Marshall E C
Department of Clinical Sciences, School of Optometry, Indiana University, Bloomington 47405.
J Am Optom Assoc. 1990 May;61(5):413-21.
Significant changes in health policy have occurred during the past 25 years. Directed primarily by congressional legislation and judicial opinion, many of these changes have resulted from efforts to control costs, improve quality and increase access. Optometric parity, reimbursement reform, freedom of choice, mandated benefits, commercial speech, self-insurance, competition and peer review are some of the issues that surround many of the more recent attempts at change in the health care market. Optometry has been and will continue to be affected by changes in health policy, especially with regard to issues of cost, quality and access.
在过去25年里，卫生政策发生了重大变化。这些变化主要由国会立法和司法意见主导，其中许多变化源于控制成本、提高质量和增加医疗可及性的努力。验光配镜平权、报销改革、选择自由、强制福利、商业言论、自我保险、竞争和同行评审是围绕近期医疗市场变革的部分问题。验光行业已经并将继续受到卫生政策变化的影响，尤其是在成本、质量和医疗可及性问题方面。
