Albuquerque Journal

Online services help more of NM see clearly

Telemedici­ne, computer renewals help rural, low-income residents

- BY BRENT WILKES CEO OF LEAGUE OF UNITED LATIN AMERICAN CITIZENS (LULAC) AND DR. ELENA RIOS PRESIDENT OF THE NATIONAL HISPANIC MEDICAL ASSOCIATIO­N

Access to vision care is one of the biggest challenges facing lawmakers and consumers today, especially in the Hispanic community. But thanks to new technologi­cal innovation­s, you can now get your contact lens or eyeglass prescripti­on renewed and your vision checked online from the convenienc­e of your own home or place of work.

Here’s how it works. You must have an existing contact lens or eyeglass prescripti­on from your provider to use these services. You go online, take the vision test, answer some important health screening questions and your online prescripti­on renewals are reviewed and approved by ophthalmol­ogists — medical eye doctors specifical­ly licensed to practice medicine in the state where you take your exam. They send back your prescripti­on renewal and you can use it wherever you want to get your prescripti­on fulfilled.

These new innovation­s have the potential to help improve the vision of millions of Hispanics because while we are one of the fastest-growing demographi­cs in the marketplac­e, we are also a community that has traditiona­lly put off getting important preventati­ve procedures due to high costs, language barriers and lack of access to doctors. According to an April 2017 study on Hispanic Health by the Kaiser Family Foundation, among non-elderly adults, 30 percent of Hispanics did not visit a doctor in the past 12 months, a quarter of Hispanics have no usual source of care and 22 percent of Hispanics delayed care due to cost.

The situation is even worse when it comes to vision care. A 2016 study in the medical journal JAMA Ophthalmol­ogy found that only 59 percent of the Hispanics/Latinos in their study received an eye examinatio­n in the past two years and 12 percent had difficulty obtaining needed eye care in the past year.

The best way to improve vision and eye care use among Hispanics/Latinos? Decrease the cost of care, increase awareness of the need for preventive eye health care, and improve access to facilities and health care profession­als.

Online exams are more convenient, accessible and affordable than getting your vision checked or your prescripti­on at the mall or your local doctor’s office. Many Hispanics live in communitie­s that don’t have optometris­ts or ophthalmol­ogists convenient­ly located in their neighborho­od, or they work hours or jobs which make it impossible to get to an in-person appointmen­t in at the eye doctor’s office. Yet a July 2016 Pew Poll found more than 94 percent of Hispanics/ Latinos do have access to the internet via a smartphone or tablet. With these new technologi­es, Hispanic and Latinos can check their vision, and renew their prescripti­on wherever and whenever they want.

These online prescripti­on renewal services also have the potential to save money and bring down costs for consumers. For most Americans between the ages of 18-50, once you get your first prescripti­on and your glasses or contacts fitted, your prescripti­on changes very little between the ages of 18-50. So you don’t need to go to the doctor for a full and comprehens­ive eye exam every time you want your prescripti­on renewed and refilled.

Using these online services can also help consumers practice better eye health, and may help catch and flag some vision conditions before they get serious. Medical research shows that stretching one’s contact lenses beyond the manufactur­er-recommende­d wear schedule is one of the leading causes of eye infections.

Unfortunat­ely for Hispanic families, there are bad new laws and amendments to existing telemedici­ne laws being proposed in multiple states across the country by the American Associatio­n of Optometris­ts to prevent online prescripti­on renewal. They want to keep consumers trapped in a burdensome system that discrimina­tes against communitie­s like ours.

We are proud to announce that our organizati­ons have joined a new bipartisan coalition called Americans for Vision Care Innovation, working to ensure consumers across the country have access to the latest costsaving and time-saving eye care technologi­es. The opportunit­y to help improve eye health and vision care in the Hispanic community is literally before our eyes. Working together, we must seize this opportunit­y and help every American get access to the services and care they need.

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