眼科及防盲在医疗改革示范中的优势

The advantages of ophthalmology and blindness prevention in health reforms.

目前在我国多数初级医疗机构中尚缺乏初级眼保健服务,由于多数眼科疾病的诊断以影像学检查为主,因此眼科及防盲在远程医疗、电子健康领域中具有技术优势及需求市场。我们根据地区经济水平、医疗条件探索了不同的防盲模式:在城市社区开展可预防盲防治模式,在农村开展可治愈盲防治模式,提倡将初级眼保健与初级卫生保健进行整合。开展数字眼科区域协同医疗有利于共享信息,提高效率与质量以及全方位管理,但需要政府的主导作用及政策支持。

The primary eye care service is still absent in most of primary medical organizations in present China. Since imaging examinations provide main contribution to the diagnosis of eye diseases, ophthalmology and blindness prevention have technical predominance and requiring market in the field of telemedicine or e-healthy. We have explored different paradigms of blindness prevention according to variable levels of the region economy and medical conditions. In the urban community, the paradigm for preventable blindness has been adopted, and however, in the rural areas, the paradigm for curable blindness has been taken. It should be advocated to combine the primary eye care with the primary healthy care. It is in favor of sharing information, enhancing efficiency, improving quality, as well as entire orientation management to carry out digitalized ophthalmology regional cooperative medical service. Moreover, governmental leading function and policy sustaining are needed to complete the reform.