دورية أكاديمية
Charity Care in Ophthalmology, 2024.
| العنوان: | Charity Care in Ophthalmology, 2024. |
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| المؤلفون: | Browning DJ; From the Department of Ophthalmology, Wake Forest University School of Medicine (D.J.B., S.S.O., H.H.), Winston-Salem, North Carolina. Electronic address: djbrowni@wakehealth.edu., Ong SS; From the Department of Ophthalmology, Wake Forest University School of Medicine (D.J.B., S.S.O., H.H.), Winston-Salem, North Carolina., Clarkson JG; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine (J.G.C.), Miami, Florida, USA., Huang H; From the Department of Ophthalmology, Wake Forest University School of Medicine (D.J.B., S.S.O., H.H.), Winston-Salem, North Carolina. |
| المصدر: | American journal of ophthalmology [Am J Ophthalmol] 2024 Jun; Vol. 262, pp. 19-24. Date of Electronic Publication: 2024 Feb 08. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 0370500 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1891 (Electronic) Linking ISSN: 00029394 NLM ISO Abbreviation: Am J Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1999- : New York, NY : Elsevier Science Original Publication: [Chicago, etc., Ophthalmic Pub. Co., etc.] |
| مواضيع طبية MeSH: | Ophthalmology* , Uncompensated Care*/legislation & jurisprudence, Humans ; United States ; Charities ; Delivery of Health Care ; Health Services Accessibility |
| مستخلص: | Purpose: To review changes in the provision of charity eye care in the past 50 years with hypothesized resulting effects on surgical training and patient outcomes. Design: Perspective. Methods: Case report, comparison of experience in community and training program settings, and selected literature review. Results: The population to which charity care applies has shrunk as broader insurance coverage has been legislated, but in 2023 remains at approximately 7.3% of the US population. In areas with ophthalmology training programs, house staff supervised by faculty provide most of the charity care. In areas without training programs, a shrinking pool of willing private practitioners provides charity care. Because there is no organized financial support behind provision of charity, nonanecdotal data needed to assess the problem and guide decision making are lacking. Conclusions: Charity eye care in ophthalmology in 2024 is a patchwork of transient, local efforts that have a few common themes: absent material basis for sustainability, a narrowing base of support by clinicians, transfer of care to training programs, and financial vetting of applicants by nonclinicians. Unless universal health care legislation passes, which would eliminate the issue, suggestions for improvement include broader voluntary participation by private practice ophthalmologists in charity eye care, allocation of charity care spending by nonprofit hospitals to support this effort, and clinician-determined criteria for provision of charitable surgery supported by involved hospital systems. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240210 Date Completed: 20240516 Latest Revision: 20240516 |
| رمز التحديث: | 20240517 |
| DOI: | 10.1016/j.ajo.2024.02.002 |
| PMID: | 38341168 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1879-1891 |
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| DOI: | 10.1016/j.ajo.2024.02.002 |