Effect of integrated people-centred eye care (IPEC) model on eye care seeking behaviour of community

The impact of the integrated people-centered eye care model on myopia control among children and adolescents in China

To evaluate the effectiveness of the integrated people-centered eye car"365 Eye Care," in controlling myopia among children and adolescents in northeast China. Additionally, the study aimed to explore the model's impact on different subgroups. A retrospective analysis was conducted on the changes in spherical equivalent(∆SE) within one year of 427 participants and 494 control participants who underwent the "365 Eye Care"project at He Eye Specialist Hospital from January 2021 to December 2023. The effectiveness of "365 Eye Care"on vision protection was analyzed. The difference between the two groups was further analyzed when the baseline SE was constant. The project included the analysis of the causes of myopia and the formulation of individualized myopia prevention and control plans, monthly vision examination and visual status monitoring, and assessing the eye environment (including diet, light, table and chair selection, etc.) The 1-year change in SE(∆SE) was - 0.46 ± 0.36 for the "365 eyecare" group and- 1.82 ± 1.14 for the control group (P < 0.001). The SE for pre-myopia, low myopia, and moderate myopia were significantly lower than the control group(P < 0.001), and the difference was - 1.25D, - 1.38D, - 0.81D, respectively. There was no difference between the two groups in high myopia. The results showed that the comprehensive eye care intervention helped slow down the progression of myopia, and the average effect level was 0.71. The integrated people-centered eye care model, "365 eyecare," holds promise for myopia control. And the earlier the children participated in the comprehensive intervention, the better the myopia prevention and control effect.

The people-centered care and inpatients' perceived experience in China: a nationwide cross-sectional study

BACKGROUND

The concept of People-Centered Care (PCC) is a prominent concept around the world, which is considered as an important concept and practice to promote health equity especially in China. Nevertheless, the association between PCC and the perceived experience of patients remains unclear, particularly from the perspective of the entire nation. This study examined the relationship between PCC and inpatients' perceived experience in China.

METHODS

The study utilized nationwide data collected from 351 healthcare facilities in 31 provinces representing all facility levels and types using proportional odds models. The five attributes of PCC encompass the following categories: continuity of care, information sharing, enhanced access, effectiveness, and respect, each contributing to improving health equity. Inpatients' perceived experience includes the following factors: inpatients' satisfaction with the hospitalization, the recognition of the hospital, and the recommendation of the hospital.

RESULTS

Concerning inpatients' overall satisfaction with the hospitalization, all PCC attributes had a positive effect on satisfaction, especially for inpatients with higher levels of care continuity and respect, contributing to health equity. Inpatients with a higher level of continuity were 3.66 times more likely to ameliorate their level of satisfaction from "very unsatisfied" to "unsatisfied." Meanwhile, all PCC attributes had significantly positive effects on inpatients' recognition, with effectiveness and respect showing an even stronger association with health equity. Regarding inpatients' recommendation measures, all PCC attributes were positively associated, especially with higher levels of care continuity and effectiveness.

CONCLUSION

People-centered care is positively associated with inpatients' perceived experience, and enhancing health equity through PCC attributes can further improve this experience. Further reform and practice should focus on the amelioration of continuity of care, promotion of information sharing between medical staff and patients, access and effectiveness of care, and respect for patients, all contributing to health equity.

Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania-The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial

Age-related lens opacification (cataract) remains the leading cause of visual impairment and blindness worldwide. In low- and middle-income countries, utilization of cataract surgical services is often limited despite community-based outreach programmes. Community-led research, whereby researchers and community members collaboratively co-design intervention is an approach that ensures the interventions are locally relevant and that their implementation is feasible and socially accepted in the targeted contexts. Community-led interventions have the potential to increase cataract surgery uptake if done appropriately. In this study, once the intervention is co-designed it will be implemented through a cluster-randomized controlled trial (cRCT) with ward as a unit of randomization. This study will utilise both the qualitative methods for co-designing the intervention and the quantitative methods for effective assessment of the developed community-led intervention through a cRCT in 80 rural wards of Dodoma region, Tanzania (40 Intervention). The 'intervention package' will be developed through participatory community meetings and ongoing evaluation and modification of the intervention based on its impact on service utilization. Leask's four stages of intervention co-creation will guide the development within Rifkin's CHOICE framework. The primary outcomes are two: the number of patients attending eye disease screening camps, and the number of patients accepting cataract surgery. NVivo version 12 will be used for qualitative data analysis and Stata version 12 for quantitative data. Independent and paired t-tests will be performed to make comparisons between and within groups. P-values less than 0.05 will be considered statistically significant.