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Optometry's expanding scope of pract...

Hoppe, Elizabeth Susan.

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Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk./
作者:	Hoppe, Elizabeth Susan.
面頁冊數:	101 p.
附註:	Chair: Dean Smith.
Contained By:	Dissertation Abstracts International60-06B.
標題:	Health Sciences, Health Care Management. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9936747
ISBN:	9780599378520

Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk.
Hoppe, Elizabeth Susan.

Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk. - 101 p.

Chair: Dean Smith.

Thesis (Dr.P.H.)--University of Michigan, School of Public Health, 1999.

This research consists of three separate but related topics in optometry and health care policy. The first paper addresses the legislative process of expanded scope of practice acts by evaluating state and professional characteristics associated with the time to pass optometric therapeutic pharmaceutical agent legislation in all 50 states. A regression analysis revealed that various characteristics were associated with quicker passage of this legislation. The single most influential variable was a state's level of membership in the American Optometric Association. This was followed by adjusted per capita income, population density, party control of the state legislature, and the ratio of physicians to optometrists. Least influential was the percent of HMO enrollees, which was not statistically significant in the model.

ISBN: 9780599378520Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk.
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245 1 0 $a Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk.
300 $a 101 p.
500 $a Chair: Dean Smith.
500 $a Source: Dissertation Abstracts International, Volume: 60-06, Section: B, page: 2638.
502 $a Thesis (Dr.P.H.)--University of Michigan, School of Public Health, 1999.
520 $a This research consists of three separate but related topics in optometry and health care policy. The first paper addresses the legislative process of expanded scope of practice acts by evaluating state and professional characteristics associated with the time to pass optometric therapeutic pharmaceutical agent legislation in all 50 states. A regression analysis revealed that various characteristics were associated with quicker passage of this legislation. The single most influential variable was a state's level of membership in the American Optometric Association. This was followed by adjusted per capita income, population density, party control of the state legislature, and the ratio of physicians to optometrists. Least influential was the percent of HMO enrollees, which was not statistically significant in the model.
520 $a The second paper changes the frame of analysis from the level of the state to the level of the individual ophthalmologist. A series of surveys evaluated interprofessional relations between optometry and its prime economic competitor, the medical specialty of ophthalmology. The results of these surveys demonstrated that opposition to expanded scope of optometric practice is high. Respondents from states with a broader scope of optometric practice were more likely to support optometrists' use of some types of drugs. Perceptions about optometrists' educational background and preparation for use of therapeutic agents was found to be the most influential determinant of support for expansion of optometric scope. Economic competition was not found to be as influential as education towards ophthalmologists' support or opposition of expanded scope of optometric practice.
520 $a The third paper analyzes a hazard for health care professionals, the risk of infection by blood-borne pathogens secondary to occupational exposure. This analysis found an estimated range of 1 to 19 potential blood exposures or uses of a needle per 10,000 patient encounters, or one potential blood exposure per 534 to 10,526 patient encounters. This information is helpful in establishing policies relating to infection control, immunizations, and testing for blood borne disease. Optometry cannot necessarily be lumped together with other health care professions because of its unique scope of practice. All three papers explore opportunities for changes in public policy and future research.
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