Strabismus Surgical Subspecialization

IMPORTANCE: The growing complexity of medical and surgical care has resulted in increasing subspecialization. To date, data have been lacking regarding the degree to which subspecialization has affected the provision of strabismus surgical services. This gap is important to address given the implications for health care human resources planning and educational programs. OBJECTIVE: To investigate the effect of subspecialization on the provision of strabismus surgery services. DESIGN, SETTING, AND PARTICIPANTS: Population-based study in Ontario, Canada, which provides universal health care coverage to the provincial population. Participants included all ophthalmologists in Ontario and the provincial population of approximately 12 million persons from January 1, 1994, through December 31, 2011. MAIN OUTCOMES AND MEASURES: Surgeon-level rates of strabismus surgery. RESULTS: From January…