Biomedical subjects

Lauren Feldman

Publications and source records attributed to Lauren Feldman.

2 recordsLinked to original sources

PubMed2005

Optometry in a hospital setting.

This study was designed to determine the extent to which optometry has been integrated within the hospital delivery system in New York State and to determine the types of services rendered by optometrists in governmental and non-governmental hospitals. A survey was developed and sent to all hospitals in the State to assess which hospitals provided eye care and whether optometrists were on staff. The number of optometrists affiliated with a hospital has increased from 27% in 1978 to 43% in 2003. Virtually all (90%) of city, county, and federal government hospitals used optometrists as compared to 32% of voluntary hospitals. Optometrists were found to provide a full range of medical ocular services including treatment. Given the cost savings of using optometrists, hospitals should consider integrating this profession into their primary eye care services.

Diagnostic Services↗

PubMedDate not supplied

Quality-of-care review of optometric records: inter-rater reliability.

As managed care organizations (MCOs) move into the realm of vision care, the issue of quality measurement has grown in relevance. This article assesses the inter-rater reliability of a medical record review instrument of a managed vision care plan. This study attempts to duplicate the continuous quality improvement initiative set forth by these MCOs. Twenty examiners, using the review instrument developed by the respective MCO, independently rated the records of 29 patients. Although the reviewers rated more than 86% of all records similarly, statistical analysis and further investigation deemed the instrument inconsistent and thus unreliable in its measurement.

Data Interpretation, Statistical↗