Health care changes from a public health perspective: Implications for optometry-ophthalmology relations

Background. Within the past 20 years, the professional scope, predominant mode of practice, and methods of reimbursement for optometric services have evolved due to technological and professional growth, and external factors. Methods. Public health constructs are used to discuss several influential external factors affecting optometry's evolution and future. Results. The public hearth perspective provides insights on why certain changes in health care delivery have occurred, and are used to predict the structure of future eye and vision care in America. Conclusions. The public health perspective underscores the need for proactive, collaborative involvement by optometrists and ophthalmologists to ensure some semblance of rational change in eye care delivery in the current hyperturbulent health reform environment.