Delayed attendance at routine eye examinations is associated with increased probability of general practitioner referral: a record linkage study in Northern Ireland.
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| Title: | Delayed attendance at routine eye examinations is associated with increased probability of general practitioner referral: a record linkage study in Northern Ireland. |
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| Authors: | Wright, David M (AUTHOR), O'Reilly, Dermot (AUTHOR), Azuara‐Blanco, Augusto (AUTHOR), Curran, Raymond (AUTHOR), McMullan, Margaret (AUTHOR), Hogg, Ruth E (AUTHOR) |
| Source: | Ophthalmic & Physiological Optics. May2020, Vol. 40 Issue 3, p365-375. 11p. 1 Diagram, 3 Charts, 1 Graph. |
| Subjects: | Eye examination, General practitioners, Attendance, Probability theory, Age groups |
| Geographic Terms: | Northern Ireland |
| Abstract: | Purpose: To investigate relationships between health and socio‐economic status with delayed attendance at routine eye examinations and risk of subsequent general practitioner (GP) referral in Northern Ireland. Methods: We constructed a cohort of 132 046 community dwelling individuals aged ≥60 years, drawing contextual information from the 2011 Northern Ireland Census. Using linked administrative records of routine eye examinations between 2009 and 2014, we calculated 311 999 examination intervals. Multinomial models were used to estimate associations between contextual factors and examination interval (classified into three groups: early recall, on‐time, delayed attendance). Associations between examination interval and referral risk were estimated using logistic regression. Results: Delayed attendance was recorded for 129 857 (41.6%) examination intervals, 53 759 (17.2%) delayed by ≥6 months. Female sex, poor general or mental health were each associated with delay, as were longer distances to optometry services among those aged ≥70 years (longest vs shortest: Relative Risk Ratio = 1.21 [1.14, 1.28]). Low income and residence in social housing were associated with reduced delay risk. There were 3347 (3.5%) and 11 401 (5.3%) GP referrals in the 60–69 and ≥70 years age groups respectively. Delayed attendance was associated with increased referral risk in both groups (Odds Ratios: 60–69 years = 1.30 [1.04, 1.61]; ≥70 years = 1.07 [1.01, 1.13]). Conclusions: Poor health and longer distances to optometry services were associated with delayed attendance at routine eye examinations but low income was not. Delayed attendance was associated with increased GP referral risk, indicative of missed opportunities to detect potentially serious eye conditions. [ABSTRACT FROM AUTHOR] |
| Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 142927039 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Delayed attendance at routine eye examinations is associated with increased probability of general practitioner referral: a record linkage study in Northern Ireland. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Wright%2C+David+M%22">Wright, David M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Reilly%2C+Dermot%22">O'Reilly, Dermot</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Azuara‐Blanco%2C+Augusto%22">Azuara‐Blanco, Augusto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Curran%2C+Raymond%22">Curran, Raymond</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McMullan%2C+Margaret%22">McMullan, Margaret</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hogg%2C+Ruth+E%22">Hogg, Ruth E</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ophthalmic+%26+Physiological+Optics%22">Ophthalmic & Physiological Optics</searchLink>. May2020, Vol. 40 Issue 3, p365-375. 11p. 1 Diagram, 3 Charts, 1 Graph. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Eye+examination%22">Eye examination</searchLink><br /><searchLink fieldCode="DE" term="%22General+practitioners%22">General practitioners</searchLink><br /><searchLink fieldCode="DE" term="%22Attendance%22">Attendance</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Age+groups%22">Age groups</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Northern+Ireland%22">Northern Ireland</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: To investigate relationships between health and socio‐economic status with delayed attendance at routine eye examinations and risk of subsequent general practitioner (GP) referral in Northern Ireland. Methods: We constructed a cohort of 132 046 community dwelling individuals aged ≥60 years, drawing contextual information from the 2011 Northern Ireland Census. Using linked administrative records of routine eye examinations between 2009 and 2014, we calculated 311 999 examination intervals. Multinomial models were used to estimate associations between contextual factors and examination interval (classified into three groups: early recall, on‐time, delayed attendance). Associations between examination interval and referral risk were estimated using logistic regression. Results: Delayed attendance was recorded for 129 857 (41.6%) examination intervals, 53 759 (17.2%) delayed by ≥6 months. Female sex, poor general or mental health were each associated with delay, as were longer distances to optometry services among those aged ≥70 years (longest vs shortest: Relative Risk Ratio = 1.21 [1.14, 1.28]). Low income and residence in social housing were associated with reduced delay risk. There were 3347 (3.5%) and 11 401 (5.3%) GP referrals in the 60–69 and ≥70 years age groups respectively. Delayed attendance was associated with increased referral risk in both groups (Odds Ratios: 60–69 years = 1.30 [1.04, 1.61]; ≥70 years = 1.07 [1.01, 1.13]). Conclusions: Poor health and longer distances to optometry services were associated with delayed attendance at routine eye examinations but low income was not. Delayed attendance was associated with increased GP referral risk, indicative of missed opportunities to detect potentially serious eye conditions. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/opo.12685 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 365 Subjects: – SubjectFull: Eye examination Type: general – SubjectFull: General practitioners Type: general – SubjectFull: Attendance Type: general – SubjectFull: Probability theory Type: general – SubjectFull: Age groups Type: general – SubjectFull: Northern Ireland Type: general Titles: – TitleFull: Delayed attendance at routine eye examinations is associated with increased probability of general practitioner referral: a record linkage study in Northern Ireland. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Wright, David M – PersonEntity: Name: NameFull: O'Reilly, Dermot – PersonEntity: Name: NameFull: Azuara‐Blanco, Augusto – PersonEntity: Name: NameFull: Curran, Raymond – PersonEntity: Name: NameFull: McMullan, Margaret – PersonEntity: Name: NameFull: Hogg, Ruth E IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2020 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 02755408 Numbering: – Type: volume Value: 40 – Type: issue Value: 3 Titles: – TitleFull: Ophthalmic & Physiological Optics Type: main |
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