CAJ | 학술논문

目的了解新疆维吾尔自治区眼科资源发展现况和存在的问题,为其合理配置提供科学依据.方法以人群为基础的横断面调查.2010年1至12月对新疆维吾尔自治区已注册的公立及非公立的眼科医疗机构(含五官科)进行问卷普查.调查内容包括:(1)眼科医疗机构的单位名称、结构类型、科室构成；(2)眼科医疗工作情况；(3)眼科卫生技术人员数及分布；(4)眼科设备情况；(5)目前开展眼科工作遇到的问题和困难.采用描述性统计方法,分析眼科资源的结构比、资源的利用度；对不同地区、不同类型眼科医疗机构进行对比分析.结果共发放调查问卷130份,回收110份,其中有效问卷107份,有效率97.27％.新疆维吾尔自治区有眼科医疗机构107个,眼科床位1709张,眼科卫技人员1672名,其中眼科医师525名(专职眼科医师379名、五官科兼职医师146名),医护比为1.0∶1.3.眼科医疗机构资源在天山北坡经济区较多,而东疆经济区较少；眼科资源较集中于县级以上综合医院；2010年被调查医院开展眼科手术43580例,眼科手术主要以白内障手术为主(20303例),占46.59％.结论新疆维吾尔自治区眼科医疗资源的地区分布差异明显,主要集中在县级以上综合医院；应充分利用现有的眼科资源,加强县级以上医院学科带头人的培养,针对性输入和重点培养县级医院眼科医务人员,提高防盲治盲的工作效率,使眼科医疗服务的社会效益最大化.
목적 료해신강유오이자치구안과자원발전현황화존재적문제,위기합리배치제공과학의거.방법 이인군위기출적횡단면조사.2010년1지12월대신강유오이자치구이주책적공립급비공립적안과의료궤구(함오관과)진행문권보사.조사내용포괄:(1)안과의료궤구적단위명칭、결구류형、과실구성；(2)안과의료공작정황；(3)안과위생기술인원수급분포；(4)안과설비정황；(5)목전개전안과공작우도적문제화곤난.채용묘술성통계방법,분석안과자원적결구비、자원적이용도；대불동지구、불동류형안과의료궤구진행대비분석.결과 공발방조사문권130빈,회수110빈,기중유효문권107빈,유효솔97.27％.신강유오이자치구유안과의료궤구107개,안과상위1709장,안과위기인원1672명,기중안과의사525명(전직안과의사379명、오관과겸직의사146명),의호비위1.0∶1.3.안과의료궤구자원재천산북파경제구교다,이동강경제구교소；안과자원교집중우현급이상종합의원；2010년피조사의원개전안과수술43580례,안과수술주요이백내장수술위주(20303례),점46.59％.결론 신강유오이자치구안과의료자원적지구분포차이명현,주요집중재현급이상종합의원；응충분이용현유적안과자원,가강현급이상의원학과대두인적배양,침대성수입화중점배양현급의원안과의무인원,제고방맹치맹적공작효솔,사안과의료복무적사회효익최대화.
Objectives To explore ophthalmic resources and existing problems in Xinjiang Uyghur Autonomous Region,and to provide reasonable developing configuration for the future.Methods It was a population-based cross-section study.By using questionnaire to collect data from all eye units (national and private) which were registered in Xinjiang area. Investigation included:(1) ophthalmic medical unit of name,structure type,departments constitute; (2) the ophthalmic medical work; (3) the number of ophthalmology health technicians and distribution ; (4) ophthalmic devices usage ; ( 5 ) carry out the problems and difficulties encountered in ophthalmic work.Descriptive statistic method was used to analyze the struture of ophthalmic material,the availability of resource,the medical institution of different regions and types.Results One hundred and thirty questionnaire were filled out and 110 questionnaire were recovery.There were 107 eye units,1709 beds for ophthalmic,1672 employees,including 525 doctors,the ratio of doctors and nurses was 1.0∶ 1.3.And the ophthalmic resources mainly distributed in northern Tianshan,very few in the eastern area in Xinjiang;ophthalmic units were denser in general hospitals which were above the county level.There were 43580 ophthalmic surgeries in all,the main eye operation carried out was cataract surgery,including 20303 ( counted 46.59％ ) cataract operation.Conclusions The ophthalmic units distribution is unbalanced,which is short of ophthalmologists. It provides base for government to arrange ophthalmic resources reasonably,to enhance the research motivation and to cultivate more professors,and to increase the number of ophthalmic specialists in the general hospitals,and eventually to maximize the benefit of ophthalmic service in Xinjiang.