cataract surgery within a distributed eye care delivery system in India (2011-2022): a multicentre, retrospective cohort study.The Lancet regional health. Southeast Asia · 2025Article
- Uptake of eye care services in South India: Retrospective mapping of self-reported barriers using the Theoretical Domains Framework.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Article
- Article
- Primary Angle Closure Observed During a House Visit: A Case Treated With Laser Iridotomy.Cureus · 2024Article
- Barriers to the uptake of eye care services: A cross-sectional survey from rural and urban communities.PloS one · 2024Article
- Unilateral Vision Loss in Elderly People in Residential Care: Prevalence, Causes and Impact on Visual Functioning: The Hyderabad Ocular Morbidity in Elderly Study (HOMES).Ophthalmic epidemiology · 2023Article
- Impact of an intervention for avoidable vision loss on visual function in the elderly-The Hyderabad Ocular Morbidity in Elderly Study (HOMES).Eye (London, England) · 2023Article
- Mumbai metropolitan region eye care facility survey: Mumbai Eye Disease Study (MEDiS) report #1.Indian journal of ophthalmology · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundTo report on the barriers to uptake of eye care services after referral in the elderly in 'homes for the aged' in Hyderabad, India.
methodsIndividuals aged ≥60 years were recruited from 41 'homes for the aged' and were examined in the 'make-shift' clinics in homes. All participants who had vision impairment or needed further eye examination other than spectacles were referred to the higher centres for 'free services'. Three months after the referral, the participants were interviewed and asked about the uptake of services, and their reasons for not attending.
resultsIn all, 731/1182 (61.8%) participants were referred of which 375 (49.9%) attended. In multiple logistic regression, participants aged ≥80 years were less likely to utilise the services (OR 0.60; 95% CI 0.39 to 0.03). Similarly, the participants living in free homes (OR 3.53; 95% CI 2.15 to 5.79) and subsidised homes (OR 2.24: 95% CI 1.55 to 3.23) and those independently mobile had higher odds for uptake of services (OR 5.74; 95% CI 3.31 to 10.51). The major reasons for not availing the referral services were 'lack of felt need' reported by 136 (45.4%) participants followed by other health issues in 100 (33.4%) participants and non-consenting family members in 49 (16.4%) participants. In all, 14 (4.7%) participants gave other reasons.
conclusionsThe uptake of eye care services in the elderly in residential care remains poor despite the provision of services for free. Lack of felt need for services is the main reason for non-compliance to the referral for care. Counselling on the benefit of interventions could potentially improve referral compliance in this population.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.