Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.
Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
BMC Ophthalmol. 2022 Aug 3;22(1):331. doi: 10.1186/s12886-022-02559-9.
The aim of this study was evaluate the effect of governmental support in the form of Health Transformation Plan (HTP) on increasing the cataract surgical rate.
The number of cataract surgeries was collected from Iranian cataract surgery clinics during 2019. HTP was implemented in 2014. Forty-seven major and forty-five minor surgery centers were selected from all provinces. In each center, sampling was done from 2012, 2013, 2015, and 2016.
On average, 6202 and 7134 cataract surgery rate were performed before and after HTP, respectively. The cataract surgical rate rose by 15.03% after the HTP. After HTP, the proportion of cataract surgery increased by 21.32% in governmental centers and decreased by 17.56%, 24.45%, and 14.89% in private, insurance, and charity centers, respectively. The cataract surgical rate was 4093 and 6026 in the first economic quartile (the poorest), 3669 and 4595 in the second quartile, 5884 and 5928 in the third quartile, and 8427 and 9681 in the fourth quartile (the richest) before and after HTP, respectively. The highest growth in the cataract surgical rate was seen in the first quartile (47.24%) followed by the second (25.26%), fourth (14.88%), and third quartiles (0.74%).
The Health Transformation Plan has been successful in increasing the cataract surgical rate in the low-income group and identifying differences in the services as well as the economic groups within the population.
本研究旨在评估以卫生转型计划（HTP）形式提供的政府支持对提高白内障手术率的影响。
本研究收集了 2019 年伊朗白内障手术诊所的白内障手术数量。HTP 于 2014 年实施。从所有省份中选择了 47 个主要和 45 个次要手术中心。在每个中心，从 2012 年、2013 年、2015 年和 2016 年进行抽样。
平均而言，HTP 实施前后的白内障手术率分别为 6202 次和 7134 次。HTP 实施后，白内障手术率提高了 15.03%。HTP 实施后，政府中心的白内障手术比例增加了 21.32%，而私人、保险和慈善中心分别减少了 17.56%、24.45%和 14.89%。HTP 实施前后，经济水平最低的第一经济四分位数（最贫困）的白内障手术率分别为 4093 次和 6026 次，第二四分位数为 3669 次和 4595 次，第三四分位数为 5884 次和 5928 次，经济水平最高的第四四分位数（最富裕）为 8427 次和 9681 次。白内障手术率增长最高的是第一四分位数（47.24%），其次是第二四分位数（25.26%）、第四四分位数（14.88%）和第三四分位数（0.74%）。
卫生转型计划成功地提高了低收入人群的白内障手术率，并确定了服务以及人口中不同经济群体之间的差异。
