BMJ open ophthalmology · 2026
Compliance with post-school vision screening referral: a systematic review.
Систематический обзорСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Cui Jinli, Zhuo Shuxi, Qin Yimin, Wang Jiayi, Chen Ruoyang, Huang Wenyong, Liang Lingyi, Han Xiaotong
Аннотация
PURPOSE: To estimate referral compliance rates and evaluate intervention effectiveness after post-school vision screening in children and adolescents.
METHODS: We systematically searched PubMed, Embase, CINAHL, Web of Science and the Cochrane Library for studies published from January 2015 to December 2025. Eligible studies reported referral compliance data for school-aged populations. Study quality was assessed using the Effective Public Health Practice Project tool. Due to significant heterogeneity, a narrative synthesis was conducted. The review protocol was registered with PROSPERO (CRD420251268955).
RESULTS: A total of 30 articles were included. Real-world referral compliance rates were suboptimal, with a median of 43.1% (range: 12.0-79.7%). Analysis of 14 intervention studies revealed three main strategies for improving compliance: the on-site care model which provided prescriptions for eyeglasses at school, the referral pathway model which provided clear instructions regarding the pathway to follow-up care, and the education model which provided health education and referral encouragement primarily. On-site care achieved relatively higher compliance rates (51.8-96.0%), whereas providing a clear referral pathway also benefited referral compliance (25.0-65.7%). However, the education model alone is insufficient to significantly improve compliance (21.3-24.5%).
CONCLUSIONS: Referral compliance is suboptimal and variable. It is crucial for settings to provide on-site care whenever feasible. Alternatively, establishing clear referral pathways is essential to ensure that children receive the appropriate eye care they need.
METHODS: We systematically searched PubMed, Embase, CINAHL, Web of Science and the Cochrane Library for studies published from January 2015 to December 2025. Eligible studies reported referral compliance data for school-aged populations. Study quality was assessed using the Effective Public Health Practice Project tool. Due to significant heterogeneity, a narrative synthesis was conducted. The review protocol was registered with PROSPERO (CRD420251268955).
RESULTS: A total of 30 articles were included. Real-world referral compliance rates were suboptimal, with a median of 43.1% (range: 12.0-79.7%). Analysis of 14 intervention studies revealed three main strategies for improving compliance: the on-site care model which provided prescriptions for eyeglasses at school, the referral pathway model which provided clear instructions regarding the pathway to follow-up care, and the education model which provided health education and referral encouragement primarily. On-site care achieved relatively higher compliance rates (51.8-96.0%), whereas providing a clear referral pathway also benefited referral compliance (25.0-65.7%). However, the education model alone is insufficient to significantly improve compliance (21.3-24.5%).
CONCLUSIONS: Referral compliance is suboptimal and variable. It is crucial for settings to provide on-site care whenever feasible. Alternatively, establishing clear referral pathways is essential to ensure that children receive the appropriate eye care they need.