Letters | When it comes to eye care in Hong Kong, not all optometrists are created equal
- Only some optometrists are trained to diagnose ocular conditions and systemic diseases, as well as give management advice, including prescribing vision aids
In recent months, there have been reports, particularly in the Chinese-language media, on the so-called misuse of elderly health care vouchers by local optometrists. Some customers complained that the cost of services and prescribed spectacles at the optometrists’ had risen rapidly and suggested a review of the voucher scheme. However, amid the criticism, the public also needs to be aware of the difference between the services provided by the different categories of optometrists in Hong Kong.
For readers’ information, optometrists in Hong Kong fall into four categories. Only Part 1 optometrists, who are graduates of the University Grants Committee-funded optometry programme or other equivalent programmes recognised by the Optometrists Board, are authorised to submit voucher claims for the services provided for the elderly. Specifically, these services include refraction and eye health assessment. Part 1 optometrists’ education and training programmes enable them to be competent in diagnosing any ocular conditions and eye-related systemic diseases, as well as giving management advice which includes prescribing vision aids when indicated.
According to the 2008 health care reform document, Part 1 optometrists are capable of performing these tasks. In contrast, Part 4 optometrists are restricted to doing refraction tests and filling optical prescriptions. Due to their absence of knowledge in assessing eye health by performing comprehensive eye examinations, they are excluded from the health care voucher scheme.
Part 1 optometrists do play an important role in shouldering the burden of public health care services. They are the gatekeepers to detecting, diagnosing and treating avoidable eye and vision problems. Indeed, their services are preventive, promotive, curative and rehabilitative. And yes, they do charge their professional fees. Given the benefits that Part 1 optometrists can bring to society, we urge the government not to put a ceiling on fees in their review, as there is already a limit.
H.Y. Li, Ho Man Tin