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ビジョンセンターが眼科の普及に与える影響:南インドにおける眼科の普及,普及,利用
Vinoth Kumar Rajendran1, Ramalakshmi Raman2, Ashok Vardhan3
1Research Division, Lions Aravind Institute of Community Ophthalmology, Aravind Eye Care System, Madurai, Tamil Nadu, India.
The British journal of ophthalmology
|September 5, 2025
まとめ
視覚センター (VC) は 農村部での眼科治療のアクセスを改善します 遠隔地に住む人と比べると 遠隔地に住む人の視力障害は低く,眼科の利用も充実している.
科学分野:
- 眼科について
- 公衆衛生
- 田舎の健康
背景:
- 視覚センター (VC) のモデルは,貧しい農村地域の初等眼科医療の課題に対処するために開発されました.
- 20年以上に渡る活動にもかかわらず 眼の健康に与える影響は 十分に記録されていません
研究 の 目的:
- 視覚センターのモデルが眼科医療へのアクセスと成果の改善に 有効性を評価する.
- ビジュアル障害 (VI) の流行,眼科の利用,およびVCの近くと遠くに住む住民のサービスカバーを比較する.
主な方法:
- インドのテニ地区で2016年から2018年まで人口を対象とした横断的な研究が行われました.
- クラスターランダムサンプリングでは,40歳以上の被験者7127人がグループ1 (VCから5km以内) とグループ2 (VCから5km以内) に分類された.
- 評価された主要な指標には,VIの流行,眼科の利用,白内障手術のカバー (CSC),効果的なCSC (eCSC),屈折誤差のカバー (REC),および効果的なREC (eREC) が含まれていた.
主要な成果:
- グループ1は,グループ2 (25. 2%) に比べて,年齢・性別調整によるVIのより低い流行を示した.
- 眼科用品の利用率は,グループ1 (66. 7%) とグループ2 (52. 3%) よりも高かった.
- 白内障手術 (CSC,eCSC) と屈折誤差矯正 (REC,eREC) のカバーメトリックは,グループ1ではグループ2よりも有意に優れていた.
結論:
- 視覚センターは 農村部や恵まれない地域で 眼科の提供を大幅に改善します
- 視覚障害が減り,眼科サービスへのアクセスが改善されます.
- 遠隔地での眼科のアクセシビリティと手頃な価格の改善に VCモデルが有効であることが示されています.
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