title: Preschool vision screening in primary care after a legislative mandate for diagnostic eye examinations.
abstract: BACKGROUND
  Kentucky legislation now requires that children entering public school receive a diagnostic eye examination.
  
  
  METHODS
  Mail survey of randomly selected office-based primary care pediatricians (PDs, n = 221) and family physicians (FPs, n = 207) in Kentucky to assess the impact of the mandated eye examination.
  
  
  RESULTS
  The response rate was 71% PDs and 51% FPs. Most offer preschool vision screening (PD 86%; FP 79%; P = 0.16), but many report they will be less likely to offer it in the future because of the mandated diagnostic eye examination (PD 61%; FP 50%; P = 0.09). Perceived barriers to the diagnostic eye examination include lack of parental knowledge about the requirement, belief by parents that they will need to pay, difficulty in getting an appointment, and lack of endorsement by primary care physicians.
  
  
  CONCLUSIONS
  Most primary care physicians in Kentucky offer preschool vision screening, but many now are likely to reduce their screening effort. Until more data are available regarding the impact of the required eye examination, primary care providers should not change their screening practices.
mesh_terms: D001291:Attitude of Health Personnel; D002675:Child, Preschool; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007629:Kentucky; D008297:Male; D008403:Mass Screening / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D015397:Program Evaluation; D011897:Random Allocation; D012578:Schools, Nursery / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D014786:Vision Disorders / Q000175:diagnosis*; D015351:Vision Screening / Q000331:legislation & jurisprudence*