农村社区糖尿病患者眼筛查依从性影响因素：一项定性研究

数据集获取（Figshare）

• 源站标题：Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study
• DOI：10.1371/journal.pone.0206742
• 发布日期：2018-11-02
• 文件数：2 个
• 文件总体积：285.42 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Factors_influencing_patient_adherence_with_diabetic_eye_screening_in_rural_communities_A_qualitative_study/7293401

命令行下载

curl -L -o "pone.0206742.s001.pdf" "https://ndownloader.figshare.com/files/13473785"
curl -L -o "pone.0206742.s002.pdf" "https://ndownloader.figshare.com/files/13473788"

文件清单

• pone.0206742.s001.pdf（207.87 KB）
• pone.0206742.s002.pdf（77.55 KB）

文件总体积 285.42 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Objective
Diabetic retinopathy remains the leading cause of blindness among working-age U.S. adults largely due to low screening rates. Rural populations face particularly greater challenges to screening because they are older, poorer, less insured, and less likely to receive guideline-concordant care than those in urban areas. Current patient education efforts may not fully address multiple barriers to screening faced by rural patients. We sought to characterize contextual factors affecting rural patient adherence with diabetic eye screening guidelines.
Research design and methods
We conducted semi-structured interviews with 29 participants (20 adult patients with type 2 diabetes and 9 primary care providers) in a rural, multi-payer health system. Both inductive and directed content analysis were performed.
Results
Factors influencing rural patient adherence with diabetic eye screening were categorized as environmental, social, and individual using the Ecological Model of Health. Major themes included limited access to and infrequent use of healthcare, long travel distances to obtain care, poverty and financial tradeoffs, trusting relationships with healthcare providers, family members’ struggles with diabetes, anxiety about diabetes complications, and the burden of diabetes management.
Conclusions
Significant barriers exist for rural patients that affect their ability to adhere with yearly diabetic eye screening. Many studies emphasize patient education to increase adherence, but current patient education strategies fail to address major environmental, social, and individual barriers. Addressing these factors, leveraging patient trust in their healthcare providers, and strategies targeted specifically to environmental barriers such as long travel distances (e.g. teleophthalmology) may fill crucial gaps in diabetic eye screening in rural communities.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0206742（source: https://plos.figshare.com/articles/dataset/Factors_influencing_patient_adherence_with_diabetic_eye_screening_in_rural_communities_A_qualitative_study/7293401）。