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Geographic distribution and coverage of pediatric ophthalmologists in the United States

Jovany J Franco1, Jeremy N Shapiro2, Mikaelah A Johnson-Griggs2

  • 1Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|May 16, 2025
PubMed

Insights

A shortage of pediatric ophthalmologists (POs) affects US children. Many kids lack access to timely eye care, with 1 in 7 living over an hour away from a specialist.

Area of Science:

  • Ophthalmology
  • Health Services Research
  • Geographic Information Systems

Background:

  • The United States experiences a significant shortage of pediatric ophthalmologists (POs).
  • Understanding the geographic distribution and accessibility of POs is crucial for policy and care improvement.
  • Current data on PO service areas is limited.

Purpose of the Study:

  • To analyze the geographic coverage and accessibility of pediatric ophthalmologist services across the United States.
  • To identify populations with limited access to pediatric eye care specialists.
  • To inform strategies for improving pediatric eye care delivery and policy.

Main Methods:

  • Utilized drive time-based service area analysis to map the reach of pediatric ophthalmologists.
  • Assessed the geographic distribution of POs relative to the pediatric population.
  • Correlated access to care with demographic variables.

Main Results:

  • Approximately 1 in 7 American children reside more than 60 minutes away from a pediatric ophthalmologist.
  • Geographic access to POs varies significantly across different regions and demographic groups.
  • Reduced access was linked to specific demographic factors, highlighting disparities in care.

Conclusions:

  • Significant geographic barriers limit access to pediatric eye care for a substantial portion of US children.
  • Targeted interventions are needed to address disparities in PO distribution and improve access.
  • Findings support the need for policy changes and enhanced recruitment for pediatric ophthalmology training programs.

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