Functional vision loss at any stage affects quality of life (QOL) even before the loss is clinically quantified to be moderate or severe. Eye care providers (ECP) often underestimate how small variations in vision loss can have a significant impact on a patient’s activities of daily living (ADL). Tertiary medical centers serve the greatest number of visually impaired patients. Our study investigates what factors influence ECPs with vision rehabilitation service (VRS) referral decision-making at a tertiary medical center. We also further studied whether decision making was influenced by specialty, volume of practice, years of practice, number of practicing locations, gender and continuing education status. By understanding influencers on ECPs decision making, we will be able to make more targeted recommendations on workflow changes, continuing education and quality improvement processes to increase access to care bringing VRS forward once again as a standard of care.
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