1.Location of well-child pediatric visits in Israel|
2.Presence of parents
3. Built in follow-up
1. Staff overwhelmed with current workload.|
2. Low compliance with well-child screening at relevant ages.
3. Sensitivity lower when pediatricians and nurses do vision screening techniques such as VA, cover-test, red reflex, motilities, etc.,
4.Intensive training would be needed for pediatricians and nurses to use retinoscopy
5. Optometrists performing vision screening would require addition human resources and accompanying expense.
|Preschool||Can get high coverage due to “captive audience”||
1.No follow-up built into the system|
2. Parents not present.
3.School health services are not currently uniform – some government, some private
4.Staff overwhelmed with current responsibilities so new staff would have to be hired or service out sourced
|Pediatrician at healthcare funds||High coverage since most children of relevant ages see a pediatrician at least once during relevant time period||
1. These are primarily sick-child visits. Screening a sick child can give invalid results.|
2. Time constraints of pediatricians' acute care visits.
3. Same limitations about types of exams as discussed for MCHC.
4. Standard well child visits was first recommended in 2019 . Compliance for well visits likely to be low in near future.
|Optometrist at healthcare funds||
2. Good controlled environment for screening children.
4. Data would be part of electronic medical record and thus facilitate follow-up
2. Parental compliance for any well visit likely to be low.