title: How effectively does medical care achieve its purposes? Evaluation of peer-reviewed literature in ophthalmology related to wellness.
abstract: OBJECTIVE
  To get an idea of whether the issue of what makes people healthier is studied in ophthalmology by determining the proportion of articles dealing with that subject.
  
  
  METHODS
  Prospective review of all articles published in 3 consecutive issues of 7 peer-reviewed ophthalmology journals, using a grading system in which A signified an article that clearly dealt with a subject expected to have an impact on health or quality of life, or that considered health or quality of life itself directly; B indicated an article similar to A, but not directly concerned with the issue of health; C signified an article similar to B but more distantly related to health or quality of life; and D was the grade given when there was no relationship at all to health or quality of life. Grading was done independently by 3 graders. A literature review on the subject was also performed.
  
  
  RESULTS
  Thirty-three articles received a grade of A, 229 of B, 740 of C, and 81 of D. There were more articles that had no relationship at all to health or quality of life than there were articles dealing directly with those issues.
  
  
  CONCLUSIONS
  On the basis of a review of the literature and of over 1000 articles, ophthalmologists do not appear to give much priority to issues of quality of life or health. How validly these conclusions can be generalized to general clinicians is not known.
authors.affiliation: William and Anna Goldberg Glaucoma Service, Wills Eye Institute/Jefferson Medical College, Philadelphia, Pennsylvania, USA.
authors.forename: George L
authors.initials: GL
authors.lastname: Spaeth
authors.forename: Daniela S
authors.initials: DS
authors.lastname: Monteiro de Barros
authors.forename: Moataz
authors.initials: M
authors.lastname: Gheith
authors.forename: Ghada Ali
authors.initials: GA
authors.lastname: Siam
authors.forename: Mehul
authors.initials: M
authors.lastname: Nagarsheth
mesh_terms: D003365:Costs and Cost Analysis; D006801:Humans; D009885:Ophthalmology / Q000191:economics / Q000592:standards*; D017060:Patient Satisfaction; D017712:Peer Review, Research; D010506:Periodicals as Topic; D011643:Publishing; D011788:Quality of Life; D011932:Reading; D014481:United States