Manpower Studies for the United States: Part II Demand for Eye Care A Public Opinion Poll Based upon a Gallup Poll Survey

Abstract

This is the second in the series of Ophthalmology Manpower Studies. Part I presented estimates of disease prevalence and incidence, the average amount of time required to care for such conditions, and based on that information, the total hours of ophthalmological services required to care for all the projected need in the population. Using different estimates of the average number of hours worked per year per ophthalmologist (based on a 35, 40 and 48 hours/week in patient care), estimates of the total number of ophthalmologists required were calculated. This method is basically similar to the method later adopted by the Graduate Medical Education National Advisory Committee (GMENAC) to arrive at estimates of hours of ophthalmological services required for 1990. However, instead of using all the need present in the population, the GMENAC panel chose to use an "adjustedneeds based" model as a compromise between total need and actual utilization, the former being an overestimation and the latter being an underestimation since it is in part a function of the barriers to medical care.Since some of these barriers to medical care include informational factors, as well as availability and accessability, this study was undertaken to assess the utilization of these services and the adequacy of present ophthalmological manpower in the opinion of the consumer. Also, since the consumer's choice or behavior depends on being informed about the differences between optometrists and ophthalmologists, such knowledge was assessed and the responses further evaluated after explanatory statements were made to the responders.