Katibeh Marzieh, Kalantarion Masomeh, Sabbaghi Hamideh, Mousavi Batool, Schriver Michael, Nikkhah Homayoun, Ahmadieh Hamid, Kallestrup Per
Centre for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark.
Department of Medical Education, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Ophthalmic Vis Res. 2019 Jan-Mar;14(1):52-61. doi: 10.4103/jovr.jovr_43_18.
To design a screening program for prevention of blindness at the community level in Iran.
In this qualitative study, the components and properties of the screening program were identified using a participatory action research method with focus group meetings (FGMs) with relevant health care providers and authorities. A content analysis approach was used for data analysis.
In total, 18 stakeholders including six ophthalmologists with different sub-specialties participated in the five FGMs. The screening program aims to discover vision-threatening eye conditions in people aged 50 years and over. Primary health care workers deliver the program including vision tests and fundus imaging with the support of an ophthalmic technician. Retina specialists perform decision-making. Referral plans are interacted through an automated digital program. The screening environment, feedback, ethics and medical legal issues are other main components of the program.
This study presents the initial concepts and components of a screening program for prevention of blindness in the adult population in Iran. The program has the potential to improve eye health at the community level and may potentially be replicated as a model for similar settings elsewhere.
设计一项在伊朗社区层面预防失明的筛查项目。
在这项定性研究中，采用参与式行动研究方法，通过与相关医疗保健提供者和当局举行焦点小组会议（FGMs），确定筛查项目的组成部分和特性。采用内容分析法进行数据分析。
共有18名利益相关者参与了5次焦点小组会议，其中包括6名不同亚专业的眼科医生。该筛查项目旨在发现50岁及以上人群中威胁视力的眼部疾病。初级卫生保健工作者在眼科技术人员的支持下开展该项目，包括视力测试和眼底成像。视网膜专家进行决策。转诊计划通过自动化数字程序进行交互。筛查环境、反馈、伦理和医疗法律问题是该项目的其他主要组成部分。
本研究提出了伊朗成年人群预防失明筛查项目的初步概念和组成部分。该项目有潜力在社区层面改善眼部健康，并有可能作为其他类似环境的模式进行推广。
