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  1. Estimating eye care workforce supply and requirements. Discussion.

    Article - En anglais

    Purpose 

    To estimate the workforce supply and requirements for eye care in the United States.

    Methods 

    Three models were constructed for analysis : supply of providers, public health need for eye care, and demand (utilization) for eye care.

    Ophthalmologists, other physicians, and optometrists were included in the models.

    Public health need was determined by applying condition-specific prevalence and incidence rates from population-based and other epidemiologic studies.

    Demand was determined by use of national databases, such as the National Ambulatory Care Survey, National Hospital Discharge Survey, and Medicare Part B. Time requirements for care were obtained through a stratified sample survey of the membership of the American Academy of Ophthalmology.

    Results 

    Under modeling assumptions that use a work-time ratio of one between optometrists and ophthalmologists and between specialist and generalist ophthalmologists, a significant excess of eye care providers exists relative to both public health need and demand.

    Changes in the work-time ratio, work-hours per year per provider, care patterns for the same condition, or other factors could significantly reduce or eliminate the surplus relative to need.

    Conclusion 

    If optometrists are the preferred primary eye care provider, ophthalmologists would be in excess under all demand scenarios and all need scenarios where the optometrist to ophthalmologist work-time ratio is greater than 0.6. No excess of ophth...

    Mots-clés Pascal : Ophtalmologie, Soin, Capacité travail, Demande, Utilisation, Médecin, Optométrie, Exigence, Malade, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Ophthalmology, Care, Work capacity, Demand, Use, Physician, Optometry, Requirement, Patient, United States, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0074552

    Code Inist : 002B09N. Création : 199608.