دورية أكاديمية
Eye Care in Federally Qualified Health Centers.
العنوان: | Eye Care in Federally Qualified Health Centers. |
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المؤلفون: | Woodward MA; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan. Electronic address: mariawoo@med.umich.edu., Hicks PM; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Harris-Nwanyanwu K; Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut., Modjtahedi B; Department of Research and Evaluation, Southern California Permanente Medical Group, Pasadena, California; Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California; Eye Monitoring Center, Kaiser Permanente Southern California, Baldwin Park, California., Chan RVP; Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois., Vogt EL; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Lu MC; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Newman-Casey PA; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan. |
مؤلفون مشاركون: | American Academy of Ophthalmology Taskforce on Ophthalmology and Community Health Centers |
المصدر: | Ophthalmology [Ophthalmology] 2024 Apr 30. Date of Electronic Publication: 2024 Apr 30. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 7802443 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1549-4713 (Electronic) Linking ISSN: 01616420 NLM ISO Abbreviation: Ophthalmology Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2000- : New York : Elsevier Original Publication: Rochester, Minn., American Academy of Ophthalmology. |
مستخلص: | Purpose: To assess changes in vision care availability at Federally Qualified Health Centers (FQHCs) between 2017 and 2021 and whether neighborhood-level demographic social risk factors (SRFs) associated with eye care services provided by FQHCs. Design: Secondary data analysis of the Health Resources and Services Administration (HRSA) data and 2017-2021 American Community Survey (ACS). Participants: Federally Qualified Health Centers. Methods: Patient and neighborhood characteristics for SRFs were summarized. Differences in FQHCs providing and not providing vision care were compared via Wilcoxon-Mann-Whitney tests for continuous measures and chi-square tests for categorical measures. Logistic regression models were used to test the associations between neighborhood measures and FQHCs providing vision care, adjusted for patient characteristics. Main Outcome Measures: Odds ratios (ORs) with 95% confidence intervals (CIs) for neighborhood-level predictors of FQHCs providing vision care services. Results: Overall, 28.5% of FQHCs (n = 375/1318) provided vision care in 2017 versus 32% (n = 435/1362) in 2021 with some increases and decreases in both the number of FQHCs and those with and without vision services. Only 2.6% of people who accessed FQHC services received eye care in 2021. Among the 435 FQHCs that provided vision care in 2021, 27.1% (n = 118) had added vision services between 2017 and 2021, 71.5% (n = 311) had been offering vision services since at least 2017, and 1.4% (n = 6) were newly established. FQHCs providing vision care in 2021 were more likely to be in neighborhoods with a higher percentage of Hispanic/Latino individuals (OR, 1.08, 95% CI, 1.02-1.14, P = 0.0094), Medicaid-insured individuals (OR, 1.08, 95% CI, 1.02-1.14, P = 0.0120), and no car households (OR, 1.07, 95% CI, 1.01-1.13, P = 0.0142). However, FQHCs with vision care, compared to FQHCs without vision care, served a lower percentage of Hispanic/Latino individuals (27.2% vs. 33.9%, P = 0.0007), Medicaid-insured patients (42.8% vs. 46.8%, P < 0.0001), and patients living at or below 100% of the federal poverty line (61.3% vs. 66.3%, P < 0.0001). Conclusions: Vision care services are available at a few FQHCs, localized to a few states. Expanding eye care access at FQHCs would meet patients where they seek care to mitigate vision loss to underserved communities. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references. (Copyright © 2024 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.) |
فهرسة مساهمة: | Investigator: RVP Chan; A Chen; J Henderer; B Modjtahedi; K Muir; PA Newman-Casey; D Russo; AC Scanzera; L Rhodes; MA Woodward Keywords: Community Health Centers; Eye care; Federally Qualified Health Centers; Health Resources and Services Administration; Vision services |
تواريخ الأحداث: | Date Created: 20240502 Latest Revision: 20240606 |
رمز التحديث: | 20240606 |
DOI: | 10.1016/j.ophtha.2024.04.019 |
PMID: | 38697267 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1549-4713 |
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DOI: | 10.1016/j.ophtha.2024.04.019 |