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. 1995 Mar-Apr;110(2):147–153.

Office visits to ophthalmologists and other physicians for eye care among the U.S. population, 1990.

Y P Chiang 1, F Wang 1, J C Javitt 1
PMCID: PMC1382093  PMID: 7630990

Abstract

Despite growth in the use of ophthalmologic care in the last decade, little is known about the use of eye care services and patterns of physician contact across population subgroups. As the U.S. population grows older, such information is crucial in planning strategies for treatment and prevention of eye disorders as well as in identifying potential problems in access and use of eye care. Using the 1990 National Ambulatory Medical Care Survey data, a descriptive statistical analysis was employed to profile the possible variations in eye care-related office visits to ophthalmologists and other physicians across demographic groups. In 1990, a total of 49.3 million visits that were related primarily to an ocular disorder were made to physicians' offices; 43.8 million (89 percent) of these were visits to ophthalmologists and 5.4 million (11 percent) to other physicians. Use of ambulatory eye care varied across demographic subgroups. Those ages 65 or older had a substantially higher rate of eye care related outpatient visits per 1,000 persons per year compared with the rest of the population (743.6 per 1,000 versus 118.5 per 1,000, P < 0.001). Women had a higher rate than men (216.0 per 1,000 versus 177.0 per 1,000, 0.01; P < 0.05). Blacks had a substantially lower rate than whites (143.2 per 1,000 versus 194.6 per 1,000, 0.001; P < 0.01). Those who visited ophthalmologists' offices also differed from those who visited other physicians' offices in terms of their age, sex, race, health insurance status, and disease characteristics.(ABSTRACT TRUNCATED AT 250 WORDS)

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Javitt J. C., Chiang Y. P. Preparing for managed competition. Utilization of ambulatory eye care visits to ophthalmologists. Arch Ophthalmol. 1993 Aug;111(8):1034–1035. doi: 10.1001/archopht.1993.01090080030012. [DOI] [PubMed] [Google Scholar]
  2. Javitt J. C., McBean A. M., Nicholson G. A., Babish J. D., Warren J. L., Krakauer H. Undertreatment of glaucoma among black Americans. N Engl J Med. 1991 Nov 14;325(20):1418–1422. doi: 10.1056/NEJM199111143252005. [DOI] [PubMed] [Google Scholar]
  3. Javitt J. C., Vitale S., Canner J. K., Krakauer H., McBean A. M., Sommer A. National outcomes of cataract extraction. I. Retinal detachment after inpatient surgery. Ophthalmology. 1991 Jun;98(6):895–902. doi: 10.1016/s0161-6420(91)32204-8. [DOI] [PubMed] [Google Scholar]
  4. Leibowitz H. M., Krueger D. E., Maunder L. R., Milton R. C., Kini M. M., Kahn H. A., Nickerson R. J., Pool J., Colton T. L., Ganley J. P. The Framingham Eye Study monograph: An ophthalmological and epidemiological study of cataract, glaucoma, diabetic retinopathy, macular degeneration, and visual acuity in a general population of 2631 adults, 1973-1975. Surv Ophthalmol. 1980 May-Jun;24(Suppl):335–610. [PubMed] [Google Scholar]
  5. Sastry S. M., Chiang Y. P., Javitt J. C. Practice patterns of the office-based ophthalmologist. Ophthalmic Surg. 1994 Feb;25(2):76–81. [PubMed] [Google Scholar]
  6. Sommer A., Tielsch J. M., Katz J., Quigley H. A., Gottsch J. D., Javitt J. C., Martone J. F., Royall R. M., Witt K. A., Ezrine S. Racial differences in the cause-specific prevalence of blindness in east Baltimore. N Engl J Med. 1991 Nov 14;325(20):1412–1417. doi: 10.1056/NEJM199111143252004. [DOI] [PubMed] [Google Scholar]
  7. Stark W. J., Sommer A., Smith R. E. Changing trends in intraocular lens implantation. Arch Ophthalmol. 1989 Oct;107(10):1441–1444. doi: 10.1001/archopht.1989.01070020515030. [DOI] [PubMed] [Google Scholar]
  8. Tielsch J. M., Sommer A., Witt K., Katz J., Royall R. M. Blindness and visual impairment in an American urban population. The Baltimore Eye Survey. Arch Ophthalmol. 1990 Feb;108(2):286–290. doi: 10.1001/archopht.1990.01070040138048. [DOI] [PubMed] [Google Scholar]
  9. Ullman R., Block J. A., Stratmann W. C. An emergency room's patients: their characteristics and utilization of hospital services. Med Care. 1975 Dec;13(12):1011–1020. doi: 10.1097/00005650-197512000-00003. [DOI] [PubMed] [Google Scholar]

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