{"doi":"10.1167/tvst.12.10.11","title":"Barriers and Facilitators to Ophthalmology Visit Adherence in an Urban Hospital Setting","abstract":"Purpose: To explore barriers and facilitators to completing scheduled outpatient appointments at an urban academic hospital-based ophthalmology department. Methods: Potential participants were stratified by neighborhood Social Vulnerability Index (SVI) (range, 0-1.0, higher scores indicate greater vulnerability), and semistructured interviews were conducted with individuals 18 years and older with an SVI of greater than 0.61 (n = 17) and providers delivering care in the General Eye Clinic of the University of Illinois Chicago (n = 8). Qualitative analysis informed by human-centered design methods was conducted to classify barriers and facilitators into three domains of the Consolidated Framework for Implementation Research: outer setting, inner setting, and characteristics of individuals. Results: There were four main themes-transportation, time burden, social support, and economic situation-all of which were within the outer setting of the Consolidated Framework for Implementation Research; transportation was most salient. Although providers perceived health literacy as a barrier affecting motivation, patients expressed a high motivation to attend visits and felt well-educated about their condition. Conclusions: A lack of resources outside of the health system presents significant barriers for patients from neighborhoods with high SVI. Future efforts to improve adherence should focus on resource-related interventions in the outer setting. Improving access to eye care will require community-level interventions, particularly transportation. Translational Relevance: Understanding the barriers and facilitators within the Consolidated Framework for Implementation Research provides useful guidance for future interventions, specifically to focus future efforts to improve adherence on resource-related interventions.","journal":"Translational Vision Science & Technology","year":2023,"id":348564,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":11,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9631,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1091807,"name":"Robert Sherrod","orcid":null,"position":1,"is_corresponding":false},{"id":391283,"name":"Archit V. Potharazu","orcid":"0000-0001-5613-5834","position":2,"is_corresponding":false},{"id":920403,"name":"Diana Nguyen","orcid":"0000-0002-7019-984X","position":3,"is_corresponding":false},{"id":1067295,"name":"Cameron Beversluis","orcid":null,"position":4,"is_corresponding":false},{"id":366016,"name":"Niranjan S. Karnik","orcid":"0000-0001-7650-3008","position":5,"is_corresponding":false},{"id":1091808,"name":"Robison V. P. Chan","orcid":null,"position":6,"is_corresponding":false},{"id":490133,"name":"Sage J. Kim","orcid":"0000-0001-8939-5157","position":7,"is_corresponding":false},{"id":250091,"name":"Jerry A. Krishnan","orcid":"0000-0001-5525-4778","position":8,"is_corresponding":false},{"id":991290,"name":"Hugh Musick","orcid":null,"position":9,"is_corresponding":false},{"id":448714,"name":"Angelica C. Scanzera","orcid":"0000-0003-1571-077X","position":0,"is_corresponding":true}],"reference_count":62,"raw_metadata":null,"created_at":"2026-07-19T01:12:10.335697Z","pmid":"37831446","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}