提出青光眼医疗服务的新指标。
Proposing new indicators for glaucoma healthcare service.
作者信息
Liang Yuan Bo, Zhang Ye, Musch David C, Congdon Nathan
机构信息
Clinical and Epidemiological Eye Research Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, China.
Centre for Public Health, Queens University, Belfast, UK.
出版信息
Eye Vis (Lond). 2017 Mar 7;4:6. doi: 10.1186/s40662-017-0071-0. eCollection 2017.
Glaucoma is the first leading cause of irreversible blindness worldwide with increasing importance in public health. Indicators of glaucoma care quality as well as efficiency would benefit public health assessments, but are lacking. We propose three such indicators. First, the glaucoma coverage rate (GCR), which is the number of people known to have glaucoma divided by the total number of people with glaucoma as estimated from population-based studies multiplied by 100%. Second, the glaucoma detection rate (GDR), which is number of newly diagnosed glaucoma patients in one year divided by the population in a defined area in millions. Third, the glaucoma follow-up adherence rate (GFAR), calculated as the number of patients with glaucoma who visit eye care provider(s) at least once a year over the total number of patients with glaucoma in given eye care provider(s) in a specific period. Regularly tracking and reporting these three indicators may help to improve the healthcare system performance at national or regional levels.
青光眼是全球不可逆性失明的首要原因，在公共卫生领域的重要性日益增加。青光眼护理质量和效率指标将有益于公共卫生评估，但目前尚缺。我们提出三项此类指标。第一，青光眼覆盖率（GCR），即已知青光眼患者人数除以基于人群研究估计的青光眼患者总数，再乘以100%。第二，青光眼检出率（GDR），即一年内新诊断的青光眼患者人数除以特定区域以百万计的人口数。第三，青光眼随访依从率（GFAR），计算方法为特定时期内给定眼科护理机构中每年至少就诊一次的青光眼患者人数除以该机构中青光眼患者总数。定期跟踪和报告这三项指标可能有助于提高国家或地区层面的医疗系统绩效。
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