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

Abstract

Yu Dong, Aiping Wang The First Hospital of China Medical University, Shenyang, People’s Republic of ChinaCorrespondence: Aiping Wang, The First Hospital of China Medical University, No. 155, North Street, Heping District, Shenyang, Liaoning Province, People’s Republic of China, 110001, Email [email protected]: 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

Keywords

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