{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:47:40Z","timestamp":1775479660932,"version":"3.50.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To quantify residence and insurance inequities in the timeliness of access to first-eye cataract surgery in Eastern China, using better-eye best-corrected visual acuity (BCVA) at surgical-pathway entry as an electronic health record\u2013derived indicator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of consecutive first-eye cataract surgeries at a tertiary hospital in Yangzhou, China (August 2024\u2013July 2025). Analyses were restricted to local insured residents; non-local and self-pay patients were excluded. The primary outcome was better-eye BCVA (logMAR), defined as the better (lower logMAR) value between the two eyes measured at the admission-registration (pathway-entry) assessment. Adjusted differences were estimated using multivariable linear regression with surgeon fixed effects and heteroskedasticity-consistent (HC3) robust standard errors. Prespecified categorical analyses used multinomial logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1438 eligible patients, bilateral BCVA was measured at pathway entry in 1437 (99.9%). Compared with Urban\u2013Employee patients, adjusted better-eye BCVA was worse in Urban\u2013Resident (0.09 logMAR; 95% CI 0.01\u20130.17), Rural\u2013Employee (0.11; 0.01\u20130.21), and Rural\u2013Resident patients (0.17; 0.11\u20130.24); adjusted marginal means were 0.32, 0.41, 0.43, and 0.49 logMAR, respectively. Rural\u2013Resident patients were less likely to enter in the early category (RRR 0.52; 95% CI 0.39\u20130.69) and more likely to enter in the late category (RRR 1.76; 95% CI 1.15\u20132.69).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Residence and insurance inequities in the timeliness of access to first-eye cataract surgery were evident. Better-eye BCVA at pathway entry is a low-cost, scalable metric that can complement coverage and postoperative outcomes to guide pathway and financing interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10792-026-04069-9","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:51:26Z","timestamp":1775476286000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Residence and insurance inequities in the timeliness of access to first-eye cataract surgery in Eastern China"],"prefix":"10.1007","volume":"46","author":[{"given":"Chen","family":"Qin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"4069_CR1","unstructured":"World Health Organization (2019) World report on vision. 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