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These are our patients…
…old and young alike…men, women and
children
…mothers, fathers…all races, all religions, all
economic strata
What do they all have in common?
A need for good vision, AND overall good health
Everything we do as optometrists, school of optometry faculty, state executives, and AOA staff goes back to the care provided
What has our country achieved for the health of
the public?We’re on the brink of a “longevity
revolution”By 2030, number of older
Americans will have more than doubled:
70 million people
Public Health Achievements
•Infant mortality rates have dropped 5% in a 20-year period
•Higher number of children are being immunized
•Fewer people smoke•5-year relative cancer survival rates
are increasing
However, a growing number of our patients are
not healthy• Between 1980 and 1996, prevalence of
diabetes increased 19%On March 27, the government announced
some 16 million have “pre-diabetes”
However, a growing number of our patients are
not healthy• Between 1980 and 1996, prevalence of
diabetes increased 19%On March 27, the government announced
some 16 million have “pre-diabetes” People with condition called “impaired
glucose tolerance” are at high risk for diabetes—and most don’t know they have it
However, a growing number of our patients are
not healthy• Between 1980 and 1996, prevalence of
diabetes increased 19%On March 27, the government announced
some 16 million have “pre-diabetes” People with condition called “impaired
glucose tolerance” are at high risk for diabetes—and most don’t know they have it
Total number of people with diabetes could rise to 33 million—costing extra $100 billion in health care costs
A growing number of our patients are not healthy…
• CDC reports 61% increase in number of obese Americans from 1991 through 2000
A growing number of our patients are not healthy…
• CDC reports 61% increase in number of obese Americans from 1991 through 2000
• Heart disease and stroke are the 1st and 3rd leading causes of death in the U.S. – 40% of all deaths
A growing number of our patients are not healthy…
• CDC reports 61% increase in number of obese Americans from 1991 through 2000
• Heart disease and stroke are the 1st and 3rd leading causes of death in the U.S. – 40% of all deaths
• Rate of new lung cancer cases increased from 1973 through 1995
Aging population represents challenge of maintaining good
vision…National Eye Institute/Prevent Blindness
America report “Vision Problems in the USA” issued March 2002:More Americans facing blindness from
age-related eye disease1 million age 40 and over are blind2.4 million are visually impairedNumbers will double in 30 years
“Vision Problems in the USA” NEI/PBA Report: Eye Diseases
• Diabetic Retinopathy: 5.3 million• Age-Related Macular Degeneration: 1.6
million age 60 and over• Cataracts: 20.5 million age 65 and over• Glaucoma: 2.2 million diagnosed;
another 2 million NOT diagnosed
Other Vision Needs/Problemsin the U.S.
• Close to 169 million people have eyewear needs 70 million myopes 89 million presbyopes: 26 million people
bought over-the-counter “readers” in 2000
• 28 percent get an eye exam every 2 – 3 years; another 6% every 4 years or longer
Other Vision Problems: Eye Injuries
• 40,000 eye injuries a year are sports- related
• More than 2,000 eye injuries a year from fireworks
• 1,000 eye injuries a day in the workplace
Children’s Vision Problems: A Great Unmet Need
• Only 14% of children under age 6 had an exam by an eye doctor• Only half of all children will have an eye exam before completing high school• 20% of children aged 9-15 need glasses and 90% of these have not received them
Children’s Vision Disorders
• Vision disorders 4th most common disability in U.S. and leading cause of handicapping conditions in children
• Most prevalent is amblyopia• 75,000 3-year-olds develop
amblyopia each year• Treatment before age 5 critical, yet
1/2 diagnosed after 5
What can we do to achieve good health and optimum
vision for all people?
Healthy People 2010: National Health and Disease Prevention
Program1. Increase proportion of persons who
have a dilated eye exam at appropriate intervals;
2. Increase the proportion of preschool children aged 5 years and under who receive vision screening;
3. Reduce uncorrected visual impairment due to refractive errors;
Healthy People 2010: National Health and Disease Prevention
Program4. Reduce blindness & visual impairment in
children aged 17 & under;5. Reduce visual impairment due to diabetic
retinopathy;6. Reduce visual impairment due to
glaucoma;7. Reduce visual impairment due to cataract;8. Reduce occupational eye injury;
Healthy People 2010: National Health and Disease Prevention
Program9. Increase the use of protective
eyewear in recreational activities & hazardous situations around the house; and
10.Increase the use of vision rehabilitation services & adaptive devices by people with visual impairments.
And just as important, what about the health and vision of
people we do not yet see?• Family history: glaucoma,
hypertension, macular degeneration, heart disease
• Ethnic groups at risk: African Americans, Hispanic Americans
Planning Phases – Implementation
• 3-Year Operational Plan
• 5 – 10-Year Strategic Plan
• Beyond 10 years: Mega Issues Health care delivery will be different
Financing that care will be different
We are partners in the process of designing and implementing health care policy
“Healthy Eyes,Healthy People”
remains in the AOA Strategic Plan as a core program
As primary eye care providers, we are…
• Educators• Advocates• Facilitators• Spokespersons
For our patients
We must work to improve access to health and vision
care
We must work towards comprehensive eye exams
for all children
Again, remember that only 14 percent of children age 6 and
under have received eye exam
We must sit at the table of the public health community as an equal and respected
partner
We will strive to make a greater impact on not just
the visual health of our patients, but their health
overall.
Core Values
• Our desire to provide the best possible care to our patients;
• Our ability to provide that care, because of our extensive training
• Our desire to be successful – not just in the size or volume of our practices, but in our endeavors on behalf of our patients and the communities where we live
Let’s get to work developing our plan and implementing this vision for our patients.