BACKGROUND: Over one-third of Americans have a disease or functional abnormality in one or both eyes. Only about half of those needing treatment are receiving it. Access to eye and vision care has been a major concern within the public health community yet few definitive studies exist to determine availability of such care and by whom. To address this issue, a study was conducted among optometrists and ophthalmologists who practice in Oregon. METHOD: All optometric and ophthalmologic offices in 1991 were surveyed utilizing a 'blind' telephone interview technique. Information was gathered on the provision of routine eye exams, fees, and visual field testing as well as appointment availability and acceptance of Medicare and Medicaid. RESULTS: Significant differences were found in routine exam fees and availability, provision and fees for visual field testing, and Medicare and/or Medicaid acceptance between the two provider groups. CONCLUSION: Access to optometric care is greater as measured by number of providers, appointment availability and cost. Therefore, optometrists are more accessible and cost effective than other vision care providers.
BACKGROUND: Over one-third of Americans have a disease or functional abnormality in one or both eyes. Only about half of those needing treatment are receiving it. Access to eye and vision care has been a major concern within the public health community yet few definitive studies exist to determine availability of such care and by whom. To address this issue, a study was conducted among optometrists and ophthalmologists who practice in Oregon. METHOD: All optometric and ophthalmologic offices in 1991 were surveyed utilizing a 'blind' telephone interview technique. Information was gathered on the provision of routine eye exams, fees, and visual field testing as well as appointment availability and acceptance of Medicare and Medicaid. RESULTS: Significant differences were found in routine exam fees and availability, provision and fees for visual field testing, and Medicare and/or Medicaid acceptance between the two provider groups. CONCLUSION: Access to optometric care is greater as measured by number of providers, appointment availability and cost. Therefore, optometrists are more accessible and cost effective than other vision care providers.