Primary Care Physicians and Eye Health

Background & purposes
Detection and treatment of eye diseases and conditions, large public health problems that can lead to vision loss and blindness. The purpose of this research and what vision of health and disease, and they gathered about primary care doctors did was analyze attitudes, opinions and consultations and is about the treatment of their patients.

Methods:
In which 17 included a vision for health care for the face valid questions 69-question survey were Web-based using data. A random sample of 1,500 doctors apokerates honor Panel (a 142000 photos certified panel physicians) was interested. Only those with medical practice, at least in the United States for three years and see the activity to include patients doctors inspected.

Results:
The survey, 48 percent of doctors invited to answered. Rispandant sample (for example, race, nationality and gender) about American doctors was very similar to published figures. Doctors only 51 percent think that it is appropriate to give advice on health knowledge of patients ' vision. Furthermore, only 58 percent believe the eye disease patients in high risk for the most effective action you can take. You will need almost all physicians treating diabetes patients more frequently eye health and disease complications that diabetes eye health and disease with their patients and their patients ' offers for regular eye exams to discuss the advice about and is encouraged.

Discussion
The results of this research, and the need for primary care doctors, eye health and disease show how to accept patients at higher risk of blindness and counsel and download vision care, including how to refer their patients to search for better a chance to educate — both medical as well as those who at that time still to graduate from medical school practicing Said.


Background & goals:
Eye diseases such as diabetic retinopathy, cataracts and age-related degeneration of your income, makolar (AMD) blindness and impaired vision due to millions of Americans in.(1) (2), as well as the aging American population, eye disease, a growing public health issue, which spread and can lead to blindness, loss of quality of life can be quickly detected as long as their diseases and treatment will continue in a timely manner. Many of the causes are easy to diagnose, and Visual organisations blindness and Visual Organization at least 40 percent treatable or can be stopped.(1) diabetic retinopathy, the most common, the population of the United States, in part because of the complexity aokolhar diabetes, blindness is 74 years of age of 20 new cases.(3) that 40.8 percent of adults with diabetes is diabetic retinopathy and 40 years of age and older increased 8.2% Advanced retinopathy is estimated vision is threatened.(4) your income, the main cause of blindness in the world eye diseases and vision loss and optic nerve damage can result in blindness is a group. It is estimated that primary open angle, your income, your income, the most common type of affects 2.2 million American citizens.(5) is an illness which gradually destroys sharp, central vision (6), (7) is AMD. At the age of 40 and older American population overall rendering AMD 1.5 percent, affected 1.8 million people are estimated to have been with.(8) in the world in an eye cataract lens deal, one of the major causes of blindness is treatable. And according to one estimate, 40 or more at the age of 20.5 million Americans either eye is cataract.(9) because they see their patients on a regular basis, primary care physicians to prevent a lack of vision and blindness are in a unique position. A lot of adults to take care of their eyes as well as your own health care primary care provider for help with problems with his expressions of confidence.Primary care physicians (10) health effects eye diseases that sistemitic and diagnostic eye care professionals periodic patients by encouraging to receive care through the eyes of her age, and need so you can manage.(11) Although the primary care physicians access to the healthcare system as a place to serve many patients with eye problems, doctors in General, training, resources, tools, and all the elements of the basic eye examination is the lack of time to perform with.(12) The primary purpose of this study was that primary care physicians the knowledge, attitudes, and loss of eye health and disease to determine what primary care systematically knowing, believing, and vision and eye health with their patients about physicians practice report by the test.

Methods:
Primary care physicians and padiatracans dokstalos in August 2007 – with a periodic Web-based surveys  an eye health supplement were set out to answer. In a sample survey, the apokerates Award Panel opt-142000 photos has verified doctors Panel turned. A random sample of family physicians, the American Medical Association from their central database (UM) master file for region, age, gender, and the ratio was chosen to match. The National Eye Institute and the development of the first field survey of the eyes health and disease survey items were consulted to assess. Invitations to aopanoani hosted by the Web-based survey was developed with a link. 1,000 primary care doctors, obstetricians/gynecologists and 250 250 padiatracans were set to reach. Doctors in order to complete a survey of the honorarium received $ 55. Doctors see patients screened were only practical activity, those working in the United States to add to the group, or an individual hospital practice, and the medicine I practice for at least three years. Were not required to participate to the survey, and the survey can exit at any time.

The dokstalos survey questions, providing insight into a number of administrative, 69 designed for doctors, behavior and attitudes and how to use them on different health issues health information sources for review with the sea. Eye health physicians attitudes and opinion survey component, information and consultation of the patient and after eight demographic questions by means of information evaluation consisted of 17 questions. Tens of thousands of doctors to conduct a survey on the dokstalos before first use of this decade has been administered since. Information is not available or no reliability and health literature is published in.


Results:
Dokstalos invited to participate in surveys of doctors throughout the survey Pointe 1502 sits directly 3115 (two replies to the survey, 48 per cent rate and an effective sample of 1,500 for response were unusable) complete. Recently published statistics (reflective aamak data warehouse model minority physician database: http://www.statehealthfacts.org;, applicant metrakolant file and Umm Hakeem msterfli) for American physicians (for example, 35 per cent women; 3 percent African American; 16% Asian; 70% Caucasian). Furthermore, a response rate is as high as 48 per cent — or higher — for the most part, completed in the past five years is more than the efforts of a physician survey. Complete survey survey has not been completed, 40 32 am scranar was disqualified on the basis of questions, review the log for their full quotas of 528 but was dissolved, and 1,Did not respond to the invitation to 013. Bird table 1 shows a sample of a rispandant physician specialities. Please note that none of the questions in this survey were not at 17 padiatracans eye health, asked.

