CAJ | 학술논문

目的：了解上海市社区卫生服务中心眼科资源和眼科服务的分布状况，以及目前上海市防盲治盲工作中存在的主要问题,为加强防盲治盲工作，提高初级眼保健水平提供依据。方法利用普查的方法，对上海市所有社区卫生服务中心的眼病防治资源进行调查，获得上海市社区卫生服务中心眼病防治服务资源资料。采用统计描述方法，描述不同地区中社区眼病防治资源的分布情况。结果上海市17个区县共有244个社区，其中有236个（96.72%）社区参加调查并交回问卷。上海市236个社区中，其中有49个（20.8%）社区具有独立的眼科门诊，有96个(40.7%)社区眼科设置在五官科，有33个(14.0%)社区有二、三级医疗机构坐诊，有87个(36.9%)社区无眼科门诊。社区中眼科医师共82人，从事眼科的全科及五官科医师共129人，社区中眼科护士共9人，视光师1人。专职公共卫生眼防人员36人，兼职公共卫生眼防人员201人。社区中所有眼科设备共941件，使用率为90.33%。结论上海市社区卫生服务中心眼科资源和眼保健服务能力参差不齐，专业眼科技术人员缺乏，公共卫生眼防人员结构层次偏低且流动性较大，眼病筛查设备落后，公共卫生眼病防治经费投入不足，需要争取政府和其他部门对社区眼病防治的支持，不断完善“社区-区县-市级”的三级防盲网络体系建设和网络信息化建设。（Chin J Ophthalmol,2015,51：493-498）
목적：료해상해시사구위생복무중심안과자원화안과복무적분포상황，이급목전상해시방맹치맹공작중존재적주요문제,위가강방맹치맹공작，제고초급안보건수평제공의거。방법이용보사적방법，대상해시소유사구위생복무중심적안병방치자원진행조사，획득상해시사구위생복무중심안병방치복무자원자료。채용통계묘술방법，묘술불동지구중사구안병방치자원적분포정황。결과상해시17개구현공유244개사구，기중유236개（96.72%）사구삼가조사병교회문권。상해시236개사구중，기중유49개（20.8%）사구구유독립적안과문진，유96개(40.7%)사구안과설치재오관과，유33개(14.0%)사구유이、삼급의료궤구좌진，유87개(36.9%)사구무안과문진。사구중안과의사공82인，종사안과적전과급오관과의사공129인，사구중안과호사공9인，시광사1인。전직공공위생안방인원36인，겸직공공위생안방인원201인。사구중소유안과설비공941건，사용솔위90.33%。결론상해시사구위생복무중심안과자원화안보건복무능력삼차불제，전업안과기술인원결핍，공공위생안방인원결구층차편저차류동성교대，안병사사설비락후，공공위생안병방치경비투입불족，수요쟁취정부화기타부문대사구안병방치적지지，불단완선“사구-구현-시급”적삼급방맹망락체계건설화망락신식화건설。（Chin J Ophthalmol,2015,51：493-498）
Objective To investigate the status of eye disease prevention resources in community health service centers, to understand the distribution of ophthalmology service resources in each community, and to understand the main problems existing in the work of blindness prevention and treatment in Shanghai, so as to strengthen the prevention of blindness and improve the primary eye care level. Methods Using the survey method, we carried out the investigation of disease control and prevention resources in all community health service centers to obtain the data of eye disease prevention and treatment resources. Using the descriptive statistics, we described the distribution of resources of eye disease prevention and treatment in different districts. Results There were 244 communities in 17 districts and counties in Shanghai, of which 236 (96.72%) communities participated in the survey and completed the questionnaires. Forty-nine (20.8%) communities had independent outpatient departments of ophthalmology, 96 (40.7%) had departments of ophthalmology and otorhinolaryngology, 33 (14%) had ophthalmology doctor visits from secondary or tertiary medical institutions, and 87 (36.9%) had no outpatient department of ophthalmology. There were 82 oculists, 129 general or otorhinolaryngology doctors treating eye disease, 9 ophthalmic nurses, and 1 optometrist. There were 36 specialized personnel for public health of eye protection and 217 part-time personnel. Moreover, there were a total of 1 103 pieces of ophthalmic equipment in all communities with the use rate of 91%. Conclusions Uneven ophthalmology resources and eye care professional ability in community health service centers, lack of technical and public health personnel for prevention of eye disease, backward eye disease screening equipment, and inadequate investment in prevention and treatment of eye disease are major problems. More government supports for prevention and treatment of eye disease in communities and continuous improvement in three-level blindness prevention network systems and information construction are needed.