Page 159 - DISINVESTMENT AND IMPLEMENTATION OF VISION SCREENING TESTS BASED ON THEIR EFFECTIVENESS

Implementing paediatric vision screening in urban and rural areas in Cluj county, Romania
157
8
doctors
the paperwork involved.
On-site interviews with kindergarten staff
Urban Rural
Resident nurses could screen large numbers of children.
Questionnaires for family doctors On-site observation of screening
Rural Urban Rural
Lack of funds, too many patients, personnel costs, travel time to patients in remote areas would make screening difficult.
Appropriateness
On-site interviews with nurses
Urban Rural
Most parents reacted well to the idea of vision screening.
On-site interviews with family doctors
Rural
Most family doctors felt they had too much other preventive health care priorities and that parents lack awareness of the benefits of preventive health care.
On-site interviews with kindergarten staff
Urban Rural
Screening by nurses in kindergartens was considered suitable for the setting. Most parents reacted well to the idea of vision screening.
Questionnaires for rural family doctors
Rural
Some family doctors said parents would be positive about vision screening, others said they would not.
Adoption
On-site interviews with nurses
Urban Rural Rural
Introducing vision screening was considered a good idea and were enthusiastic to participate.
On-site interviews with family doctors
Most family doctors indicated their nurses did not have to time to take up screening and do the paperwork involved.
Kindergartens were considered less practical because of a lack of nurses and the low numbers of children attending.
Nurses were able to carry out screening according to protocol in the kindergartens.
Nurses were able to carry out screening according to protocol in family doctors’ offices and kindergartens. On few occasions, available spaces were too small to measure visual acuity.
Some parents reacted well, but others were not interested in vision screening at all.
Opinions among kindergarten staff were divided. Some said parents were positive about vision screening while others said parents were negative.
Some nurses were enthusiastic to participate in screening, but others said they lacked the time to do so.