No / Objectives: Poor knowledge of eye health, concerns about the cost of spectacles, mistrust of
optometrists and limited geographical access in socio-economically deprived areas are
barriers to accessing regular eye examinations and result in low uptake and subsequent
late presentation to ophthalmology clinics. Personal Medical Services (PMS) were introduced
in the late 1990s to provide locally negotiated solutions to problems associated with
inequalities in access to primary care. An equivalent approach to delivery of optometric
services could address inequalities in the uptake of eye examinations.
Study design: One-way and multiway sensitivity analyses.
Methods: Variations in assumptions were included in the models for equipment and accommodation
costs, uptake and length of appointments. The sensitivity analyses thresholds
were cost-per-person tested below the GOS1 fee paid by the NHS and achieving breakeven
between income and expenditure, assuming no cross-subsidy from profits from sales
of optical appliances.
Results: Cost per test ranged from £24.01 to £64.80 and subsidy required varied from £14,490
to £108,046. Unused capacity utilised for local enhanced service schemes such as glaucoma
referral refinement reduced the subsidy needed. / Yorkshire Eye Research, NHS Leeds, RNIB
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/9900 |
| Date | 07 November 2014 |
| Creators | Shickle, D., Todkill, D., Chisholm, Catharine M., Rughani, S., Griffin, M., Cassels-Brown, A., May, H., Slade, S.V., Davey, Christopher J. |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Article, No full-text in the repository |
| Relation | http://dx.doi.org/10.1016/j.puhe.2014.07.010 |
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