Publications by authors named "Randall Joan"

Navigating access to eye care requires that patients recognize the need for screening and care, employ limited financial and social resources, manage complex health insurance policies, and access specialty clinical care. We investigated the experience of patients through the progression of vision loss to blindness, utilizing qualitative methods. We conducted structured telephone interviews with 28 persons with blindness throughout Oregon.

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In the United States, there is no reliable data to describe the prevalence of eye diseases leading to visual impairment and little active surveillance to address this knowledge gap. Data that is readily available from many state blind registries may provide helpful information on trends and causes of blindness. We analyzed new registrations with the Oregon Commission for the Blind (OCB) and Oregon State Department of Administrative Services (DAS) from 1961 to 2016 for causes of and trends in blindness.

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Article Synopsis
  • - The prevalence of blindness in the U.S. is projected to double by 2050, with many individuals unaware of their blinding eye diseases, highlighting the need for effective community vision screening.
  • - Traditional vision screening programs face challenges like high referral rates and low follow-through, often resulting in less than 50% compliance from participants.
  • - A modified screening program, which included an on-site ophthalmologist and utilized community resources, improved outcomes significantly, with 97% of participants completing follow-up exams and 78.8% receiving comprehensive vision care.
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Background: Health information technology (HIT) offers a resource for public empowerment through tailored information.

Objective: Use interactive community health events to improve awareness of chronic disease risk factors while collecting data to improve health.

Methods: Let's Get Healthy! is an education and research program in which participants visit interactive research stations to learn about their own health (diet, body composition, blood chemistry).

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