• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Optometry's expanding scope of practice: Legislation, interprofessional relations, and risk.
【24h】

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

机译：验光师不断扩大的业务范围：立法，专业之间的关系和风险。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

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.;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.;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.
机译：这项研究包括三个独立但相关的验光和医疗政策主题。第一篇论文通过评估与50个州通过验光性治疗药物立法有关的时间的状态和专业特征，探讨了扩大实践行为范围的立法程序。回归分析显示，各种特征与该法规的更快通过有关。最具影响力的变量是美国验光协会的州会员级别。其次是调整后的人均收入，人口密度，州议会对政党的控制以及医师与验光师的比例。影响最小的是HMO登记者的百分比，在模型中没有统计学意义。;第二篇论文将分析框架从状态水平更改为个人眼科医生水平。一系列调查评估了验光师及其主要经济竞争者（眼科医学专业）之间的专业间关系。这些调查的结果表明，反对扩大验光实践范围的反对很高。来自验光实践范围更广的州的受访者更有可能支持验光师使用某些类型的药物。人们发现对验光师的教育背景和使用治疗剂的准备工作的看法是支持扩大验光范围的最有影响力的决定因素。人们发现经济竞争的影响力不如对眼科医生的支持或反对扩大验光实践范围的教育有影响。第三篇论文分析了对卫生保健专业人员的危害，即职业接触后血源性病原体感染的风险。该分析发现，每10,000例患者遇到的潜在血液接触或使用针头的估计范围为1到19，或者每534到10,526例患者接触的潜在血液接触到的范围为1到19。此信息有助于建立与感染控制，免疫接种和血液传播疾病检测有关的政策。验光术由于其独特的实践范围，不一定与其他医疗保健行业混为一谈。所有这三篇论文都探讨了公共政策和未来研究变化的机会。

著录项

  • 作者

    Hoppe, Elizabeth Susan.;

  • 作者单位

    University of Michigan, School of Public Health.;

  • 授予单位 University of Michigan, School of Public Health.;
  • 学科 Health Sciences Ophthalmology.;Political Science General.;Health Sciences Health Care Management.;Health Sciences Public Health.
  • 学位 Dr.P.H.
  • 年度 1999
  • 页码 101 p.
  • 总页数 101
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号