The Analysis And Appreciation Of Present Situation Of Ophthalmic Medical Service

The development of ophthalmic service is the important of health service. Reasonable utilization of ophthalmic resources is guarantee of prevention and cure blindness. The research of the development of ophthalmic service and reasonable utilization is significance to elevation of ophthalmic resourcesObjectiveThrough the investigation of ophthalmic sector of integrated hospital, ophthalmic specialist hospital, institution of ophthalmic disease prevention and cure, comprehensively understand and grasp the present organizations. Analyze resources use efficiency of different areas, types ophthalmology department, discover resources disposition main questions of ophthalmology department in our province. For further developing our country ophthalmic public health, strengthening prevention and cure blindness work, enhancing eye health care level provides the policy-making basis. Materials and methods1.Materials:(1) The investigation of ophthalmic resources in 2003. (2)Collect materials and research paper from Hubei item of blindness prevention.2. Research methods:2.1 Literature method. Through Medline, the CBM disc, Internet network and so on, fully gains the domestic and foreign related literature materials.2.2 Interview method. Through interview economic experts, statistic experts, administrators and doctors, we understand ophthalmic resource and existing problem. Then we have a qualitation investigation by group discussion.2.3 Statistic methods. Using descriptive statistical method to analyze ophthalmic resources structure ratio and resources use effect; Using multiple linear regression and logistic regression to analyze ophthalmic work..2.4 Uses Gini coefficient analyzing the equity of ophthalmic resources. The data processing uses the Excell 2003 software.2.5 Using the data envelope analysis (DEA) method and Topsis method to analyze the input-output effect of ophthalmology department in 1996, 2000 and 2003. The data processing uses the WinQSB software and DPS software.Results 1. Ophthalmic actualityThere are 1928 ophthalmic professionals in surveyed 130 ophthalmic institutions. There are 921 ophthalmic doctors, 777 nurses, 230 technicians and 1770 equipments. The resources of the town are more than the resources of countryside. One ophthalmic doctor have the average quantity of ophthalmic outpatient is 1471 person-times and the quantity of ophthalmic inpatient is 42 person-times in one year. The average work load of rural doctor is more than the average work load of urban doctor. In 2003 cataract operation is 13251 which is 66.26 percent of new cataract patients.2. The influencing factor of ophthalmic medical treatment2.1 The influencing factor of ophthalmic out-patient clinic, in-patient and operation The influencing factor of ophthalmic out-patient clinic is doctor population and awareness to receive medical treatment. The influencing factor of in-patient is doctor population. The influencing factor of ophthalmic operation is doctor population, burden and equipment.2.5 The influencing factor of ophthalmic in-patient in different region. The influencing factor of in-patient is doctor population and equipment in east area. The influencing factor of in-patient is doctor population in middle area. The influencing factor of in-patient is doctor population, awareness to receive medical treatment and equipment in west area.2.3 The influencing factor of artificial lens operation The influencing factor of artificial lens operation is doctor population.3. Coefficient of ophthalmic medical treatment3.1 The comparison of three Coefficient of ophthalmic medical treatmentThrough DEA of 2003, 2000 and 1996 coefficient of ophthalmic medical treatment, we find that 1996 coefficient of ophthalmic medical treatment is inefficacious,2000 and 2003 coefficient of ophthalmic medical treatment is efficacious. Through Topsis, we find that 2003 coefficient of ophthalmic medical treatment is the best, 1996 is the worst.3.2 The comparison of coefficient of ophthalmic medical treatment in different regions.Through synthetic evaluation, we find that the east Coefficient of ophthalmic medical treatment is the best, the east is the worst.3.3 The comparison of the twelve hospital coefficient of ophthalmic medical treatmentThrough DEA of the twelve hospitals coefficient of ophthalmic medical treatment, we find that six hospitals are inefficacious, the other are efficacious. Through Topsis, we find that coefficient of ophthalmic medical treatment of En shi hospital is the best, Honghu hospital is the worst.4. The fairness of ophthalmic resources4.1 The ophthalmic resources Gini coefficient according to populationThe ophthalmic institution Gini coefficient is 0.1835, the ophthalmic doctor Gini coefficient is 0.2146, the ophthalmic nurse Gini coefficient is 0.2191 and the ophthalmic equipment Gini coefficient is 0.1489.4.2 The ophthalmic resources Gini coefficient according to areaThe ophthalmic institution Gini coefficient is 04459, the ophthalmic doctor Gini coefficient is 0.4071, the ophthalmic nurse Gini coefficient is 0.3482 and the ophthalmic equipment Gini coefficient is 1941.4.3 The ophthalmic resources Gini coefficient according to population in different regionOphthalmic doctor Gini coefficient of the east, middle and west region are 0.6037, 0.4286, 0.5705. Ophthalmic nurse Gini coefficient of the east, middle and west region are 0.6722, 0.4132, 0.5286.Conclusion:1. Ophthalmic resources are insufficient and disproportion between the town and countryside.2. Ophthalmic medical service is deficiency, different between the town and countryside.3. The efficacy of ophthalmic medical service is elevated, different between the town and countryside.4. Catatact surgery quantity is still low, blindness prevention work should be strengthened. Suggestions1. To strengthen rural ophthalmic construction, disparity between the town and countryside.2. To reinforce macroscopic regulation, enhance east and west the development of ophthalmic occupation, strive support of other department.3. To utilize the ophthalmic resources reasonably, elevate the efficacy of ophthalmic service.4. To set up a ophthalmic prevention and cure center, mission is policy research of prevention of blindness, the training of ophthalmic skilled work and collection of ophthalmic information...