Barriers to the uptake of cataract surgery in patients presenting to a hospital

Dhaliwal, Upreet; Gupta, Sunil K.
March 2007
Indian Journal of Ophthalmology;Mar2007, Vol. 55 Issue 2, p133
Academic Journal
journal article
Purpose: To assess the barriers for the acceptance of surgery among patients with cataract and visual disability.Materials and Methods: A short-term descriptive study was conducted in patients with cataract presenting to a hospital. Socio-demographic data were entered in a proforma. An interviewer-assisted questionnaire, surveying knowledge about cataract and barriers to cataract surgery, was administered by one of the authors (SKG) in the local language (Hindi).Results: There were 100 patients (53 men and 47 women); 14 were bilaterally blind (vision < 10/200 in the better eye). Attitudinal barriers included: could manage daily work (71%), cataract not mature (68%), could see clearly with the other eye (64%), too busy (57%), female gender (37%), fear of surgery (34%), fear of surgery causing blindness (33%) or death (13%), old age (33%), it is God's will (29%) and worry about cost of surgery (27%). The barriers relating to service delivery, cost and affordability included: insufficient family income (76%), not knowing another person who had undergone cataract surgery (26%), no one to accompany (20%), distance from hospital (20%) or from a main road (9%) and lack of transport (7%).Conclusions: Attitudinal barriers were reported more often, rather than issues of accessibility or cost. Eye care providers should address the identified barriers for increasing acceptance of surgery in the study area.


Related Articles

  • Beyond knowledge, toward linguistic competency: an experiential curriculum. Bereknyei, Sylvia; Nevins, Andrew; Schillinger, Erika; Garcia, Ronald D.; Stuart, A. Elizabeth; Braddock, III, Clarence H.; Elizabeth Stuart, A; Braddock, Clarence H 3rd // JGIM: Journal of General Internal Medicine;May2010, Vol. 25, p155 

    Introduction/aims: Training is essential for future health care providers to effectively communicate with limited English proficient (LEP) patients during interpreted encounters. Our aim is to describe an innovative skill-based medical school linguistic competency curriculum and its...

  • When do older adults turn to the internet for health information? Findings from the Wisconsin Longitudinal Study. Flynn, Kathryn E.; Smith, Maureen A.; Freese, Jeremy // JGIM: Journal of General Internal Medicine;Dec2006, Vol. 21 Issue 12, p1295 

    Background: Understanding how and when patients use nonphysician sources of health information is important to facilitate shared decision making within provider outpatient visits. However, little is known about which older adults seek health information on the internet or...

  • Patient knowledge and physician predictions of treatment preferences after discussion of advance directives. Fischer, Gary S.; Tulsky, James A.; Rose, Mary R.; Siminoff, Laura A.; Arnold, Robert M.; Fischer; Fischer, G S; Tulsky, J A; Rose, M R; Siminoff, L A; Arnold, R M // JGIM: Journal of General Internal Medicine;Jul1988, Vol. 13 Issue 7, p447 

    Objective: To determine patient knowledge about life-sustaining treatments and physician understanding of patient preferences for proxies and treatments after outpatient discussions about advance directives.Design: Cross-sectional interview-based and questionnaire-based...

  • Reduction in astigmatism in manual small incision cataract surgery through change of incision site. Gokhale, Nikhil S.; Sawhney, Saurabh // Indian Journal of Ophthalmology;Sep2005, Vol. 53 Issue 3, p201 

    To compare the astigmatism induced by a superior, supero-temporal and temporal incision in manual small incision cataract surgery. Induced astigmatism was analysed by Cartesian coordinates based analysis, using Holladay's system. Mean astigmatism induced by surgery was 1.28 Dx2.9 degrees for...

  • Factors associated with first-fill adherence rates for diabetic medications: a cohort study. Shah, Nirav R.; Hirsch, Annemarie G.; Zacker, Christopher; Taylor, Scott; Wood, G. Craig; Stewart, Walter F. // JGIM: Journal of General Internal Medicine;Feb2009, Vol. 24 Issue 2, p233 

    Background: Little is known about first-fill adherence rates for diabetic medications and factors associated with non-fill.Objective: To assess the proportion of patients who fill their initial prescription for a diabetes medication, understand characteristics...

  • Health literacy, cognitive abilities, and mortality among elderly persons. Baker, David W.; Wolf, Michael S.; Feinglass, Joseph; Thompson, Jason A. // JGIM: Journal of General Internal Medicine;Jun2008, Vol. 23 Issue 6, p723 

    Background: Low health literacy and low cognitive abilities both predict mortality, but no study has jointly examined these relationships.Methods: We conducted a prospective cohort study of 3,260 community-dwelling adults age 65 and older. Participants were interviewed...

  • Cancer and communication in the health care setting: experiences of older Vietnamese immigrants, a qualitative study. Nguyen, Giang T.; Barg, Frances K.; Armstrong, Katrina; Holmes, John H.; Hornik, Robert C. // JGIM: Journal of General Internal Medicine;Jan2008, Vol. 23 Issue 1, p45 

    Background: As patients grow older, accurate communication with health care providers about cancer becomes increasingly important. However, little is known about the cancer communication experiences of older Asian immigrants.Objective: To learn about the cancer-related...

  • Can improved prescription medication labeling influence adherence to chronic medications? An evaluation of the Target pharmacy label. Shrank, William H.; Gleason, Patrick P.; Canning, Claire; Walters, Carol; Heaton, Alan H.; Jan, Saira; Patrick, Amanda; Brookhart, M. Alan; Schneeweiss, Sebastian; Solomon, Daniel H.; Avorn, Jerry; Choudhry, Niteesh K. // JGIM: Journal of General Internal Medicine;May2009, Vol. 24 Issue 5, p570 

    Background: Prescription medication labels contain valuable health information, and better labels may enhance patient adherence to chronic medications. A new prescription medication labeling system was implemented by Target pharmacies in May 2005 and aimed to improve readability and...

  • Attitudes of urban American Indians and Alaska Natives regarding participation in research. Buchwald, Dedra; Mendoza-Jenkins, Veronica; Croy, Calvin; McGough, Helen; Bezdek, Marjorie; Spicer, Paul // JGIM: Journal of General Internal Medicine;Jun2006, Vol. 21 Issue 6, p648 

    Objective: To determine what factors influence participation in health research among American Indians and Alaska Natives.Methods: Using vignettes that described 3 types of research studies (a behavioral intervention trial, a genetic association study, and a...

  • Communication and respect for people with dementia: student learning (CARDS) - the development and evaluation of a pilot of an education intervention for pre-qualifying healthcare students. Wood, Julia Helen; Alushi, Ledia; Hammond, John A. // International Psychogeriatrics;Apr2016, Vol. 28 Issue 4, p647 

    Background: Dementia is an international health priority and healthcare students need to be prepared to work with people living with dementia. There is a paucity of the literature describing appropriate educational interventions for pre-qualifying healthcare students and even fewer...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics