Ophthalmic health care needs of children with disabilities.

Journal

Eye (London, England)

ISSN: 1476-5454

Titre abrégé: Eye (Lond)

Pays: England

ID NLM: 8703986

Informations de publication

Date de publication:
28 Aug 2023

Historique:

received: 07 11 2022

accepted: 10 08 2023

revised: 25 07 2023

medline: 29 8 2023

pubmed: 29 8 2023

entrez: 28 8 2023

Statut: aheadofprint

Résumé

Although vision care is crucial for pediatric eye health, research on vision care utilization by children with disabilities remains limited. Furthermore, no study has investigated the variations among various disability types and the interaction between disability status and age. All children with disabilities listed in the Taiwan National Disability Registry during the study period (2015-2019) were matched by age and sex at a 1:4 ratio with children without disabilities. Vision care needs were measured on the basis of (1) the number of outpatient ophthalmology visits, (2) total medical costs associated with outpatient ophthalmology visits, and (3) whether ophthalmic care was provided. Generalized estimating equation models were estimated to determine the relationships between utilization, disability status, and age. Significant differences in needs between various disability types were identified. Other than children with visual disability, children with facial disability and balance abnormalities also had considerable needs. Children with intellectual disabilities, which constituted the most common disability type (29.4% in 2019), had fewer visits (mean = 1.38, SD = 2.12) and lower medical costs, compared with the averages for all children with disabilities. Care utilization shared an inverted U-shaped relationship with age. Children with disabilities have higher vision care needs, which vary by disability type and age. Such needs are greater at younger ages and decreases after the ages of 9-10 years. Policies should be specific to disability type and age to ensure vision care needs are met.

Sections du résumé

BACKGROUNDS BACKGROUND

METHODS METHODS

All children with disabilities listed in the Taiwan National Disability Registry during the study period (2015-2019) were matched by age and sex at a 1:4 ratio with children without disabilities. Vision care needs were measured on the basis of (1) the number of outpatient ophthalmology visits, (2) total medical costs associated with outpatient ophthalmology visits, and (3) whether ophthalmic care was provided. Generalized estimating equation models were estimated to determine the relationships between utilization, disability status, and age.

RESULTS RESULTS

Significant differences in needs between various disability types were identified. Other than children with visual disability, children with facial disability and balance abnormalities also had considerable needs. Children with intellectual disabilities, which constituted the most common disability type (29.4% in 2019), had fewer visits (mean = 1.38, SD = 2.12) and lower medical costs, compared with the averages for all children with disabilities. Care utilization shared an inverted U-shaped relationship with age.

CONCLUSIONS CONCLUSIONS

Children with disabilities have higher vision care needs, which vary by disability type and age. Such needs are greater at younger ages and decreases after the ages of 9-10 years. Policies should be specific to disability type and age to ensure vision care needs are met.

Identifiants

DOI: 10.1038/s41433-023-02707-5 PMID: 37640829

pubmed: 37640829

doi: 10.1038/s41433-023-02707-5

pii: 10.1038/s41433-023-02707-5

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Subventions

Organisme : Ministry of Science and Technology, Taiwan (Ministry of Science and Technology of Taiwan)

ID : 111-2628-B-A49 -013

Informations de copyright

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