Evidence-Based Medicine: The Value of Vision Screening
| Autor: | Cynthia L. Beauchamp, George R. Beauchamp, Chalani D. Ellepola |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Value (ethics)
medicine.medical_specialty genetic structures Comparative effectiveness research Alternative medicine MEDLINE Poison control 01 natural sciences 03 medical and health sciences Vision Screening 0302 clinical medicine Injury prevention medicine Humans 0101 mathematics Evidence-Based Medicine Actuarial science business.industry 010102 general mathematics Reproducibility of Results Human factors and ergonomics General Medicine Evidence-based medicine Surgery Ophthalmology 030221 ophthalmology & optometry business Orthoptics |
| Zdroj: | American Orthoptic Journal. 60:23-27 |
| ISSN: | 1553-4448 0065-955X |
| DOI: | 10.3368/aoj.60.1.23 |
| Popis: | OBJECTIVE: To review the literature for evidence-based medicine (EBM), to assess the evidence for effectiveness of vision screening, and to propose moving toward value-based medicine (VBM) as a preferred basis for comparative effectiveness research. METHODS: Literature based evidence is applied to five core questions concerning vision screening: (1) Is vision valuable (an inherent good)?; (2) Is screening effective (finding amblyopia)?; (3) What are the costs of screening?; (4) Is treatment effective?; and (5) Is amblyopia detection beneficial? RESULTS: Based on EBM literature and clinical experience, the answers to the five questions are: (1) yes; (2) based on literature, not definitively so; (3) relatively inexpensive, although some claim benefits for more expensive options such as mandatory exams; (4) yes, for compliant care, although treatment processes may have negative aspects such as "bullying"; and (5) economic productive values are likely very high, with returns of investment on the order of 10:1, while human value returns need further elucidation. CONCLUSION: Additional evidence is required to ascertain the degree to which vision screening is effective. The processes of screening are multiple, sequential, and complicated. The disease is complex, and good visual outcomes require compliance. The value of outcomes is appropriately analyzed in clinical, human, and economic terms. Language: en |
| Databáze: | OpenAIRE |
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