Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study
The Inclusive System for Effective Eye-care (I-SEE) is a pilot project for disability inclusion in eye health in Bandung district of Indonesia. The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative ex...
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Veröffentlicht in: | International journal of environmental research and public health 2018-12, Vol.16 (1), p.23 |
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description | The Inclusive System for Effective Eye-care (I-SEE) is a pilot project for disability inclusion in eye health in Bandung district of Indonesia. The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 27) and users with disabilities (n = 12). A theoretical framework on the introduction of innovations in health care was used to guide data collection and thematic analysis. Factors related to the characteristics of the innovation (I-SEE) (e.g., infrastructure, equipment, engagement of people with disabilities, inclusive communication), service provider characteristics (e.g., motivation, attitudes, training), organizational characteristics (e.g., supervision, indicators, data), and the socio-political context of I-SEE (policy, motivation of users, family support, costs, transport) were essential for supporting the introduction process. Additionally, stakeholders proposed strategies for enhancing the introduction of I-SEE (e.g., awareness, collaborations). While there are specific disability related factors, most factors influencing the introduction of disability inclusive eye health were similar to introducing any innovation in general health care. Strategies for disability inclusion should be included from the planning phase of an eye health program and are reasonably simple to adapt. |
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The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 27) and users with disabilities (n = 12). A theoretical framework on the introduction of innovations in health care was used to guide data collection and thematic analysis. Factors related to the characteristics of the innovation (I-SEE) (e.g., infrastructure, equipment, engagement of people with disabilities, inclusive communication), service provider characteristics (e.g., motivation, attitudes, training), organizational characteristics (e.g., supervision, indicators, data), and the socio-political context of I-SEE (policy, motivation of users, family support, costs, transport) were essential for supporting the introduction process. Additionally, stakeholders proposed strategies for enhancing the introduction of I-SEE (e.g., awareness, collaborations). While there are specific disability related factors, most factors influencing the introduction of disability inclusive eye health were similar to introducing any innovation in general health care. Strategies for disability inclusion should be included from the planning phase of an eye health program and are reasonably simple to adapt.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph16010023</identifier><identifier>PMID: 30583466</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Cataracts ; Community health care ; Delivery of Health Care - methods ; Delivery of Health Care - organization & administration ; Disability ; Disabled Persons ; Eye Diseases - diagnosis ; Eye Diseases - therapy ; Female ; Health ; Health care policy ; Health services ; Health Services - statistics & numerical data ; Health Services Accessibility - organization & administration ; Health Services Accessibility - statistics & numerical data ; Humans ; Indonesia ; Innovations ; Low income groups ; Male ; Medical personnel ; Medical screening ; Nurses ; People with disabilities ; Pilot Projects ; Qualitative Research ; Sustainable development ; Visual impairment</subject><ispartof>International journal of environmental research and public health, 2018-12, Vol.16 (1), p.23</ispartof><rights>2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-dc55883a909c7f84c52020f4613ed22087d4224a398aea59936379abe6080bf03</citedby><cites>FETCH-LOGICAL-c418t-dc55883a909c7f84c52020f4613ed22087d4224a398aea59936379abe6080bf03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338889/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338889/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30583466$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marella, Manjula</creatorcontrib><creatorcontrib>Smith, Fleur</creatorcontrib><creatorcontrib>Hilfi, Lukman</creatorcontrib><creatorcontrib>Sunjaya, Deni K</creatorcontrib><title>Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The Inclusive System for Effective Eye-care (I-SEE) is a pilot project for disability inclusion in eye health in Bandung district of Indonesia. The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 27) and users with disabilities (n = 12). A theoretical framework on the introduction of innovations in health