Health Management Service Models for the Elderly with Visual Impairment: A Scoping Review

Abstract

Background

The incidence of visual impairment(VI) in older people is gradually increasing. This review aimed to summarise the evidence on existing health management models and strategies for older adults with VI to improve health-related and vision-related quality of life (QoL) in older people.

Methods

Based on the framework of the scoping review methodology of Arksey and O’Malley (2005), a comprehensive literature search of relevant literature published between January 2010 and June 2022 in PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library, CNKI, VIP, Wanfang database, Sinomed and the grey literature.

Results

Finally, 31 articles were included. The health management model had a multidisciplinary team low vision rehabilitation model, medical consortium two-way management model, low vision community comprehensive rehabilitation model, medical consortium-family contract service model, screening-referral-follow-up model, and three-level low vision care model. The health management strategy covers nine aspects, the combination of multi-element strategies is feasible, and network information technology has also shown positive results.

Conclusion

In the future, under the Internet and hierarchical management model, we should provide demand-based personalized support to rationalize and scientifically achieve hierarchical management and improve resource utilization efficiency and eye health outcomes.

Keywords:

• visual impairment
• health management models
• strategies
• the elderly
• scoping review

Abbreviations

VI, Visual impairment; VRQoL, Vision-related quality of life.

Data Sharing Statement

All data is displayed in text or uploaded as Supplementary Material.

Acknowledgments

The poster’s abstract was published in “Poster Abstracts” in [Research Square: hyperlink with DOI:10.21203/rs.3.rs-2770331/v1].

Disclosure

The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

Additional information

Funding

This study was funded by the National Natural Science Foundation of China (No.71974198). The funding source does not participate in the study design, data collection, analysis, manuscript writing, or decision to submit the manuscript for publication.