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Pediatric Quality Measures in Vision Screening and Follow-Up.

Alaa A Ahmed1, Genie Han1, Megan E Collins2

  • 1Evidence-Based Practice Center, Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.

Pediatrics
|May 20, 2026
PubMed
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Pediatric vision screening and follow-up quality measures show promise in reliability and validity, but feasibility remains a challenge. Future research should focus on practical, standardized measures and integrated data systems for better child vision care.

Area of Science:

  • Ophthalmology
  • Pediatric Healthcare Quality
  • Health Services Research

Background:

  • Effective early detection and management of childhood vision impairments are critical for long-term visual health and development.
  • Quality measures are essential for standardizing and improving the delivery of pediatric vision care.

Purpose of the Study:

  • To systematically review and summarize existing pediatric quality measures for vision screening and follow-up care in the United States.
  • To identify the strengths and limitations of current quality measures in pediatric vision health.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (PubMed, Embase, CINAHL, Cochrane Central, PsychINFO) from 2009 to December 2024.
  • Gray literature from governmental and nongovernmental organizations was also included.

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  • Information was extracted by two independent reviewers using Distiller SR and Excel.
  • Main Results:

    • Fifty vision screening and 34 follow-up quality measures were identified, primarily targeting early childhood in primary care.
    • While many measures demonstrated evidence of reliability, validity, and usability, feasibility was a significant concern for several.
    • Barriers to implementation included data infrastructure, collection issues, and lack of measure standardization; evidence on demographic variations and outcomes was limited.

    Conclusions:

    • Numerous pediatric vision quality measures possess good reliability, validity, and usability, yet their practical feasibility requires further attention.
    • Future research and development should concentrate on creating feasible, standardized follow-up measures.
    • Integration of data systems and rigorous evaluation of measure alignment and outcomes are recommended to enhance pediatric vision care quality.