care was used to guide data collection and thematic analysis. Factors related to the characteristics of the innovation (I-SEE) (e.g., infrastructure, equipment, engagement of people with disabilities, inclusive communication), service provider characteristics (e.g., motivation, attitudes, training), organizational characteristics (e.g., supervision, indicators, data), and the socio-political context of I-SEE (policy, motivation of users, family support, costs, transport) were essential for supporting the introduction process. Additionally, stakeholders proposed strategies for enhancing the introduction of I-SEE (e.g., awareness, collaborations). While there are specific disability related factors, most factors influencing the introduction of disability inclusive eye health were similar to introducing any innovation in general health care. Strategies for disability inclusion should be included from the planning phase of an eye health program and are reasonably simple to adapt.</description><subject>Cataracts</subject><subject>Community health care</subject><subject>Delivery of Health Care - methods</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Disability</subject><subject>Disabled Persons</subject><subject>Eye Diseases - diagnosis</subject><subject>Eye Diseases - therapy</subject><subject>Female</subject><subject>Health</subject><subject>Health care policy</subject><subject>Health services</subject><subject>Health Services - statistics & numerical data</subject><subject>Health Services Accessibility - organization & administration</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Innovations</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical screening</subject><subject>Nurses</subject><subject>People with disabilities</subject><subject>Pilot Projects</subject><subject>Qualitative Research</subject><subject>Sustainable development</subject><subject>Visual impairment</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc9PXCEQx4lpo1a9emxIevHQtfOAx0IPJtb6KzFpjO2ZsLx5u2zewgqPTfa_L0ZrtCcG5jNfZuZLyHEDp5xr-OaXmNaLRkIDwPgO2W-khImo9w9v4j3yKeclAFdC6l2yx6FVXEi5T9KVdWNMmd6GfigYnA9z-tNnO_ODH7f12Q0l-xioD_QaAyY70Mst0hu0w7igD5g23mF-Sv-woSth_rUWdTFg9vY7Paf3xVYlO_oN0oexdNtD8rG3Q8ajl_OA_Lm6_H1xM7n7dX17cX43caJR46RzbasUtxq0m_ZKuJYBg17IhmPHGKhpJxgTlmtl0bZac8mn2s5QgoJZD_yAnD3rrstshZ3DMNbmzTr5lU1bE6037zPBL8w8bozkXCmlq8DJi0CKjwXzaFY-OxwGGzCWbFhde_204hX98h-6jCWFOp5hnCkttIRppU6fKZdizgn712YaME92mvd21oLPb0d4xf_5x_8CD0mccw</recordid><startdate>20181221</startdate><enddate>20181221</enddate><creator>Marella, Manjula</creator><creator>Smith, Fleur</creator><creator>Hilfi, Lukman</creator><creator>Sunjaya, Deni K</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181221</creationdate><title>Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study</title><author>Marella, Manjula ; 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The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 27) and users with disabilities (n = 12). A theoretical framework on the introduction of innovations in health care was used to guide data collection and thematic analysis. Factors related to the characteristics of the innovation (I-SEE) (e.g., infrastructure, equipment, engagement of people with disabilities, inclusive communication), service provider characteristics (e.g., motivation, attitudes, training), organizational characteristics (e.g., supervision, indicators, data), and the socio-political context of I-SEE (policy, motivation of users, family support, costs, transport) were essential for supporting the introduction process. Additionally, stakeholders proposed strategies for enhancing the introduction of I-SEE (e.g., awareness, collaborations). While there are specific disability related factors, most factors influencing the introduction of disability inclusive eye health were similar to introducing any innovation in general health care. Strategies for disability inclusion should be included from the planning phase of an eye health program and are reasonably simple to adapt.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>30583466</pmid><doi>10.3390/ijerph16010023</doi><oa>free_for_read</oa></addata></record> |
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subjects | Cataracts Community health care Delivery of Health Care - methods Delivery of Health Care - organization & administration Disability Disabled Persons Eye Diseases - diagnosis Eye Diseases - therapy Female Health Health care policy Health services Health Services - statistics & numerical data Health Services Accessibility - organization & administration Health Services Accessibility - statistics & numerical data Humans Indonesia Innovations Low income groups Male Medical personnel Medical screening Nurses People with disabilities Pilot Projects Qualitative Research Sustainable development Visual impairment |
title | Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study |
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