Access, provision, and cost of routine eye care: a comparison of Oregon optometrists and ophthalmologists

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.

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.

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.

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.