ArticleClinical optometry2025
Evaluating Eye Care Services in South Africa's Limpopo Province Using Donabedian`s Framework: Insights into Structures, Processes, and Outcomes.
Article in Clinical optometry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Exploring challenges and community support for hard-to-reach persons with visual impairment in the Free State province, South Africa: A qualitative study.African journal of disability · 2026Article
- A review of lead times and determinant factors in public optometry services in South Africa.Health SA = SA Gesondheid · 2026Review
- Top causes of visual impairment, satisfaction with eye care services, and associated factors among visually impaired patients attending an eye care center in Ethiopia.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Eye care services play an essential role in public health by addressing the needs of millions impacted by visual impairment and blindness annually. This study aimed to assess eye care services in Limpopo Province through Donabedian's framework, focusing on evaluating the availability and sufficiency of eye care infrastructure (structure), service delivery effectiveness (process), and patient outcomes. Methods: Using an exploratory, descriptive qualitative design, data were gathered in June and July 2024, through in-depth individual interviews. Ten (10) district eye health coordinators were selected as participants using purposive sampling. Data were thematically analyzed with NVivo version 12, revealing three main themes: resources and organizational setup, service delivery and healthcare interactions, and results of care provided. Results: The findings revealed the first theme as resources and organizational setup with sub-themes such as availability of eye care, services, resource allocation and, infrastructure, human resources and staffing. The second theme was service delivery and healthcare interactions with sub-themes such as service delivery and quality, perception, referral systems and inter-hospital coordination, health promotion and community outreach. The third theme was results of care provided with patient outcomes and satisfaction, technological advancements and patient care, challenges in achieving and public health goals as sub-themes. The findings indicate that challenges related to structure and processes significantly influence patient outcomes. Conclusion: The study further highlights resources, service delivery efficiency, and referral timeliness as key factors essential for achieving optimal patient outcomes and contributing to the broader objective of universal eye health coverage.
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