不同收入环境下糖尿病视网膜病变筛查服务障碍与促进因素的系统综述

数据集获取（Figshare）

• 源站标题：Systematic review on barriers and enablers for access to diabetic retinopathy screening services in different income settings
• DOI：10.1371/journal.pone.0198979
• 发布日期：2019-04-23
• 文件数：6 个
• 文件总体积：348.29 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Systematic_review_on_barriers_and_enablers_for_access_to_diabetic_retinopathy_screening_services_in_different_income_settings/8027123

命令行下载

curl -L -o "pone.0198979.s001.doc" "https://ndownloader.figshare.com/files/14951663"
curl -L -o "pone.0198979.s002.docx" "https://ndownloader.figshare.com/files/14951666"
curl -L -o "pone.0198979.s003.docx" "https://ndownloader.figshare.com/files/14951669"
curl -L -o "pone.0198979.s004.docx" "https://ndownloader.figshare.com/files/14951672"
curl -L -o "pone.0198979.s005.docx" "https://ndownloader.figshare.com/files/14951675"
curl -L -o "pone.0198979.s006.docx" "https://ndownloader.figshare.com/files/14951678"

文件清单

• pone.0198979.s001.doc（66.05 KB）
• pone.0198979.s002.docx（30.41 KB）
• pone.0198979.s003.docx（52.83 KB）
• pone.0198979.s004.docx（72.31 KB）
• pone.0198979.s005.docx（62.09 KB）
• pone.0198979.s006.docx（64.60 KB）

文件总体积 348.29 KB（源站 API 实测）。

数据说明

Background
Diabetic retinopathy (DR) can lead to visual impairment and blindness if not detected and treated in time. Knowing the barriers/enablers in advance in contrasting different country income settings may accelerate development of a successful DR screening (DRS) program. This would be especially applicable in the low-income settings with the rising prevalence of DR.
Objectives
The aim of this systematic review is to identify and contrast the barriers/enablers to DRS for different contexts using both consumers i.e., people with diabetes (PwDM) and provider perspectives and system level factors in different country income settings.
Methods
We searched MEDLINE, Embase, CENTRAL in the Cochrane Library from the databases start date to December 2018. We included the studies reported on barriers and enablers to access DRS services based at health care facilities. We categorised and synthesized themes related to the consumers (individuals), providers and the health systems (environment) as main dimensions according to the constructs of social cognitive theory, supported by the quantitative measures i.e., odds ratios as reported by each of the study authors.
Main results
We included 77 studies primarily describing the barriers and enablers. Most of the studies were from high income settings (72.7%, 56/77) and cross sectional in design (76.6%, 59/77). From the perspectives of consumers, lack of knowledge, attitude, awareness and motivation were identified as major barriers. The enablers were fear of blindness, proximity of screening facility, experiences of vision loss and being concerned of eye complications. In providers’ perspectives, lack of skilled human resources, training programs, infrastructure of retinal imaging and cost of services were the main barriers. Higher odds of uptake of DRS services was observed when PwDM were provided health education (odds ratio (OR) 4.3) and having knowledge on DR (OR range 1.3–19.7).
Conclusion
Knowing the barriers to access DRS is a pre-requisite in development of a successful screening program. The awareness, knowledge and attitude of the consumers, availability of skilled human resources and infrastructure emerged as the

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0198979（source: https://plos.figshare.com/articles/dataset/Systematic_review_on_barriers_and_enablers_for_access_to_diabetic_retinopathy_screening_services_in_different_income_settings/8027123）。