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Practice patterns of the office-based ophthalmologist

S M Sastry1, Y P Chiang, J C Javitt

  • 1Worthen Center for Eye Care Research, Department of Ophthalmology, Georgetown University Medical Center, Washington, DC 20007.

Ophthalmic Surgery
|February 1, 1994
PubMed
Summary

Ophthalmology practice patterns reveal that over 38 million office visits were analyzed from 1989-1990. Leading diagnoses included cataract, refractive disorders, and glaucoma, with most patients over 65.

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Area of Science:

  • Ophthalmology
  • Health Services Research
  • Public Health

Background:

  • Office-based ophthalmology practice patterns are crucial for understanding healthcare delivery.
  • Previous characterizations of these patterns are limited, necessitating updated analysis.

Purpose of the Study:

  • To characterize the practice patterns of office-based ophthalmologists in the United States.
  • To identify leading diagnoses, patient demographics, and visit characteristics.

Main Methods:

  • Analysis of data from the 1989 National Ambulatory Medical Care Survey (NAMCS).
  • Inclusion of office visits between 1989 and 1990 by nonfederally-employed, office-based physicians.
  • Examination of over 38 million patient visits.

Main Results:

  • The majority of patients (52%) were over 65 years old, and 90% were white.
  • Leading diagnoses included cataract/cataract surgery (23%), disorders of refraction (19.5%), and glaucoma (13%).
  • Over 40% of visits were for visual dysfunction, abnormal appearance, or abnormal sensation; nearly 33% were for diagnosis or treatment.

Conclusions:

  • Cataract, refractive disorders, and glaucoma were the most common reasons for ophthalmology office visits in 1989-1990.
  • The elderly population represented a significant majority of patients seeking ophthalmic care.
  • Understanding these patterns is vital for resource allocation and healthcare planning in ophthalmology.

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