江西省二级甲等医院眼科资源现状及服务能力的调查分析  

Ophthalmology Resource and Service Ability in General Hospitals Assessed as Secondary Level and First Rank in Jiangxi Province

作　　者：石浔[1] 俞方良[1] 刘维锋[1] 朱璇[1] 徐志红[1] 蔡淑红[1] 唐琰[1] 

机构地区：[1]南昌大学第三附属医院眼科,南昌330008

出　　处：《南昌大学学报（医学版）》2010年第12期100-103,共4页Journal of Nanchang University：Medical Sciences

摘　　要：目的对江西地区二级甲等医院眼科资源及服务能力的调查情况进行分析,为基层有效地开展防盲、治盲工作提供依据。方法采用自行设计的问卷调查表对2009年12月至2010年2月44所江西省二级甲等医院眼科资源及服务能力情况进行调查。调查内容包括眼科的硬件设备、医护人员情况、眼科医疗服务能力等。结果 44所医院开放床位12 508张,其中眼科(包括五官科)开放床位656张,占医院总床位数的5.2%,平均14.9张。眼科裂隙灯87台,检眼镜118台,压陷眼压计77台,眼AB超34台,手术显微镜66台,检影镜32台。眼科卫技人员360人,其中眼科医师194人(专职眼科医师108人、兼职眼科医师86人),护理人员153人,眼科技师13人;高级职称52人,中级职称167人,初级职称141人。93.1%(41/44)所眼科能开展白内障手术,90.9%(40/44)所眼科能开展泪囊手术,90.9%(40/44)所眼科能开展抗青光眼手术,63.6%(28/44)所眼科能开展斜视手术,59.1%(26/44)所能开展验光配镜服务,25.0%(11/44)所眼科能开展小儿弱视诊治工作,6.8%(3/44)所眼科开展视网膜复位术、未开展准分子激光手术,79.5%(35/44)所眼科机构、59人[占眼科医师的30.4%(59/194)]能开展批量小切口白内障手术,8所[占18.1%(8/44)]眼科机构、9人(占眼科医师的4.6%)能开展超声乳化白内障手术。结论江西省二级甲等医院眼科具备了开展常见眼前段疾病诊治能力,大部分眼科机构能开展批量小切口白内障手术,视光学医疗服务有待于进一步提升,眼底疾病的医疗服务能力差。Objective To analysis the ophthalmology resource and service skills in general hospitals assessed as secondary level and first rank to provide basis for the prevention and treatment of blindness in Jiangxi province.Methods Forty-four general hospitals assessed as secondary level and first rank were investigated by self-designed questionnaire,which included facilities,health professionals and service skills.Results Of the 12 508 beds in 44 general hospitals,656（5.2%） were opened in departments of ophthalmology,with 14.9 beds in each ophthalmology department.All the hospitals deployed 87 slit lamps,118 ophthalmofundoscopes,77 indentation tonometers,34 ultrasonic scanners,66 Ophthalmic operating microscopes,and 32 skiascopes.There were 360 health professionals in ophthalmology departments（8.2 per hospital）,including 194 doctors（4.4 per hospital）,153 nurses（3.4 per hospital） and 13 technicians（0.3 per hospital）.Fifty-two health workers had senior professional title,167 had middle professional title and 141 had primary professional title.Among the 44 hospitals,cataract extraction surgery could be performed in 41（93.1%）,glaucoma surgery and lachrymal sac surgery in 40（90.9%）,strabotomy in 28（63.6%）,optical and glass-making service in 26（59.1%）,amblyopia surgery in 11（25.0%）,retinal reattachment surgery in 3（6.8%）,small incision cataract surgery in 35（79.5% of the 44 hospitals;30.4% of the 194 doctors）,and ultrasonic phacoemulsification in 8（18.1% of the 44 hospitals;4.6% of the 194 doctors）.Conculsion Anterior segment disease of the eye can be diagnosed and treated in ophthalmology departments of general hospitals assessed as secondary level and first rank,and most institutes can perform small incision cataract surgery.However,the optometry medical service and the service ability to treat ocular fundus disease should be further improved.

关 键 词：眼科资源 服务能力 防盲 治盲 江西省 

分 类 号：R197[医药卫生—卫生事业管理]