The Analysis Of Present Situation Of Ophthalmic Resource And Strategy Research

The work of prevention and cure blindness is the important constituent of our country public health enterprise and the ophthalmic enterprise, the ophthalmic resources is the ophthalmic public health basic guarantee. To realize WHO's propose'in 2020 permanently cure avoidable bllindness', we have a lot of work to do. The most important task is finding out ophthalmic resources of present situation in our country, formulates the plan which feasible and suitable for our country ophthalmict public health development.Objective: Through the investigation of ophthalmic sector of integrated hospital, ophthalmic specialist hospital, institution of ophthalmic disease prevention and cure, comprehensively understand and grasp the present situation resources of our country ophthalmology department medical service organizations. Analyze resources use efficiency of different areas, types ophthalmology department, discover resources disposition main questions of ophthalmology department in our country. For further developing our country ophthalmic public health, strengthening prevent and cure blindness work, enhancing eye health care level provides the policy-making basis.Methods: 1.materials: collects basic information of ophthalmic resources of national public medical organizations in 2003 through the letters.2.research methods:①Literature method Through Medline, the CBM disc and Internet network and so on tools, fully gains the domestic and foreign related literature materials.②statistic method. Uses descriptive statistical method. Analyzes ophthalmic resources structure ratio, resources use effect; To different local, the type, the rank of hospital bed utilization ratio carries on the single factor analysis. The data processing uses the SPSS12.0 statistics analysis software.③Operations research method. Uses the data envelope analysis (DEA) the method:⑴the input– output effect of national ophthalmology department in 1996, 2000 and 2003.⑵the input– output effect of national ophthalmology department in east, centre and west . The data processing uses the WinQSB software.④Economics method: Uses Gini coefficient, index of dissimilarity, concentration index analyzing the equity of ophthalmicresources distributing in different economic levels and different areas. The data processing uses the Excel2000 software.Results: There are 40755 ophthalmic professionals in surveyed 3711 ophthalmic institutions.There are 23326 ophthalmic doctors, 16096 nurses and 1333 technicians. The ratio of doctor to nurse is 1: 0.69. The quantity of 18 major ophthalmic equipments is 41555 in 3711 surveyed ophthalmic institutions. There are 532 other ophthalmic equipments. The total is 42087. The quantity of ophthalmic outpatient is 32084012 person-times and the quantity of ophthalmic emergency is 1933860 person-times in 2003. The quantity of ophthalmic inpatient is 951195 person-times and the quantity of ophthalmic leave hospital is 950009 person-times. The ophthalmic institutions Gini coefficient is 0.043, the index of dissimilarity is 0.147, the concentration index is 0.019. Oculist's Gini coefficient is 0.047, the index of dissimilarity is 0.137, the concentration index 0.050. The ophthalmicnursing staff Gini coefficient is 0.066, the index of dissimilarity is 0.147, the concentration index is 0.063.Conclusion: 1. The ophthalmic institutions is fair according to the population distribution, but the different types ophthalmic institutions still had wide difference between area distribution.2. The ophthalmichealth technical personnel quantity is insufficient, the title structure is unreasonable.3. The ophthalmicbed utilization ratio is low, also in the overall has the drop tendency.4. The ophthalmicoutpatient service and inpatient service working efficiency have the enhancement.5. The surgery quantity increases year by year, but cataract surgery quantity is still somewhat low.6. The ophthalmicroutine inspection project and the treatment project are imbalanced in the different areas.7. The ophthalmicequipments have the growth, but in the areas the difference is remarkable. Suggestions: 1. Formulates the detailed country prevent and cure blindness plan to promote the ophthalmology department development in center and western area, reduces disparity with the eastern area.2.The reasonable use existing resources, enhance the working efficiency.3.Strengthen to train ophthalmic nurse, enrich nurses troop.4.Strengthen the after-graduation the education and the continuing education, enhance medical care personnel's working ability.5. Expands the impoverished areas ophthalmic examination and the treatment project scope, improves the ophthalmic equipment disposition gradually.