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Types of optometric testing emphasized in different practice modes

L Thal, C Hisaka, R Melrose

    Journal of the American Optometric Association
    |September 1, 1993
    PubMed
    Summary
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    Optometry testing varies by practice setting. Private practices emphasize stereopsis and binocular vision, while NP/HMOs focus on dilation, and corporate practices show slight differences in tonometry frequency.

    Area of Science:

    • Optometry
    • Ophthalmology
    • Public Health

    Background:

    • Survey of 5,200 California licensed optometrists.
    • Investigated variations in eye examination test procedures across practice settings.

    Purpose of the Study:

    • To determine if specific eye examination tests differ in frequency based on practice mode.
    • To compare testing patterns among private, corporate, and nonprofit/health maintenance organization (NP/HMO) practice settings.

    Main Methods:

    • Analysis restricted to three practice modes: private, corporate, and NP/HMO.
    • Response rate of 66.4% from surveyed optometrists.
    • Compared frequency of case history, stereopsis, binocular vision, biomicroscopy, dilated fundus examination, tonometry, and perimetry across practice modes.

    Related Experiment Videos

    Main Results:

    • Private practices performed stereopsis and binocular vision testing more frequently than corporate or NP/HMO settings.
    • Corporate practices performed tonometry slightly more than NP/HMO settings.
    • NP/HMO settings performed dilated fundus examinations more than private or corporate practices.

    Conclusions:

    • Practice setting significantly influences the frequency and emphasis of specific optometric tests.
    • Differences in testing protocols may reflect varied patient populations or practice goals.
    • Further research could explore the clinical implications of these practice-based testing variations.