A seven-year analysis of the role and impact of a free community eye clinic.
Free clinic
Urban health
Vision screening
Vulnerable populations
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
02 Dec 2021
02 Dec 2021
Historique:
received:
08
06
2021
accepted:
16
11
2021
entrez:
3
12
2021
pubmed:
4
12
2021
medline:
15
12
2021
Statut:
epublish
Résumé
The Indiana University Student Outreach Clinic (IUSOC) Eye Clinic is a monthly student-run eye clinic that provides free visual screening to the Near East Side community of Indianapolis, IN, USA. Screening includes assessments of visual acuity, intraocular pressure, peripheral visual fields, refraction, and non-mydriatic fundus photography. This is a retrospective chart review of 875 patients seen at the IUSOC Eye Clinic from October 2013 to February 2020. Data on demographics, insurance coverage, ocular history, physical examination, suspected diagnosis, referral status, and glasses provided were collected and analyzed. 875 patients were seen at the IUSOC Eye Clinic from October 2013 to February 2020. 39.2% of the patients seen at the clinic reported being uninsured. 61.4% of patients were found to have visual acuity of 20/40 or worse, while 51.3% of patients were found to have a near visual acuity of 20/40 or worse. 20.3% of patients were referred to the local county hospital for further evaluation by an ophthalmologist, 14.4% of patients received free glasses prescriptions, and 27.9% of patients received free reading glasses. Common reasons for referral for further ophthalmology evaluation included glaucoma, decreased visual acuity, and diabetic retinopathy. An estimated value of services provided over the seven years of the clinic was 1271 relative value units. The IUSOC Eye Clinic fills an important role in advancing ocular health and preventing irreversible blindness in an underserved Indianapolis community. Additionally, the clinic demonstrates an educational model for involving medical student volunteers.
Sections du résumé
BACKGROUND
BACKGROUND
The Indiana University Student Outreach Clinic (IUSOC) Eye Clinic is a monthly student-run eye clinic that provides free visual screening to the Near East Side community of Indianapolis, IN, USA. Screening includes assessments of visual acuity, intraocular pressure, peripheral visual fields, refraction, and non-mydriatic fundus photography.
METHODS
METHODS
This is a retrospective chart review of 875 patients seen at the IUSOC Eye Clinic from October 2013 to February 2020. Data on demographics, insurance coverage, ocular history, physical examination, suspected diagnosis, referral status, and glasses provided were collected and analyzed.
RESULTS
RESULTS
875 patients were seen at the IUSOC Eye Clinic from October 2013 to February 2020. 39.2% of the patients seen at the clinic reported being uninsured. 61.4% of patients were found to have visual acuity of 20/40 or worse, while 51.3% of patients were found to have a near visual acuity of 20/40 or worse. 20.3% of patients were referred to the local county hospital for further evaluation by an ophthalmologist, 14.4% of patients received free glasses prescriptions, and 27.9% of patients received free reading glasses. Common reasons for referral for further ophthalmology evaluation included glaucoma, decreased visual acuity, and diabetic retinopathy. An estimated value of services provided over the seven years of the clinic was 1271 relative value units.
CONCLUSION
CONCLUSIONS
The IUSOC Eye Clinic fills an important role in advancing ocular health and preventing irreversible blindness in an underserved Indianapolis community. Additionally, the clinic demonstrates an educational model for involving medical student volunteers.
Identifiants
pubmed: 34856952
doi: 10.1186/s12909-021-03026-7
pii: 10.1186/s12909-021-03026-7
pmc: PMC8636581
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
596Informations de copyright
© 2021. The Author(s).
Références
MMWR Morb Mortal Wkly Rep. 2019 Nov 15;68(45):1020-1023
pubmed: 31725705
J Health Care Poor Underserved. 2009 Nov;20(4):969-81
pubmed: 20168011
Clin Diabetes. 2019 Jul;37(3):282-283
pubmed: 31371860
J Health Care Poor Underserved. 2019;30(3):940-950
pubmed: 31422981
Health Aff (Millwood). 2018 Jun;37(6):936-943
pubmed: 29863935
J Health Care Poor Underserved. 2013 Aug;24(3):1042-52
pubmed: 23974379
JAMA. 2014 Dec 10;312(22):2407-10
pubmed: 25490333
Ophthalmology. 2006 Jan;113(1):133-9
pubmed: 16310854
Arch Ophthalmol. 2007 Mar;125(3):411-8
pubmed: 17353417
Ophthalmology. 2020 Nov;127(11):1451-1453
pubmed: 32437862
J Surg Educ. 2020 Nov - Dec;77(6):1503-1510
pubmed: 32586775
Int Sch Res Notices. 2014 Oct 15;2014:527831
pubmed: 27379302
J Ophthalmic Vis Res. 2017 Oct-Dec;12(4):449-450
pubmed: 29090062
Cogent Med. 2019;6(1):
pubmed: 31467940
Clin Ophthalmol. 2014 Nov 27;8:2397-401
pubmed: 25473267
Surv Ophthalmol. 2013 Jul-Aug;58(4):348-58
pubmed: 23664105
Health Aff (Millwood). 2017 Jul 26;:
pubmed: 28747321
Ophthalmology. 2017 Oct;124(10):1442-1448
pubmed: 28583710
Clin Ophthalmol. 2019 Feb 12;13:337-346
pubmed: 30858683
JAMA Ophthalmol. 2015 May;133(5):527-32
pubmed: 25674781
Arch Ophthalmol. 2009 Mar;127(3):303-10
pubmed: 19273794
Ophthalmology. 1999 May;106(5):904-9
pubmed: 10328388
Ophthalmology. 2013 Jul;120(7):1497-501
pubmed: 23511113