As resources will never be sufficient for all health care activities that providers wish to deliver and what people wish to receive, we need to ask big questions and adopt a public health perspective in glaucoma and eye care. How can we create and maintain a sustainable balance between finding and treating underserved high-risk patients without burdening the broader patient population and societies with over-diagnostics and treatments? Considering numerous biases related to screening, including the variability in care practices, a high-quality RCT for the screening of glaucoma would be very challenging to organize and evaluate its universal usefulness.
Keyphrases
- healthcare
- public health
- end stage renal disease
- palliative care
- optic nerve
- ejection fraction
- quality improvement
- chronic kidney disease
- newly diagnosed
- primary care
- affordable care act
- peritoneal dialysis
- prognostic factors
- big data
- machine learning
- case report
- cataract surgery
- patient reported outcomes
- health insurance
- artificial intelligence
- optical coherence tomography
- chronic pain
- social media
- drug induced