Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model
Introduction Vision health is an important and underutilized health service among newly arrived refugees in Canada, yet the body of literature on eye-care delivery in this population is limited. The study objective was to identify patterns of eye-care utilization among refugee patients with type 2 d...
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crsagepubl:10.1177/20534345211061032 2023-05-15T17:22:48+02:00 Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model Tanya, Stuti M He, Bonnie Aubrey-Bassler, Christine Memorial University of Newfoundland Summer Undergraduate Research Award 2021 http://dx.doi.org/10.1177/20534345211061032 http://journals.sagepub.com/doi/pdf/10.1177/20534345211061032 http://journals.sagepub.com/doi/full-xml/10.1177/20534345211061032 en eng SAGE Publications https://creativecommons.org/licenses/by/4.0/ CC-BY International Journal of Care Coordination volume 24, issue 3-4, page 120-124 ISSN 2053-4345 2053-4353 Health Policy Leadership and Management journal-article 2021 crsagepubl https://doi.org/10.1177/20534345211061032 2022-04-14T04:50:38Z Introduction Vision health is an important and underutilized health service among newly arrived refugees in Canada, yet the body of literature on eye-care delivery in this population is limited. The study objective was to identify patterns of eye-care utilization among refugee patients with type 2 diabetes mellitus (T2DM) in Newfoundland and Labrador (NL) under an interdisciplinary clinic model comprised of family physicians, eye-care providers, and settlement services. Methods This was a retrospective cohort study at the Memorial University Family Medicine clinic. All patients with a new T2DM diagnosis between 2015–2020 were included. Data were described using basic statistics and unpaired t-tests. This study received full ethics approval. Results Seventy-three (18 refugee, 55 non-refugee) patients were included. Refugees had a higher rate of referral to an eye-care provider ( p = 0.0475) and were more likely to attend their eye-care provider appointment than non-refugees ( p = 0.016). The time from diagnosis to referral was longer for refugees than non-refugees ( p = 0.0498). A trend towards longer time from referral to appointment attendance for refugees than non-refugees was noted ( p = 0.9069). Discussion Refugee patients had higher rates of referral to eye-care providers and utilization of eye-care services. However, refugees also experienced a longer time to access vision screening services suggesting possible gaps in accessible care delivery. This suggests that the interdisciplinary model of care may be effective in referring refugee patients for vision screening and there may be a role for increased collaboration across family physicians, eye-care providers, and settlement services to improve accessibility of vision screening services. Article in Journal/Newspaper Newfoundland SAGE Publications (via Crossref) Canada Newfoundland International Journal of Care Coordination 24 3-4 120 124 |
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SAGE Publications (via Crossref) |
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English |
topic |
Health Policy Leadership and Management |
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Health Policy Leadership and Management Tanya, Stuti M He, Bonnie Aubrey-Bassler, Christine Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
topic_facet |
Health Policy Leadership and Management |
description |
Introduction Vision health is an important and underutilized health service among newly arrived refugees in Canada, yet the body of literature on eye-care delivery in this population is limited. The study objective was to identify patterns of eye-care utilization among refugee patients with type 2 diabetes mellitus (T2DM) in Newfoundland and Labrador (NL) under an interdisciplinary clinic model comprised of family physicians, eye-care providers, and settlement services. Methods This was a retrospective cohort study at the Memorial University Family Medicine clinic. All patients with a new T2DM diagnosis between 2015–2020 were included. Data were described using basic statistics and unpaired t-tests. This study received full ethics approval. Results Seventy-three (18 refugee, 55 non-refugee) patients were included. Refugees had a higher rate of referral to an eye-care provider ( p = 0.0475) and were more likely to attend their eye-care provider appointment than non-refugees ( p = 0.016). The time from diagnosis to referral was longer for refugees than non-refugees ( p = 0.0498). A trend towards longer time from referral to appointment attendance for refugees than non-refugees was noted ( p = 0.9069). Discussion Refugee patients had higher rates of referral to eye-care providers and utilization of eye-care services. However, refugees also experienced a longer time to access vision screening services suggesting possible gaps in accessible care delivery. This suggests that the interdisciplinary model of care may be effective in referring refugee patients for vision screening and there may be a role for increased collaboration across family physicians, eye-care providers, and settlement services to improve accessibility of vision screening services. |
author2 |
Memorial University of Newfoundland Summer Undergraduate Research Award |
format |
Article in Journal/Newspaper |
author |
Tanya, Stuti M He, Bonnie Aubrey-Bassler, Christine |
author_facet |
Tanya, Stuti M He, Bonnie Aubrey-Bassler, Christine |
author_sort |
Tanya, Stuti M |
title |
Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
title_short |
Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
title_full |
Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
title_fullStr |
Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
title_full_unstemmed |
Eye-care utilization among a Canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
title_sort |
eye-care utilization among a canadian diabetic refugee population: retrospective cohort study of an interdisciplinary care model |
publisher |
SAGE Publications |
publishDate |
2021 |
url |
http://dx.doi.org/10.1177/20534345211061032 http://journals.sagepub.com/doi/pdf/10.1177/20534345211061032 http://journals.sagepub.com/doi/full-xml/10.1177/20534345211061032 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
International Journal of Care Coordination volume 24, issue 3-4, page 120-124 ISSN 2053-4345 2053-4353 |
op_rights |
https://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1177/20534345211061032 |
container_title |
International Journal of Care Coordination |
container_volume |
24 |
container_issue |
3-4 |
container_start_page |
120 |
op_container_end_page |
124 |
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1766109666055553024 |