Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study
Objective To explore the barriers and enablers to accessing diabetes eye care services among adults in Auckland.Design This was a qualitative study that used semistructured interviews. We performed a thematic analysis and described the main barriers and enablers to accessing services using the Theor...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-01-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e087650.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832575442337398784 |
|---|---|
| author | David Squirrell Matire Harwood Jacqueline Ramke Corina Grey Rinki Murphy Pushkar Raj Silwal Maryam Pirouzi |
| author_facet | David Squirrell Matire Harwood Jacqueline Ramke Corina Grey Rinki Murphy Pushkar Raj Silwal Maryam Pirouzi |
| author_sort | David Squirrell |
| collection | DOAJ |
| description | Objective To explore the barriers and enablers to accessing diabetes eye care services among adults in Auckland.Design This was a qualitative study that used semistructured interviews. We performed a thematic analysis and described the main barriers and enablers to accessing services using the Theoretical Domains Framework.Setting The study took place in two of the three public funding and planning agencies that provide primary and secondary health services in Auckland, the largest city in Aotearoa New Zealand.Participants Thirty people with diabetes in Auckland who had experienced interrupted diabetes eye care, having missed at least one appointment or being discharged back to their general practitioner after missing several appointments.Results We identified barriers and enablers experienced by our predominantly Pacific and Māori participants that aligned with 7 (of the 14) domains in the Theoretical Domains Framework. The most reported barriers were transport issues, lack of awareness regarding the importance of retinal screening, time constraints, limited and/or inflexible appointment times and competing family commitments. Enablers included positive interactions with healthcare providers and timely appointment notifications and reminders.Conclusions Diabetes eye services could be made more responsive by addressing systemic barriers such as service location and transport links, appointment availability and meaningful information to aid understanding. |
| format | Article |
| id | doaj-art-1c41460348bc4592b288d006c9c396c9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1c41460348bc4592b288d006c9c396c92025-02-01T04:20:13ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087650Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative studyDavid Squirrell0Matire Harwood1Jacqueline Ramke2Corina Grey3Rinki Murphy4Pushkar Raj Silwal5Maryam Pirouzi6Department of Ophthalmology, Greenlane Clinical Centre, Auckland, New ZealandDepartment of General Practice and Primary Care, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Auckland, New ZealandSchool of Optometry and Vision Science, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Auckland, New ZealandDepartment of General Practice and Primary Care, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Auckland, New ZealandDepartment of Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Auckland, New ZealandSchool of Optometry and Vision Science, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Auckland, New ZealandSchool of Optometry and Vision Science, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Auckland, New ZealandObjective To explore the barriers and enablers to accessing diabetes eye care services among adults in Auckland.Design This was a qualitative study that used semistructured interviews. We performed a thematic analysis and described the main barriers and enablers to accessing services using the Theoretical Domains Framework.Setting The study took place in two of the three public funding and planning agencies that provide primary and secondary health services in Auckland, the largest city in Aotearoa New Zealand.Participants Thirty people with diabetes in Auckland who had experienced interrupted diabetes eye care, having missed at least one appointment or being discharged back to their general practitioner after missing several appointments.Results We identified barriers and enablers experienced by our predominantly Pacific and Māori participants that aligned with 7 (of the 14) domains in the Theoretical Domains Framework. The most reported barriers were transport issues, lack of awareness regarding the importance of retinal screening, time constraints, limited and/or inflexible appointment times and competing family commitments. Enablers included positive interactions with healthcare providers and timely appointment notifications and reminders.Conclusions Diabetes eye services could be made more responsive by addressing systemic barriers such as service location and transport links, appointment availability and meaningful information to aid understanding.https://bmjopen.bmj.com/content/15/1/e087650.full |
| spellingShingle | David Squirrell Matire Harwood Jacqueline Ramke Corina Grey Rinki Murphy Pushkar Raj Silwal Maryam Pirouzi Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study BMJ Open |
| title | Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study |
| title_full | Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study |
| title_fullStr | Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study |
| title_full_unstemmed | Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study |
| title_short | Barriers and enablers of access to diabetes eye care in Auckland, New Zealand: a qualitative study |
| title_sort | barriers and enablers of access to diabetes eye care in auckland new zealand a qualitative study |
| url | https://bmjopen.bmj.com/content/15/1/e087650.full |
| work_keys_str_mv | AT davidsquirrell barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy AT matireharwood barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy AT jacquelineramke barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy AT corinagrey barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy AT rinkimurphy barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy AT pushkarrajsilwal barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy AT maryampirouzi barriersandenablersofaccesstodiabeteseyecareinaucklandnewzealandaqualitativestudy |