CAJ | 학술논문

低视力的本质是患者减退的视功能不能满足其日常生活视功能需求的一种状态.低视力的康复是一个系统工程,涉及医疗、康复、教育、社会保障等多个领域的工作.目前,我国的低视力康复工作已经经历了20余年的探索发展过程,取得了不少成就,但所面临的问题和挑战仍然很多.笔者对我国低视力康复工作发展的历程和成就进行了简要总结,对当前我国低视力康复工作中所面临的主要问题和挑战进行了分析,认为低视力康复专业技术、低视力康复辅助器具可用资源、社会保障体系的完善等问题是影响我国低视力康复服务工作有效性的重要因素,但并不是制约我国低视力康复工作健康发展的主要因素;医疗机构低视力门诊的建设及可为全社会提供开放性服务的非医疗性专业康复机构的建设,是我国低视力康复服务体系建设必须解决的两个关键性、基础性的问题.
저시력적본질시환자감퇴적시공능불능만족기일상생활시공능수구적일충상태.저시력적강복시일개계통공정,섭급의료、강복、교육、사회보장등다개영역적공작.목전,아국적저시력강복공작이경경력료20여년적탐색발전과정,취득료불소성취,단소면림적문제화도전잉연흔다.필자대아국저시력강복공작발전적역정화성취진행료간요총결,대당전아국저시력강복공작중소면림적주요문제화도전진행료분석,인위저시력강복전업기술、저시력강복보조기구가용자원、사회보장체계적완선등문제시영향아국저시력강복복무공작유효성적중요인소,단병불시제약아국저시력강복공작건강발전적주요인소;의료궤구저시력문진적건설급가위전사회제공개방성복무적비의료성전업강복궤구적건설,시아국저시력강복복무체계건설필수해결적량개관건성、기출성적문제.
China is a highly populated country.At the present time,over 13 milhon people have been identified with low vision.The real number of people with low vision is not clear but might be much higher.If we take the average prevalence of low vision in other countries for a reasonable estimate,the number of people with low vision in China would approach 20 million.To provide rehabilitation services to people with low vision,China has established a low vision rehabilitation service system in its National Development Plan since 1991 under the administration of China Disabled Persons' Federation (CDPF),a unique system in China that has played a very important role in the development of rehabilitation services in the country.However,present facilities for low vision rehabilitation in China are still far from adequate.The well established resource centres for low vision rehabilitation devices in the CDPF system are not the responsibility of the institutes providing full service to the public for vision rehabilitation but delivering certain types of vision aid devices to qualified registered disabled persons who already have a prescription for the device.So the system functions only with the availability of other types of vision rehabilitation providers.Unfortunately,the latter are very rare at the present time.Apparently,this has become the major obstacle for the establishment of a functional vision rehabilitation system in the country.Considering the possible resources that might be used,it is suggested that the possible,practical,reliable and probably the easiest solution is to open low vision clinics within the eye care units of medical institutions.Policies that support this practice are urgently needed.Other factors,such as the lack of professional training and public awareness,and the lack of quality devices,etc.,are all much less likely to be the major obstacles that hinder the development of a functional low vision rehabilitation service system in China.