Delisted routine eye examinations for nonrefractive eye conditions: a comparative analysis.

CMAJ Open
William JeonYa-Ping Jin

Abstract

In 2004, Ontario delisted routine eye examinations for people aged 20-64 years, potentially encouraging patients seeking eye care to visit government-insured primary care providers (PCPs) rather than optometrists whose services had been deinsured. We investigated if utilization of PCP services for nonrefractive eye conditions increased after 2004 among Ontarians who were affected by the delisting. We conducted a comparative analysis of the utilization of PCP services for nonrefractive eye conditions in Ontario using administrative data from 2000 to 2014. We included participants without a visit to government-insured optometrists or ophthalmologists in the year before the study year; we excluded participants with existing diabetes. Changes in utilization before and after delisting were statistically assessed using segmented regression analysis in subgroups stratified by age, sex, rurality and neighbourhood income. A significant increase in utilization of PCP services for nonrefractive ocular diagnoses after 2004 was documented among people affected by the delisting: 17.8% (95% confidence interval [CI] 17.0% to 18.7%) for people aged 20-39 years and 11.6% (95% CI 10.6% to 12.5%) for people aged 40-64 years. This corresponds to an...Continue Reading

References

Apr 25, 1992·BMJ : British Medical Journal·J H SheldrickA Wilson
Sep 10, 1994·BMJ : British Medical Journal·D A LaidlawV J Marmion
Aug 14, 2002·Journal of Clinical Pharmacy and Therapeutics·A K WagnerD Ross-Degnan
May 6, 2004·Journal of Clinical Epidemiology·Machelle WilcheskyAllen Huang
Jan 22, 2009·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·T J PierscionekB K Pierscionek
Sep 22, 2010·Archives of Dermatology·Akerke Baibergenova, Neil H Shear
Jun 13, 2012·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Ya-Ping JinGraham E Trope
Jan 9, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Tara KiranRichard H Glazier
Oct 30, 2013·The Journal of Investigative Dermatology·Roderick J HayMohsen Naghavi
Dec 7, 2013·Academic Pediatrics·Robert B Penfold, Fang Zhang
Apr 22, 2015·Journal of the American Academy of Dermatology·Jenna M PeartJules B Lipoff
Jun 11, 2016·International Journal of Epidemiology·James Lopez BernalAntonio Gasparrini
May 23, 2018·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Gordon NgoYa-Ping Jin

❮ Previous
Next ❯

Citations

Jun 27, 2021·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Ya-Ping JinGraham E Trope

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Ya-Ping JinGraham E Trope
JAMA : the Journal of the American Medical Association
David C Musch, Thomas W Gardner
Optical Journal and Review of Optometry
L WEINTROB
CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Tara KiranRichard H Glazier
© 2021 Meta ULC. All rights reserved