Rao G N
L V Prasad Eye Institute, Hyderabad, India.
Eye (Lond). 2015 Jan;29(1):30-45. doi: 10.1038/eye.2014.239.
Globally, pockets of 'neglected populations' do not have access to basic health-care services and carry a much greater risk of blindness and visual impairment. While large-scale public health approaches to control blindness due to vitamin A deficiency, onchocerciasis, and trachoma are successful, other causes of blindness still take a heavy toll in the population. High-quality comprehensive eye care that is equitable is the approach that needs wide-scale application to alleviate this inequity. L V Prasad Eye Institute of India developed a multi-tier pyramidal model of eye care delivery that encompasses all levels from primary to advanced tertiary (quaternary). This has demonstrated the feasibility of 'Universal Eye Health Coverage' covering promotive, preventive, corrective, and rehabilitative aspects of eye care. Using human resources with competency-based training, effective and cost-effective care could be provided to many disadvantaged people.
在全球范围内，一些“被忽视的人群”无法获得基本医疗服务，失明和视力损害风险更高。虽然通过大规模公共卫生措施来控制因维生素A缺乏、盘尾丝虫病和沙眼导致的失明取得了成功，但其他失明原因仍使大量人口深受其害。公平的高质量综合眼保健是需要广泛应用以缓解这种不公平现象的方法。印度的L·V·普拉萨德眼科研究所开发了一个多层次金字塔式眼保健服务模式，涵盖从初级到高级三级（四级）的各个层面。这证明了涵盖眼保健促进、预防、矫正和康复方面的“全民眼健康覆盖”的可行性。通过对具备胜任能力的人力资源进行培训，可以为许多弱势群体提供有效且具有成本效益的护理。
