老挝人民民主共和国眼科保健专业人员及白内障手术的地理分布

Geographical distribution of eye health professionals and cataract surgery in Lao People's Democratic Republic.

作者信息

Ono Koichi, Visonnavong Vithoune, Konyama Kazuichi, Hiratsuka Yoshimune, Murakami Akira

机构信息

Department of Ophthalmology, Juntendo University School of Medicine, The WHO Collaborating Center for Prevention of Blindness, Tokyo, Japan. kono@ juntendo.ac.jp

出版信息

Ophthalmic Epidemiol. 2009 Nov-Dec;16(6):354-61. doi: 10.3109/09286580903312244.

DOI:10.3109/09286580903312244

PMID:19995200

Abstract

PURPOSE

To assess the geographical distribution of eye health professionals and cataract surgery procedures in Lao People's Democratic Republic (PDR) over the last decade.

METHODS

The number of ophthalmologists (defined as physicians who have completed full education and training in ophthalmology), eye doctors (defined as physicians who have completed education and training in only cataract surgery), ophthalmic nurses, and cataract surgery procedures across 16 provinces and Vientiane municipal for the middle/late 1990s, the year 2000, and the most recent year (2005-2006) were obtained from the registration system of eye health professionals and the track record in cataract surgeries in the Ophthalmology Center, Ministry of Health. The number of cataract surgeons (total number of ophthalmologists and eye doctors) per million population, the number of ophthalmic nurses per million population, and the cataract surgical rate were calculated for various geographical units using available population data from the census in 1995, 2000, and 2005. The Gini coefficients, measures of inequality that range from 0 (total equality) to 1 (total inequality), were computed at three time points.

RESULTS

The number of ophthalmologists, ophthalmic nurses, and cataract surgery procedures increased in this country as a whole, although the number of eye doctors did not change after 2000. The Gini coefficients for them also improved (Cataract surgeons: 0.792, 0.415, and 0.361; Ophthalmic nurses: 0.448, 0.354, and 0.259 and; Cataract surgery: 0.366, 0.309, and 0.248 in the 1990s, 2000, and 2005-6, respectively).

CONCLUSION

Imbalances in the geographical distribution of eye health professionals and cataract surgery decreased over the last decade.

摘要

目的

评估过去十年老挝人民民主共和国眼科保健专业人员的地理分布以及白内障手术情况。

方法

从眼科保健专业人员注册系统和卫生部眼科中心的白内障手术记录中获取20世纪90年代中后期、2000年以及最近一年（2005 - 2006年）老挝16个省和万象市的眼科医生数量（指完成眼科完整教育与培训的医生）、眼科医师数量（指仅完成白内障手术教育与培训的医生）、眼科护士数量以及白内障手术量。利用1995年、2000年和2005年人口普查的可用人口数据，计算不同地理区域每百万人口的白内障外科医生数量（眼科医生和眼科医师总数）、每百万人口的眼科护士数量以及白内障手术率。在三个时间点计算基尼系数（衡量不平等程度的指标，范围从0表示完全平等到1表示完全不平等）。

结果

尽管2000年后眼科医师数量未变，但该国整体的眼科医生、眼科护士数量以及白内障手术量均有所增加。它们的基尼系数也有所改善（白内障外科医生：20世纪90年代、2000年、2005 - 2006年分别为0.792、0.415和0.361；眼科护士：分别为0.448、0.354和0.259；白内障手术：分别为0.366、0.309和0.248）。