Doc Info:
Many eye doctors report every 10 diseases (such as diabetic retinopathy, your income, and AMD) early warning signs or symptoms that are not more than about 8. However, they can identify high risk patients for only 6 in every 10 doctors report only half the doctors believe the living eye disease and eye on the health of their patients have enough knowledge to advise. Table 2 selected physician knowledge questions is presented.

Physicians attitudes and methods about eye health and disease:
More than half of all doctors with their vision and eye health patients believe it talk about the history and vision of their role to encourage them to find and dilated eye exams that. Doctors report patients with vision and a maximum 6 every 10 eyes were dilated eye exam and a health talk about encouraging the patient to get their responsibility might believe. Furthermore, more than every 6 to 10 physicians when patients bring themselves up with their vision and eye health patients talk about the report. Table 3 questions about physician and beliefs is presented for selected items.

In terms of history and practices of doctors eye exams:
Counseling patients about vision and eye health, but relatively few dilated eye exams or who is performing the report eye, referring patients for many doctors report. A little more than one-third of the doctors life (35 percent) reported that they have a basic eye screened for their patients or anyone with less than 10 percent, exactly as a normal physical examination performed by conducting a common saying. Checkerboard, only 27 percent of the more than 50% of a basic eye screening was performed with his patients. The doctors more than a quarter (27 per cent) of the opinion in addition to their patients or any slightly less than 10 percent for a dilated eye exam, exactly as it is said that according to the reports. And only 16% reported that their patients A dilated eye exam more than 50 per cent of it is called for. Table 4 practice questions about history and eye exams doctors responses is presented.

Consultation with patients with diabetes:
In General, primary care physicians and diabetes eye health counsel their patients. Primary care doctors, their patients about diabetes, living with his patients, doctors reported 10 more eye health and diabetes patients with diabetic retinopathy 9 10 report your diabetic eye disease, like to talk about is between talking about more than 8. Approximately 9 10 doctors with diabetes eye complications and more than 9 of 10 patients about diabetes patients report consultation report should have their eyes examined every year. Table 5 selected survey questions and answers about doctors is furnished with diabetes patients.


Medical information sources:
The report is only half of all doctors knowledge of them vision health information are available, we surveyed, where wanted to learn because doctors told them to report information. More than half of doctors most often report that their medical information professional journal (77%), (58 per cent) continuing medical education websites (62 per cent), medical, professional medical body (51%) and scientific meetings (50%) have been in the making. For physicians to provide health-related information with the main point of view can catch promise. Table 6 sources for information about physicians medical questions offers answers.

Discussion:
Primary care physicians and to influence the behaviour of the patient in order to maintain and improve the health of their patients and can play an important role in the eye.(Health and diseases of the eye, to understand the natural history of diseases of the eyes, severe primary doctor should reduce the risk of developing vision how to recognize these individuals know the early symptoms of the disease and be able to interpret the care management to help 2), (13) again.(14) in fact, recent research from nearly all (96 percent) they will be adults thou says something that shows their eyes or their primary care physician, they are checking that it is very likely. (10)

Primary care doctors also can create awareness about diseases and patients ' eyes and so that you can begin proper treatment, the patient was immediately identified, refer to.(15) such as diabetic retinopathy, cataract and diseases of the eyes, your income, AMD can be achieved with therapy for primary care physicians and their patients, the benefits of increase, it is necessary to increase awareness.

Primary care physician recommendations for research to prevent cigarettes that smoking classification is one of the most effective in promoting factors.(16) in addition, primary care physician recommendations and especially the importance of the effect on cancer patient who is well observed.(17), (18), (19) eye exams and eye health care and recovery is appropriate in promoting such participation (20) is likely to be effective.
Although primary care physicians report in the survey, 20% 39% of eye disease what patients ask about the family's history of health and disease, the most common cause of death in the eyes of the appropriate to that note. Primary care physician and the opportunity to discover knowledge base eye disease, eye disease patients in high risk for identified in terms of an increase in confidence suggests. Furthermore, additional training and primary care doctors for medical students (21) (22) patients in high risk for eye disease, better practice and their patients requires advice on the health of the eye.

Patient education is an area of increasing importance. However, low health literacy can reduce the effectiveness of patient education is a problem. Primary care doctors to respond to the survey indicated that their favorite Web sites and professional journal, medical sources reported because of continuing medical education in addition, primary care doctors to the fact sheets after this article as well as basic facts about the health of the eyes of patients and disease are designed to be supplied with. Read the fact sheet authors and therapists, doctors and patients share the fact sheet distributed to their patients that recommend.


Limitations:
Current study on the topic, the future boundaries of survey can be fixed. The first sampling method that was used for this survey really random national sample is prepared so that the No. For example, previous study American physicians follow a high% of men and antrnast or family as doctors who called themselves a small number indicated. Therefore, results from this study are representative of the entire population of American doctors can not be. Another thing is that there are currently no published studies or overall health of dokstalos is about the reliability of the survey or surveys. For the survey, and tens of thousands of doctors over the past ten years, given the fact that almost has been administered, it is surprising that no meaningful literature is about reliability and dokstalos of the survey. As far as surveys Authors publish this information, it is difficult to verify the power of survey results. Third, a large number of eye health questions padiatracans was not called. Eye care padiatracans these types of leaves questions in our knowledge about what padiatracans not ask for children's vision health gap professionals know about the health of children in the United States, between the eye of history and the importance of the recommendations are given for padiatracans practice.