Navigation Links
People with diabetes in Ontario getting fewer government-funded eye exams, new study finds
Date:1/7/2013

TORONTO, Jan. 7, 2013A new study has found that adults with diabetes in Ontario are getting significantly fewer government-funded eye exams than they were a decade ago, a key component of high-quality diabetes care essential to preventing diabetes-related eye complications.

The decrease is an unintended consequence of the provincial government's decision in 2004 to delist routine eye exams from the Ontario Health Insurance Plan for healthy adults under age 65, said lead researcher Dr. Tara Kiran.

Routine eye exams continue to be funded for adults with diabetes and other medical conditions that affect the eyes, as well as children, seniors and people on social assistance.

Although the study did not address why the number of eye exams dropped, Dr. Kiran said it was almost certainly related to a misunderstanding by patients and health care providers who may have thought that eye exams done by an optometrist were no longer covered for people with diabetes. Patients with diabetes may also have been charged for a publicly insured service, something she was not able to study.

Dr. Kiran is a family doctor and researcher at St. Michael's Hospital and a research fellow at the Institute for Clinical Evaluative Sciences. Her study was published today in the Canadian Medical Association Journal.

"Our findings suggest that delisting worsened the quality of diabetes care in Ontario even though the policy change was not supposed to affect people with diabetes."

Medical guidelines recommend that people with diabetes have a dilated eye exam every one to two years to screen for diabetic retinopathy. Diabetic retinopathy is the major cause of blindness in people of working age. Early detection and treatment of retinopathy through regular eye exams in which the pupil is dilated can significantly reduce the likelihood of blindness.

Dr. Kiran and her colleagues examined data on publicly funded eye exams of adults aged 40 and over with diabetes in Ontario to determine whether delisting annual exams for healthy middle-age adults affected screening for retinopathy in patients with diabetes. They found that eye exam rates for people aged 40 to 65 years remained steady at 69 per cent between 1998 and 2004 but dropped after delisting to 61 per cent in 2006 and 57 per cent in 2010.

At the same time, rates of cholesterol testing and blood glucose testing, both covered by OHIP, rose steadily from 1998 to 2010. Eye exam rates did not decrease for those 65 and over, a group in which eye exams were not delisted for anyone.

"The Ontario government presumably decided to delist eye examinations for healthy adults because these were deemed to be medically unnecessary," Dr. Kiran said. "Although this likely saved money in the short term, the policy change clearly had unanticipated negative consequences."


'/>"/>

Contact: Leslie Shepherd
shepherdl@smh.ca
416-864-6094
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. How To Treat Acne
2. How “Acne No More” Can Help People Heal Acne Naturally – Health Reviews
3. People Underestimate How Much They Might Change in the Future
4. Dr. Steve Carstensen Treats Sleep Apnea – Improving Quality of Life for Sleepy People and Their Bed Partners
5. Ways To Lose Weight Fast - Can “Eating For Energy” Help People Burn Fat Safely - Health Review Center
6. People May Skip Generic Pills if Color Differs From Brand-Name Drug
7. Is Fructose Making People Fat?
8. Healthy Diet Plan - Can “Fat Burning Furnace” Help People Get Lean Bodies and Build Up Muscle - HealthReviewCenter.com
9. Crohns.net Celebrates Their 15th Successful Year in Cyberspace…Helping People Across the World
10. Treatment For Psoriasis - New Review Reveals If Psoriasis Free For Life Helps People Clear Disease Of The Skin - Health Reviews
11. New Low Carbohydrate Diet - How “Carb Back Loading” Can Help People Lose Weight - HealthReviewCenter.com
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... ... June 23, 2017 , ... Ulster University, Magee Campus ... from 9 am to 3 pm to present to graduate students exciting new and ... an original curriculum project led by The Health Improvement Service of the Western Health ...
(Date:6/23/2017)... ... June 23, 2017 , ... Radabaugh & Associates, ... families and business owners in North Central West Virginia, is embarking on a ... differently abled residents in the region. , The Stepping Stones organization offers a ...
(Date:6/22/2017)... Indianapolis, IN (PRWEB) , ... June 22, 2017 ... ... employee benefits advisory organization, is pleased to welcome Whipple & Company as its ... on the clear purpose of balancing their clients’ risk while tailoring optimized benefit ...
(Date:6/22/2017)... , ... June 22, 2017 , ... ... awards for environmental excellence. Maryland Recycling Network has awarded the Baltimore VA Medical ... Outstanding Small Government Program Award for its efforts to promote waste reduction and ...
(Date:6/20/2017)... ... June 20, 2017 , ... ... that Claritas Capital, a Nashville-based private equity firm, has invested $3.35 million in ... for some time, and Claritas Capital offers the smart money, speed to market ...
Breaking Medicine News(10 mins):
(Date:6/8/2017)... 8, 2017  Less than a month ago, amateur ... 200,000 companies, including hospital networks, in over 150 countries. ... of the largest online extortion attempts ever recorded. With ... it is imperative that providers understand where the risks ... this — and many other very real cyber threats.  ...
(Date:6/7/2017)... GAITHERSBURG, Md. , June 7, 2017  Novavax, Inc., ... the second of two Phase 2 trials of its RSV ... women of child bearing age have been published in the ... this publication have been shared in prior scientific conferences). The ... trial in April 2014. Novavax is developing the RSV F ...
(Date:6/3/2017)... -- Eli Lilly and Company (NYSE: LLY ... 3 MONARCH 2 study showed that abemaciclib, a ... with fulvestrant, significantly improved progression-free survival (PFS) compared ... hormone-receptor-positive (HR+), human epidermal growth factor receptor 2-negative ... progressed after endocrine therapy (median PFS, 16.4 vs. ...
Breaking Medicine Technology: