An Lei, Jan Catherine Lingxue, Feng Jingjing, Wang Zhifeng, Zhan Leilei, Xu Xiao
Rehabilitation Administration Department, National Institute of Hospital Administration, National Health Commission, Beijing, China.
Center for Brain and Cognitive Science, School of Psychological and Cognitive Sciences, Peking University, Beijing, China.
Ophthalmic Epidemiol. 2020 Feb;27(1):29-38. doi: 10.1080/09286586.2019.1678654. Epub 2019 Oct 21.
: To investigate the distribution of cataract surgery performed by ophthalmologists in China.: A cross-sectional study was designed to investigate nationwide ophthalmological resources and capacity for cataract surgery in China-The 2014 China National Eye Care Capacity and Resource Survey. Data analyzed in this report included regional distribution, urban-rural comparison, levels and types of medical institutions, and cataract surgery types and volume per surgeon. In China, only ophthalmologists at or above the level of attending are eligible to perform cataract surgery independently, so the ability of cataract surgery for ophthalmologists at or above the level of attending is analyzed in the current study. Descriptive statistics were used.: 36,333 ophthalmologists were included in this survey, which is an average of 1.33 ophthalmologists to every 50,000 population. Of the surgeons in this survey, 23,412 (50.22%) were attending or more senior ophthalmologists and were mainly distributed in eastern urban areas. Annual average cataract surgeries per ophthalmologist in China were 259 in 2017, less than 300 cases.: The average number of ophthalmologists per population in China has achieved the goal of WHO's Vision 2020; however, these surgeons are concentrated in urban areas. Further, the ability of cataract surgery among ophthalmologists is unbalanced. The annual average cataract surgeries performed by ophthalmologists are insufficient, which is an important factor resulting in the current situation in China that ophthalmic service capacity has not met the requirements for eliminating cataract blindness.
调查中国眼科医生实施白内障手术的分布情况。
设计一项横断面研究,以调查中国全国范围内的眼科资源和白内障手术能力——2014年中国国家眼保健能力与资源调查。本报告分析的数据包括地区分布、城乡比较、医疗机构级别和类型,以及每位外科医生的白内障手术类型和手术量。在中国,只有主治医师及以上级别的眼科医生才有资格独立实施白内障手术,因此本研究分析了主治医师及以上级别眼科医生的白内障手术能力。采用描述性统计方法。
本次调查纳入了36333名眼科医生,平均每5万人口中有1.33名眼科医生。在本次调查的外科医生中,23412名(50.22%)是主治医师及以上级别的眼科医生,主要分布在东部城市地区。2017年中国每位眼科医生的年平均白内障手术量为259例,不足300例。
中国每人口眼科医生平均数量已达到世界卫生组织“视觉2020”的目标;然而,这些外科医生集中在城市地区。此外,眼科医生的白内障手术能力不均衡。眼科医生每年平均实施的白内障手术量不足,这是导致中国目前眼科服务能力未达到消除白内障盲要求这一现状的重要因素。