Soroka M
College of Optometry, State University of New York, NY 10010.
J Am Optom Assoc. 1989 Nov;60(11):832-5.
General eye care, although not a required basic health service of federally qualified health maintenance organizations (HMOs), is being offered in virtually all HMOs. Reasons for including vision care benefits and optometric services are presented. Data from the Group Health Association of America and the Department of Health and Human Services demonstrates that HMOs are in fact providing vision care benefits and optometric services. The growth of the independent practice association (IPA) model is significant for optometry as it threatens to limit the scope of optometric practice. New professional problems arise as participating optometrists are constrained from performing the full range of optometric services. In recent years optometry has expanded its scope of licensure and practice to incorporate both diagnostic and therapeutic drugs in its management of visual problems. Managed care and alternate delivery systems, however, may restrict the advances that optometry has made in the legislative arena.
普通眼科护理，虽然并非联邦合格健康维护组织（HMO）规定的基本医疗服务，但几乎所有HMO都在提供此项服务。文中阐述了纳入视力保健福利和验光服务的原因。美国团体健康协会和卫生与公众服务部的数据表明，HMO实际上确实在提供视力保健福利和验光服务。独立执业协会（IPA）模式的发展对验光行业意义重大，因为它有可能限制验光业务的范围。由于参与其中的验光师在提供全面的验光服务方面受到限制，新的专业问题随之出现。近年来，验光行业扩大了其执照范围和业务范畴，将诊断和治疗药物纳入视觉问题的管理中。然而，管理式医疗和替代服务体系可能会限制验光行业在立法领域取得的进展。
