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J Fr Ophtalmol ; 40(7): 552-560, 2017 Sep.
Artigo em Francês | MEDLINE | ID: mdl-28801035

RESUMO

BACKGROUND: Currently, renouncement to healthcare by socially "at-risk" patients continues to increase and access to ophthalmological care is complex. The main objective of this study is to test the feasibility of a complete organised care network allowing facilitated access to ophthalmological care for patients living in socially "at-risk" situations. METHOD: A prospective interventional study was conducted within four social housing infrastructures to screen for vision problems in the "at-risk" socially population in question. Partnering with the ophthalmological department of the CHRU de Nancy, an interventional and supportive care trial for the affected population was conducted with the assistance of social workers, nursing aides, opticians, and the author. RESULTS: Ten screening sessions were conducted between December 2015 and April 2016 allowing a vision exam of sixty-five patients living in social housing. Twenty-five patients benefited from specialised care within a three-month time frame provided by the ophthalmological department, of which nineteen patients received corrective lenses. The remaining six patients received other types of ophthalmological care. CONCLUSION: The study allowed to demonstrate that the cooperation of willing actors makes it possible to improve access to visual healthcare for patients living in socially "at-risk" situations, in particular in the frame of ophthalmological care, often taking second place in a general medical consultation.


Assuntos
Redes Comunitárias/organização & administração , Acessibilidade aos Serviços de Saúde/organização & administração , Disparidades nos Níveis de Saúde , Oftalmologia/organização & administração , Áreas de Pobreza , Seleção Visual/organização & administração , Adulto , Estudos de Viabilidade , Feminino , Disparidades em Assistência à Saúde/organização & administração , Humanos , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta/organização & administração , Encaminhamento e Consulta/estatística & dados numéricos , Fatores de Risco
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