印度有效的白内障手术覆盖:来自31个地区的证据
Vivek Gupta1, Praveen Vashist1, S Sarath1
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Indian journal of ophthalmology
|April 16, 2024
概括
印度的有效白内障手术覆盖率 (eCSC) 为36.7%,表明白内障手术质量存在重大差距. 教育和农村居住等因素影响eCSC,需要有针对性的战略.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的白内障手术覆盖 (eCSC) 是评估眼睛护理可访问性和质量的关键指标.
- 关于eCSC的数据有限,特别是在大种群中.
研究的目的:
- 为在印度各地建立有效的白内障手术覆盖 (eCSC) 的基线估计.
- 在印度人口中确定影响eCSC的因素.
主要方法:
- 分析了可避免失明调查 (2015-2019) 快速评估数据的汇总数据.
- 包括来自印度31个地区的50岁及以上的参与者.
- 基于可操作的白内障和良好的手术结果的视力敏度值计算eCSC.
主要成果:
- 印度的年龄性别标准化eCSC为36.7%,白内障手术覆盖率 (CSC) 为57.3%.
- 在eCSC和CSC之间观察到36.0%的显著质量差距.
- 较高的eCSC与男性性别,高等教育水平和城市居住有关,而农村环境,年龄增长和东部/东北部地区的eCSC较差.
结论:
- 发展因素在印度显著影响eCSC.
- 地理差异凸显了需要本地化,有针对性的战略,以提高白内障手术的覆盖率和质量.
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