重视基层卫生服务在儿童近视防控行为干预中的作用  

Importance of the Role of Primary Care in Myopia Prevention and Control Behavioral Intervention among Children

作　　者：王婕 李仕明 魏士飞 王宁利 WANG Jie;LI Shiming;WEI Shifei;WANG Ningli(Ophthalmology Department,Beijing Chaoyang District Taiyanggong Community Health Center,Beijing 100028,China;Tongren Eye Centre,Beijing Tongren Hospital,Capital Medical University/Beijing Institute of Ophthalmology/Beijing Key Laboratory of Ophthalmology and Visual Science,Beijing 100730,China)

机构地区：[1]北京市朝阳区太阳宫社区卫生服务中心眼科,100028 [2]首都医科大学附属北京同仁医院北京同仁眼科中心、北京市眼科研究所眼科学与视觉科学北京市重点实验室,北京市100730

出　　处：《中国全科医学》2023年第33期4213-4217,共5页Chinese General Practice

基　　金：国家自然科学基金重大国际合作项目(81120108007);国家自然科学基金资助项目(82071000);北京市自然科学基金杰出青年科学基金(JQ20029);首都卫生发展科研专项(2020-2-1081)。

摘　　要：近视是危害儿童视力健康的主要因素,规范化开展近视的筛查工作,实现近视的早发现、早干预是防控儿童近视发生和发展的重要措施。当前我国近视筛查、屈光发育档案建立和管理应用尚处于起步阶段,尤其是屈光档案建立后的后续跟进措施仍面临诸多问题和挑战。本文根据我国目前近视筛查和屈光档案建立后的现状和特点,结合分级诊疗要求,对基层卫生服务在儿童近视防控行为干预中的作用进行深入分析,以期对我国近视筛查及屈光档案建立、社区行为干预提供建议,更好地均衡医疗资源,使其能规范、良性、持续性发展。Myopia is a major risk factor for vision health in children,it is important for the prevention and control of occurrence and development of myopia in children to standardize the screening of myopia and achieve early detection and intervention of myopia.At present,myopia screening,the establishment,management and application of refractive development profile in China are still in the initial stage.In particular,the follow-up measures after refractive development profile establishment still face many problems and challenges.In this paper,the role of primary care in myopia prevention and control behavioral intervention among Children was analyzed in depth according to the current status and characteristics of myopia screening and after refractive development profile establishment,combining with the requirements of hierarchical diagnosis and treatment,in order to provide recommendations on myopia screening,refractive development profile establishment and community behavioral interventions in China,balance medical resources for its development in a regulated,healthy and sustainable manner.

关 键 词：近视 行为干预 社区卫生服务中心 三级预防 分级诊疗 公共卫生 

分 类 号：R778.11[医药卫生—眼科]