印度白内障干预措施的监测与评估
Monitoring and evaluating cataract intervention in India.
作者信息
Limburg H, Kumar R, Bachani D
机构信息
National Programme for Control of Blindness (DANPCB), New Delhi, India.
出版信息
Br J Ophthalmol. 1996 Nov;80(11):951-5. doi: 10.1136/bjo.80.11.951.
AIM
To identify indicators to monitor and evaluate the cataract intervention programme in India.
METHODS
Available data on blindness due to cataract, demography, staffing levels, and infrastructure available under the programme were reviewed. Four key elements of the programme were identified: the magnitude of blindness due to cataract and the need for surgical services; the available resources; the output, in quantity and in quality, as well as the resource utilisation; and lastly the impact this has on society and the problem of blindness due to cataract. Indicators to quantify these key elements were designed and available data were used to calculate the defined indicators.
RESULTS
At least 2.5 million sight restoring cataract operations will have to be performed annually. Staffing levels and infrastructure resources at present allow for increased output. The effectiveness of cataract services can be increased with better case selection.
CONCLUSION
The use of these indicators provides an insight into the dynamics of the problem of cataract blindness and its intervention. They facilitate adequate management and evaluation of the efficiency and effectiveness of the intervention programme and may ensure optimal utilisation of the available resources for cataract surgery.
目的
确定用于监测和评估印度白内障干预项目的指标。
方法
对该项目下有关白内障致盲、人口统计学、人员配备水平和基础设施的现有数据进行了审查。确定了该项目的四个关键要素：白内障致盲的严重程度及手术服务需求；可用资源；数量和质量方面的产出以及资源利用情况；最后是其对社会的影响以及白内障致盲问题。设计了量化这些关键要素的指标，并使用现有数据来计算所定义的指标。
结果
每年至少必须进行250万例恢复视力的白内障手术。目前的人员配备水平和基础设施资源允许提高产出。通过更好地选择病例可以提高白内障服务的有效性。
结论
使用这些指标可以深入了解白内障致盲问题及其干预的动态情况。它们有助于对干预项目的效率和效果进行充分管理和评估，并可确保为白内障手术最佳利用现有资源。
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