Skip to main content

A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service.

Publication ,  Journal Article
Lee, PP; Meredith, LS; Whitcup, SM; Spritzer, K; Hays, RD
Published in: Retina
1998

PURPOSE: To assess the association between structural factors in the health care delivery system and self-reported utilization of ophthalmic services by patients with diabetes in the Medical Outcomes Study (MOS). METHODS: Self-reported utilization of ophthalmic services within the 6 months preceding enrollment into the MOS among 522 of 567 individuals with diabetes in the MOS longitudinal panel was measured. Use of eye care services was regressed (logistic model) on patient demographics, geographic location, physician specialty, type of practice, and finance plan (prepaid or fee-for-service). RESULTS: None of the variables was significantly associated with a higher or lower likelihood of having used ophthalmic services in the preceding 6 months. Thus, no difference between prepaid or fee-for-service plans or among solo practice, large multispecialty groups, or HMOs were identified. Having seen an internist, family practitioner, or diabetes specialist for diabetes care was not related to use of ophthalmic services. CONCLUSIONS: Despite a presumed greater interest in preventive health, prepaid health plans were no more or less likely than the fee-for-service sector to have patients with diabetes reporting an eye examination within the prior 6 months. Thus, steps to improve the rate of eye examinations of diabetics may need to focus beyond the structural elements of the health care delivery system.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Retina

DOI

ISSN

0275-004X

Publication Date

1998

Volume

18

Issue

4

Start / End Page

356 / 359

Location

United States

Related Subject Headings

  • Vision Screening
  • United States
  • Self Disclosure
  • Outcome Assessment, Health Care
  • Ophthalmology & Optometry
  • Ophthalmology
  • Middle Aged
  • Managed Care Programs
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lee, P. P., Meredith, L. S., Whitcup, S. M., Spritzer, K., & Hays, R. D. (1998). A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service. Retina, 18(4), 356–359. https://doi.org/10.1097/00006982-199807000-00011
Lee, P. P., L. S. Meredith, S. M. Whitcup, K. Spritzer, and R. D. Hays. “A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service.Retina 18, no. 4 (1998): 356–59. https://doi.org/10.1097/00006982-199807000-00011.
Lee PP, Meredith LS, Whitcup SM, Spritzer K, Hays RD. A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service. Retina. 1998;18(4):356–9.
Lee, P. P., et al. “A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service.Retina, vol. 18, no. 4, 1998, pp. 356–59. Pubmed, doi:10.1097/00006982-199807000-00011.
Lee PP, Meredith LS, Whitcup SM, Spritzer K, Hays RD. A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service. Retina. 1998;18(4):356–359.

Published In

Retina

DOI

ISSN

0275-004X

Publication Date

1998

Volume

18

Issue

4

Start / End Page

356 / 359

Location

United States

Related Subject Headings

  • Vision Screening
  • United States
  • Self Disclosure
  • Outcome Assessment, Health Care
  • Ophthalmology & Optometry
  • Ophthalmology
  • Middle Aged
  • Managed Care Programs
  • Male
  • Humans