Ophthalmology Service Resources Survey In Shanxi Province

Objective:In order to get Basic-Data of Ophthalmology service resource,realize the distribution of ophthalmology resources and service,find out the main problems in blindness prevention and control,evaluate the equity of ophthalmology resources collocating,etc.we took a survey in SHANXI Province,get a distribution of Ophthalmology resource,and find out main problems in blindness prevention project in Shanxi Province from it,look forward to some science evidences for health policy which lead blindness prevention or optimize ophthalmology resources collocating and improve benefit.Methods:using general investigation,we investigated all the Ophthalmology service providers in either county and even more higher level polyclinics(include what are affiliated with corporations),or ophthalmology expert hospitals,collected the data about ophthalmology resources and service providing quantity in 2004yr..we realize ophthalmology resources distribution among different level,different keeping quality and different type medical institutions by statistic describe.To compare service benefit between different medical institution using annual service quantity provided by per practitioners.Studying the relationship between resource and service ability through correlation and regression.Using Lorenz curve and Gini coefficient to describe resource distribution equity degree.Using Cobb-Douglas production function,we study scale economy benefit of ophthalmology resource collocatingResults:ophthalmology institutions distribution is unbalanced,which are repeat setting in some area,whereas fifty-two have no expert ophthalmology section;oculist quantity every 10,000 population is preceding in overall provinces,but the difference is significant among different areas,different type and keeping quality hospitals,better qualification oculist centralize in three-class hospital and other higher level polyclinics,in seeking profit hospitals oculist have less qualification;Average quantity of ophthalmology bed per hospital was more than that of other province in 2000yr,whereas the ratio of oculist and bed quantity in expert ophthalmology hospitals were preceding in countryside;ophthalmology equipment distribution were unbalanced badly,they are timeworn,either quantity,varieties or worthiness in county hospital are less than other investigated hospitals,advanced equipment mainly centralize in expert ophthalmology hospitals and other higher level hospitals;ability of providing ophthalmology service correlate with quantity of bed,oculist,equipment and worthiness of equipment significantly(P＜0.001).Quantity distribution of bed,oculist and equipment are more equity than that of equipment worthiness; studying for scale economy showed that ophthalmic hospitalization and operation would increase if adding oculist and equipment.Conclusions:the main means of collocating ophthalmology resource should be government macro control under health planning.Taking ophthalmology epidemiology study collocate resource after understanding eye disease distributing and prevalence status,according the rule that" controlling gross,adjusting accumulate,optimize increment,improving quality".In order to achieve equity and benefit for ophthalmology collocating at the same time,we should both market mechanism and government control two instruments.In order to provide appropriate and accessible ophthalmic service for denizen,achieve the goal of cataract zero-rising in SHANXI province,some training for oculist should be enhanced,quantity of bed,equipment should be increased,especially in county hospitals.