Ayanniyi Abdulkabir Ayansiji, Adepoju Feyi Grace, Owoeye Joshua Foluso
Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
Ann Afr Med. 2009 Oct-Dec;8(4):276-80. doi: 10.4103/1596-3519.59585.
To know the opinions of trainee ophthalmologists on ways to improve cataract surgical rate (CSR) with a view to having insight into actions that should be of high priority for achieving this improvement.
A survey of 27 trainee ophthalmologists using structured self-administered questionnaire.
Most trainees had a positive view about actions towards raising CSR: Structured ophthalmic training- 25 (92.6%), monthly cataract camps by eye departments in teaching hospitals- 21 (77.8%), rural allowance for ophthalmologists- 26 (96.3%) and welfare package for indigent cataract patients- 21 (77.8%). Other actions included local production of cataract consumables- 22 (81.5%), duty-free importation of ophthalmic materials- 23 (85.2%), employment of ophthalmologists in the services of the state governments- 24 (88.9%) and local governments- 20 (74.1%), effective primary eye care- 25 (92.6%) and marketing of cataract surgical services- 23 (85.2%). However, only 16 (59.3%) trainees wanted first ladies (wives of the president, governors and local government chairmen) to adopt cataract elimination as pet projects, and 24 (88.9%) opposed the introduction of cataract surgeons.
Most trainees had positive perceptions about most actions that can raise CSR. However, top-priority actions to improve CSR were attractive rural allowance, structured training, resource availability, cost reduction and marketing of cataract surgical services. Multiple actions might be necessary to raise CSR.
了解眼科住院医师对提高白内障手术率(CSR)方法的看法,以便深入了解实现这一提高应优先采取的行动。
采用结构化自填问卷对27名眼科住院医师进行调查。
大多数住院医师对提高CSR的行动持积极态度:结构化眼科培训-25人(92.6%),教学医院眼科每月举办白内障诊疗营-21人(77.8%),眼科医生的农村津贴-26人(96.3%),贫困白内障患者的福利套餐-21人(77.8%)。其他行动包括白内障耗材的本地生产-22人(81.5%),眼科材料的免税进口-23人(85.2%),州政府部门聘用眼科医生-24人(88.9%),地方政府部门聘用眼科医生-20人(74.1%),有效的初级眼保健-25人(92.6%),白内障手术服务的营销-23人(85.2%)。然而,只有16名(59.3%)住院医师希望第一夫人(总统、州长和地方政府主席的妻子)将消除白内障作为重点项目,24名(88.9%)住院医师反对引入白内障手术医生。
大多数住院医师对大多数提高CSR的行动持积极看法。然而,提高CSR的首要行动是有吸引力的农村津贴、结构化培训、资源可得性、成本降低和白内障手术服务的营销。可能需要采取多种行动来提高CSR。