Comprehensive Health and Education Forum International, Pakistan.
Indian J Ophthalmol. 2012 Sep-Oct;60(5):351-7. doi: 10.4103/0301-4738.100526.
Since the launching of Global Initiative, VISION 2020 "the Right to Sight" many innovative, practical and unique comprehensive eye care services provision models have evolved targeting the underserved populations in different parts of the World. At places the rapid assessment of the burden of eye diseases in confined areas or utilizing the key informants for identification of eye diseases in the communities are promoted for better planning and evidence based advocacy for getting / allocation of resources for eye care. Similarly for detection and management of diabetes related blindness, retinopathy of prematurity and avoidable blindness at primary level, the major obstacles are confronted in reaching to them in a cost effective manner and then management of the identified patients accordingly. In this regard, the concept of tele-ophthalmology model sounds to be the best solution. Whereas other models on comprehensive eye care services provision have been emphasizing on surgical output through innovative scales of economy that generate income for the program and ensure its sustainability, while guaranteeing treatment of the poorest of the poor.
自全球倡议发起以来，“视觉 2020”行动“享有看见的权利”，为世界不同地区的服务不足人群提供了许多创新、实用和独特的综合眼科保健服务模式。在某些地方，为了更好地规划和进行循证宣传以获取/分配眼科保健资源，提倡对有限区域内的眼病负担进行快速评估，或利用关键知情人在社区中发现眼病。同样，为了在初级保健水平上发现和管理糖尿病相关的失明、早产儿视网膜病变和可避免的失明，主要障碍是如何以具有成本效益的方式接触到这些患者，然后对已识别的患者进行相应的管理。在这方面，远程眼科模式的概念似乎是最好的解决方案。虽然其他综合眼科保健服务提供模式强调通过创新的经济规模来实现手术产出，从而为项目创造收入并确保其可持续性，同时保证为最贫困的穷人提供治疗。
