A Study of Needs and Rehabilitation Services Provision for Persons with Low-Vision in a Hospital-Based Low-Vision Clinic
Keywords:
Low Vision, Vision Rehabilitation Services, Low-Vision Devices, Orientation and Mobility (O&M) TrainingAbstract
This study investigates the provision of vision rehabilitation services at a hospital based low vision clinic in Thailand and examines the service needs of patients. The research was conducted at the low vision clinic of King Chulalongkorn Memorial Hospital (KCMH), a major national facility and key entry point for rehabilitation following vision loss. Data were collected from 100 low vision patients who visited the clinic between January and March 2022. Telephone interviews were administered using a questionnaire consisting primarily of closed ended items, supplemented with open ended questions. Quantitative data were analyzed descriptively, and qualitative responses were examined through content analysis. Findings showed a slight female majority (56%), with most patients aged 40 years or older (74%). Retinitis pigmentosa emerged as the leading cause of low vision. Although 67% of participants had previously received rehabilitation services—mainly access to low vision devices rather than orientation and mobility (O&M) training—several barriers persisted, including social stigma, transportation costs, and challenges related to the service environment. In terms of needs, 52% of patients, especially older adults, prioritized access to low vision devices, followed by technology training (15%). Given the heterogeneity of this population, respondents expressed a strong preference for a comprehensive, one stop service model that integrates outreach capabilities. The study recommends implementing educational and counseling programs to improve patient awareness of rehabilitation benefits, reduce stigma related to mobility aids, and address misconceptions. Policy reforms are also needed to streamline reimbursement and procurement processes for high cost assistive devices.
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