Health and Economic Aspects of Ocular Disease in the US

美国眼病的健康和经济方面

• 批准号: 7934603
• 负责人: David J Lee
• 金额: $ 19.13万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7934603
• 关键词: Address; Adult; Age; Area; Average Household Income; Caring; Centers for Disease Control and Prevention (U.S.); Cholesterol; Chronic; Complex; Data; Data Set; Data Sources; Demographic Factors; Disease; Drug usage; Economic Conditions; Economics; Education; Enrollment; Environment; Epidemiologic Studies; Epidemiology; Equation; Ethnic Origin; Expenditure; Eye; Eye diseases; Family member; Frequencies; Funding; Gender; Glaucoma; Goals; Health; Health Expenditures; Health Insurance; Health behavior; Healthcare; Healthy People 2010; Income; Knowledge; Medical; Modeling; Monitor; Morbidity - disease rate; National Eye Institute; National Health Interview Survey; Not Hispanic or Latino; Ocular Fixation; Outcome; Paper; Participant; Patients; Pattern; Peer Review; Persons; Pharmaceutical Preparations; Population; Prevalence; Preventive; Preventive screening; Public Health; Publications; Quality of life; Quality-Adjusted Life Years; Race; Relative (related person); Reporting; Research; Research Personnel; Risk; Sampling; Screening procedure; Smoking Status; Source; Strategic Planning; Structural Models; Subgroup; Surveys; Time; Uninsured; Universities; Visual; Visual impairment; Work; cost; depressive symptoms; evidence base; follow-up; health care service utilization; health disparity; health economics; improved; interest; mortality; patient population; programs; social; statistics; trend; vision aid; web site

DESCRIPTION (provided by applicant): Despite the importance of visual impairment (VI) and ocular conditions as a public health problem there has been relatively little research on the influence of these conditions on economic consequences, morbidity and mortality. The proposed investigative team is currently funded by the National Eye Institute (NEI) to help address this knowledge gap using data from the National Health Interview Survey (NHIS). To this rich source of data on nationally representative samples of visually impaired adults we propose to study over 116,000 NHIS participants who were also enrolled in the1996-2005 Medical Expenditure Panel Surveys (MEPS). Unique features of the MEPS include visual impairment information on all adult family members and detailed information on quality of life, and medical expenditures, including vision aids, which are not available in the NHIS. Mortality linkage is available for MEPS participants. Our research team will pursue three research aims: 1) Using structural equation modeling (SEM), examine the association between visual impairment status, prevalence of other ocular conditions, health behaviors, health conditions, economic consequences, ocular health care utilization, morbidity, and mortality; 2) Estimate and compare quality-adjusted life years (QALYs) for visually impaired adults and those with selected ocular conditions in subgroups of interest; and 3) Using annual trend data, and (if appropriate) pooled cross-sectional data from the 1996-2005 MEPS, provide comprehensive descriptive statistics on ocular care expenditures, ocular treatments, and ocular prescription drug use. Calculate the proportion of ocular health care expenditures relative to total household income and the average per-person direct medical expenditure cost attributable to ocular conditions after adjustment for the presence of other health conditions. Proposed study aims will also support program goals #1 and #5 of the NEI ocular epidemiology strategic planning report: 1) Determine the burden of eye diseases and their visual outcomes in a changing population, particularly disparities in the burden and the influences of social cultural and demographic factors, and 2) Identify and assess the strategies that will overcome barriers to eye care and convert evidence-based findings into improved patient and population outcomes.

描述（由申请人提供）：尽管视觉障碍（VI）和眼部状况作为公共卫生问题的重要性，但对这些条件对经济后果，发病率和死亡率的影响的研究相对较少。拟议的调查团队目前由国家眼睛研究所（NEI）资助，旨在使用国家健康访谈调查（NHIS）的数据来帮助解决这一知识差距。对于关于视力障碍成年人的全国代表性样本的丰富数据来源，我们建议研究116,000多名NHIS参与者，他们也参加了1996- 2005年的医疗支出小组调查（MEPS）。 MEP的独特功能包括有关所有成年家庭成员的视觉障碍信息以及有关生活质量和医疗支出（包括视觉艾滋病）的详细信息，NHIS中无法使用。 MEPS参与者可以使用死亡率联系。我们的研究团队将追求三个研究目的：1）使用结构方程建模（SEM），检查视觉障碍状况，其他眼部疾病的患病率，健康行为，健康状况，经济后果，眼部医疗保健利用，发病率和死亡率之间的关联； 2）估计和比较视力障碍的成年人和感兴趣亚组中具有选定眼部条件的成年人的质量调整后的寿命（QALYS）； 3）使用年度趋势数据，以及（如果适当的话）1996 - 2005年MEP的合并横断面数据，提供有关眼部护理支出，眼部治疗和眼部处方药物使用的全面描述性统计。计算相对于家庭总收入的眼部医疗保健支出的比例，以及针对其他健康状况的调整后，可归因于眼条件的平均每人直接医疗支出成本。拟议的研究目的还将支持NEI眼部流行病学战略计划的计划1和＃5的计划：1）确定眼睛疾病的负担及其在不断变化的人群中的视觉结果，尤其是在社会文化和人口统计学因素的负担和影响的影响方面的差异，并确定和评估障碍，并评估障碍对眼部护理和改善良好的人群的障碍。

项目成果

Age-related macular degeneration and smoking cessation advice by eye care providers: a pilot study.

眼科护理人员提供的与年龄相关的黄斑变性和戒烟建议：一项试点研究。

• 发表时间: 2011
• 期刊: Preventing chronic disease
• 影响因子: 5.5
• 作者: Caban-Martinez,AlbertoJ;Davila,EvelynP;Lam,ByronL;Dubovy,SanderR;McCollister,KathrynE;Fleming,LoraE;Zheng,DianeD;Lee,DavidJ
• 通讯作者: Lee,DavidJ

Sociodemographic correlates of eye care provider visits in the 2006-2009 Behavioral Risk Factor Surveillance Survey.

• DOI: 10.1186/1756-0500-5-253
• 发表时间: 2012-05-23
• 期刊: BMC research notes
• 影响因子: 1.8
• 作者: Caban-Martinez, Alberto J;Davila, Evelyn P;Lee, David J
• 通讯作者: Lee, David J