Older adults’ perceptions of navigating eye healthcare in Denmark. A qualitative study

Abstract

BackgroundVision impairment can have an impact on cognition, health and social function. Vision loss may be avoided if detected early and treated promptly. Eye health is a minor topic in general practice, but the ongoing relationship between doctor and patient has the potential to assist the patient in navigating the healthcare system and guaranteeing timely healthcare service delivery.AimTo explore the attitudes of older members of the public (MOP) of navigating primary sector eye healthcare in Denmark, with a focus on optometrists, practising ophthalmologists (PO), and general practitioners (GP).Design & settingQualitative study design set in the capital area of DenmarkMethodFocus-group interviews performed in the spring of 2022 with 21 MOP.ResultsOlder MOPs perceived optometrists and POs to be the most relevant health professionals to consult about eye health. MOPs identified several opportunities for enhancing the function of general practice that are currently unexplored.ConclusionOlder MOPs seek help from health professionals who are directly qualified to treat the symptoms of ageing that they are experiencing or expect to face in the near future. However, included MOPs identify relevant potentials for GPs’ to address vision impairment. This includes a focus on the patient’s general health and function, as well as potential comorbidities influencing treatment trajectories. The current denigration of general practice risks missing out on the potential benefits of robust engagement from general practice in eye health.