2007年云南省医疗机构眼科现状调查

Survey of eye care services in Yunnan Province of China in 2007

目的了解截至2007年云南省的眼科医疗现状和服务能力。设计横断面问卷调查。研究对象云南省内165家医疗机构。方法采用卫生部统一设计的眼科机构现状调查表,于2007年10-12月对云南省内医疗机构的眼科现状进行问卷调查。收集整理并分析问卷结果。主要指标医护人员数量、年手术量、门诊量、可独立完成白内障手术的医生数量。结果参与调查的的165家医疗机构共有眼科医生735名,能独立完成白内障手术者392名,眼科护理人员771人。全省16个地州市中,昭通地区每百万人口拥有的眼科医生资源仅为7人,而昆明市为32人。2006年所有医疗机构共完成眼科各类手术58346例,包括白内障23833例。尚未开展白内障手术的医疗机构有27家。各级医疗机构仅29家(17.6%)拥有较好的眼科设备,6家(3.6%)没有任何眼科设备。结论云南省不同等级和不同地区之间的医疗机构眼科水平差异很大,人力资源分布不均,工作效率较低,需要进一步进行资源整合和优化利用,以满足群众对眼科医疗服务的需求。

Objective To investigate the status and capacity of eye care services in Yunnan Province in 2007. Design Crosssectional questionnaire survey. Participants 165 medical institutions in Yunnan Province. Methods Using a standardized questionnaire designed by Ministry of Health, the all hospitals of county or above and eye hospitals in Yunnan Province were investigated during October to December 2007. Main Outcome Measures Number of ophthalmologists and ophthalmic nurses, surgical volume per year, outpatient volume per year and number of ophthalmologists who can operate cataract independently. Results Totally 165 hospitals covered Yunnan Province participated in this study （response rate was 100% ）. In all these institutions, there were 735 ophthalmologists and 771 nurses. 392 ophthalmologists could perform cataract surgery independently. Within 16 prefectures of Yunnan, Zhaotong prefecture had the least resources of ophthalmology （7 ophthalmologists per million population） while Kunming had 32 ophthalmologists per million populations. In 2006, 58346 eye surgeries were performed in all these institutions, including 23833 cases of cataract surgeries. 27 hospitals were not able to provide cataract surgical services. Out 165 institutions, only 29 hospitals （17.6%） had advanced ophthalmic equipments and 6 hospitals （3.6%） did not have any ophthalmic equipment. Conclusion There are big differences of eye care services among different level and different location of medical institutions in Yunnan Province of China. Inappropriate distribution of human resources and low productivity are main issues. Further resources allocation and optimized use of resources in eye care services are need- ed to meet the needs of patients. （Ophthalmol CHN, 2010, 19： 142-144）