视觉中心对实现全民眼部健康覆盖的影响:印度南部眼部护理服务的普及率,覆盖率和利用率
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
概括
视力中心 (VC) 改善了农村地区的眼科护理. 与居住在较远的地区相比,居住在越南中心附近的居民的视力障碍较低,视力护理使用率和覆盖率更高.
科学领域:
- 眼科 眼科
- 公共卫生
- 农村卫生
背景情况:
- 视觉中心 (VC) 模式是为了解决贫困农村社区的初级眼科护理挑战而开发的.
- 尽管虚拟货币已经运行了20多年,但其对眼睛健康状况的影响仍未得到充分证实.
研究的目的:
- 评估视觉中心模式在改善眼科护理准入和结果方面的有效性.
- 为了比较视力障碍 (VI) 的患病率,视力护理的使用率和远离越南居民的服务覆盖率.
主要方法:
- 一项基于人口的横截面研究于2016年至2018年在印度泰尼地区进行.
- 集群随机抽样包括7127名年龄在40岁及以上的受试者,分为1组 (5公里以内的VC) 和2组 (5公里以内的VC).
- 评估的关键指标包括VI的患病率,眼睛护理使用率,白内障手术覆盖率 (CSC),有效的CSC (eCSC),折射误差覆盖率 (REC) 和有效的REC (eREC).
主要成果:
- 与第二组 (25. 2%) 相比,第一组的VI患病率较低.
- 在第一组 (66. 7%) 和第二组 (52. 3%) 的眼科护理使用率较高.
- 在第一组,白内障手术 (CSC,eCSC) 和折射误差纠正 (REC,eREC) 的覆盖度明显好于第二组.
结论:
- 视力中心在农村和贫困地区显著提高了眼科护理水平.
- 靠近维多利亚的视力受损程度降低,视力护理服务更容易获得.
- 在偏远地区提高眼科护理的可及性和可负担性.
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