Berry Jesse L, Cuzzo Lloyd M, Bababeygy Simon R, Quiros Peter A
Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Int Ophthalmol. 2012 Jun;32(3):245-50. doi: 10.1007/s10792-012-9561-1. Epub 2012 Apr 10.
To investigate the socioeconomic challenges encountered by patients from Los Angeles County Ophthalmology Clinic, California, United States, in obtaining prescription eyeglasses. A retrospective survey study. Patients sent for refraction in June 2009 were asked to rate their satisfaction with their eyeglasses. If they did not obtain eyeglasses, they were asked the reason e.g., cost, lost prescription, etc. Fifty-five percent (54/99) of patients who received a prescription did not obtain eyeglasses. The most common reason was cost (67 %). Eighty-eight percent of patients had some form of health insurance; however, 100 % were lacking eyeglasses coverage. The mean visual acuity pre-refraction was 20/80 versus 20/30 post-refraction (p < 0.001). It is well known that refractive error is a major cause of blindness worldwide, which negatively impacts the patient and their community. However, it is infrequently addressed that these conditions persist in parts of the develop world, including the United States. Los Angeles County Hospital is an example of an environment with many low-income patients in need of refractive correction who are limited mainly by cost in attaining eyeglasses. Furthermore, insurance organizations that cover low-income patients provide minimal or no coverage for prescription eyeglasses.
为调查美国加利福尼亚州洛杉矶县眼科诊所的患者在获取处方眼镜时所面临的社会经济挑战。一项回顾性调查研究。对2009年6月送去验光的患者进行询问，了解他们对眼镜的满意度。如果他们没有配眼镜，会询问原因，如费用、处方丢失等。在收到处方的患者中，55%（54/99）没有配眼镜。最常见的原因是费用（67%）。88%的患者有某种形式的医疗保险；然而，100%的患者没有眼镜保险。验光前的平均视力为20/80，验光后为20/30（p<0.001）。众所周知，屈光不正全球范围内是失明的主要原因，这对患者及其社区产生负面影响。然而，在包括美国在内的部分发达国家，这些情况仍然存在，却很少被提及。洛杉矶县医院就是一个例子，那里有许多低收入患者需要屈光矫正，但主要因费用限制而无法获得眼镜。此外，为低收入患者提供保险的机构对处方眼镜的保险覆盖极少或根本没有。
