比较 COVID-19 大流行期间两个服务提供层级的眼科保健利用率，以此衡量其影响：在四个北印度高容量眼科保健组织中进行的多中心回顾性分析。

Comparison of eyecare utilization at two service delivery levels during the COVID-19 pandemic as a measure of their impact: A multicentric retrospective analysis across four North Indian high-volume eyecare organizations.

机构信息

Department of Community Ophthalmology and Public Health Research, Dr Shroff's Charity Eye Hospital, New Delhi; The Bodhya Eye Consortium: a. Dr Shroff's Charity Eye Hospital, New Delhi, India. b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, India. c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, India. d. MGM Eye Institute, Raipur, Chhattisgarh, India. e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India. f. LJ Eye Institute, Ambala City, Haryana, India.

Centre for Community Ophthalmology, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh; The Bodhya Eye Consortium: a. Dr Shroff's Charity Eye Hospital, New Delhi, India. b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, India. c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, India. d. MGM Eye Institute, Raipur, Chhattisgarh, India. e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India. f. LJ Eye Institute, Ambala City, Haryana, India.

出版信息

Indian J Ophthalmol. 2022 Jun;70(6):2146-2152. doi: 10.4103/ijo.IJO_104_22.

DOI:10.4103/ijo.IJO_104_22

PMID:35648001

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9359286/

Abstract

PURPOSE

The purpose of this study was to assess the performance of the tertiary centers (TCS) and vision centers (VCs) of the four organizations participating in this research, once the lockdown was lifted, and to compare it with the performance during the same period of the previous year.

METHODS

This was a cross-sectional study assessing eyecare utilization in the first 2 months after resumption of services post the lockdown in 2020 and comparing that across the same time period in 2019. Anonymized data containing basic demographic details, proportions of patient visits and their reasons, as well as referral information was collected. The drop percentage method was used, and P values were calculated using paired t-tests.

RESULTS

Four TCs and 60 VCs were included. Overall, outpatient attendance dipped 51.2% at TCs and 27.5% at VCs, across the 2 years. At both levels of care delivery, the percentage drop in females was more than that in males; however, the overall drop at VCs was less than that at TCs, for both sexes. Eyecare utilization in pediatric populations dropped significantly more than in adult populations, across the overall sample. There was no significant change in referrals for refractive error as a proportion of total outpatients, although there was a significant decline in the same for cataract and specialty treatment.

CONCLUSION

VCs are valuable and successful model for eyecare delivery especially in the continued aftermath of the COVID-19 pandemic.

摘要

目的

本研究旨在评估参与该研究的四个组织的三级中心（TCS）和视力中心（VCs）在封锁解除后的表现，并将其与去年同期的表现进行比较。

方法

这是一项横断面研究，评估了 2020 年封锁解除后恢复服务后的前 2 个月的眼保健利用情况，并在同年同期进行了比较。收集了包含基本人口统计学细节、患者就诊比例及其原因以及转诊信息的匿名数据。使用下降百分比法，并使用配对 t 检验计算 P 值。

结果

纳入了四个 TCS 和 60 个 VCs。总体而言，两年间 TCs 的门诊就诊率下降了 51.2%，VCs 的门诊就诊率下降了 27.5%。在这两种护理提供水平上，女性的下降百分比都高于男性；然而，女性和男性的总体下降幅度均小于 TCs。在整个样本中，儿科人群的眼保健利用率下降明显大于成年人群。尽管白内障和专科治疗的转诊比例显著下降，但作为总门诊患者的屈光不正转诊比例没有显著变化。