2022-2023年英格兰的贫困和NHS通用眼科服务视力测试活动
Robert A Harper1,2, Jeremy Hooper3, David J Parkins4
1Manchester Royal Eye Hospital and Manchester Academic Health Sciences Centre, Manchester University NHS Foundation Trust Manchester, Manchester, UK.
概括
富裕地区的人比贫困地区的人获得NHS视力测试的可能性高五倍. 这凸显了眼科护理获得的重大不平等,需要制定更公平提供通用眼科服务 (GOS) 视力检查的战略.
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:
- 社会经济贫困与较高的视力障碍率有关.
- 了解通用眼科服务 (GOS) 视力测试中的模式对于解决眼科护理差异至关重要.
研究的目的:
- 分析英格兰通用眼科服务 (GOS) 的视力测试活动.
- 调查社会经济贫困与国家卫生服务 (NHS) 视力测试的普及之间的关系.
主要方法:
- 利用英格兰GOS承包商的2022-2023年NHS视觉测试索赔数据.
- 赋予多重贫困指数 (IMD) 对每1000名人口的实践和计算视力检测率的得分,按贫困分位数划分.
- 雇佣机会比率 (OR),不平等斜率指数 (SII) 和相对不平等指数 (RII) 来评估差异.
主要成果:
- 5622个GOS承包商进行了超过1294万次NHS视力测试.
- 最富裕地区的承包商进行的视力测试大约是最贫困地区的两倍.
- 富裕地区的个人与贫困地区的个人相比,获得NHS视力测试的可能性是5倍以上 (OR:5.29).
- 视觉测试采用的显著不平等得到了SII (333.5) 和RII (6.4) 措施的证实.
结论:
- 在NHS视力测试采用的大量和不合理的差异仍然存在,有利于更富裕的人口.
- 迫切需要制定战略,促进平等获得初级眼科护理服务,特别是贫困社区的个人.
- 初级保健 optometry 必须在促进平等获得必要的眼科检查方面发挥关键作用.
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