CBM International, Stubenwaldallee 5, 64625 Bensheim, Germany.
Caritas Takeo Eye Hospital, Street 198, Number 47, Khan 7 Makara, Phnom Penh, Cambodia.
Disabil Health J. 2018 Oct;11(4):660-664. doi: 10.1016/j.dhjo.2018.07.005. Epub 2018 Jul 25.
Universal access and equity are salient principles of the World Health Organization global action plan 'Towards Universal Eye Health'. However, collection of disability-disaggregated data to measure access to eye hospitals in low- and middle income countries, including referral to rehabilitative services, are not routinely integrated into Health Management Information Systems.
This report presents secondary-data analysis of disability-disaggregated data collection that was introduced at a tertiary eye hospital in a rural province in Cambodia.
A modified version of the Washington Group Short Set of Questions was used to count the number of eye patients with self-reported difficulties. The number of referrals of patients with unavoidable visual impairment to low vision services as well as referral to rehabilitative services was also counted.
From 2011 to 2016, out of 182,327 patients overall 4981 (2.7%; 95% CI 2.66-2.81) reported difficulties with hearing, moving or communicating in addition to visual or other eye-related problems. Most of the difficulties were reported in the age group of patients aged 50 years and older (89.8% [95% CI 88.9-90.6]). All together 901 (0.5%; 95% CI 0.46-0.53) patients were treated at the low vision unit and 652 (0.36%; 95% CI 0.33-0.39) patients were referred to rehabilitation services. The number of referrals to rehabilitation declined annually from the year 2013-2016.
Patients with self-reported impairments constitute a significant proportion of the eye hospital's population. A modified version of the Washington Group Short Set of Questions enabled routine disability-disaggregated data collection but resulted also in possible under-reporting of difficulties.
普及和公平是世界卫生组织全球行动计划“迈向全民眼健康”的突出原则。然而，在包括转诊至康复服务在内的低、中收入国家，收集残疾分类数据以衡量对眼科医院的可及性并未常规纳入卫生管理信息系统。
本报告介绍了在柬埔寨农村省份的一家三级眼科医院引入残疾分类数据收集的二次数据分析结果。
使用华盛顿小组短问卷的修改版本来统计自述有困难的眼疾患者人数。还统计了无法避免视力损害的患者转诊至低视力服务以及转诊至康复服务的人数。
在 2011 年至 2016 年期间，在总共 182327 名患者中，有 4981 名（2.7%[95%置信区间 2.66-2.81]）除了视力或其他眼部相关问题外，还报告存在听力、行动或沟通困难。大多数困难发生在 50 岁及以上的患者年龄组（89.8%[95%置信区间 88.9-90.6]）。共有 901 名（0.5%[95%置信区间 0.46-0.53]）患者在低视力科接受治疗，652 名（0.36%[95%置信区间 0.33-0.39]）患者被转诊至康复服务。自 2013 年至 2016 年，转诊至康复服务的人数逐年下降。
自述有障碍的患者构成了眼科医院就诊人群的重要比例。华盛顿小组短问卷的修改版本能够进行常规的残疾分类数据收集，但也可能导致困难的漏报。
