Medical network - on November 11, in order to further promote the eye disease prevention and control work, national health development planning commission recently issued by the "" much starker choices-and graver consequences-in" national eye health planning (2016-2020) ", requested the eye disease prevention and control work in family planning career development planning and government health health poverty alleviation projects, and take bigger and stronger, more direct policy measures, continue to strengthen county hospital ophthalmology service capability.
According to the report, at present our country population of about 300 million people with visual impairment, including 45 million cases of blindness. Our country is still blind in the world and the largest number of countries, in patients with visual lesion yet to solve the problem of poor cataract blindness children refractive error is increasingly prominent.
Among them, 2015, millions of people in our country the cataract surgery rate (CSR) has more than 1500, is up 56% at the end of the period of "11th five-year plan". The recently issued by the "planning" is put forward, to continue to do a good job in patients with cataract surgery to achieve by the end of 2020 the CSR reached more than 2000, more than 90% of the county medical institutions can independently with cataract surgery operation.
In addition, the planning is clear, to achieve the following goals: by 2020 focus in children and adolescents in the screening and science of refractive errors correction, reduce uncorrected refractive errors caused by visual damage; Strengthen the early diagnosis and treatment of diabetic retinopathy and other eye diseases. Consolidate to eliminate blinding trachoma results; Improve the premature retinopathy screening, diagnosis and treatment level, reduce the morbidity and disability, etc.
From the point of the planning content, the future ophthalmic medical institutions at all levels in our country, especially the county ophthalmic medical service ability construction is to improve. And under the superposition of all kinds of policies, the expansion of the market demand of ophthalmology will drive the rapid development of ophthalmic medical instrument.
Attached: "much starker choices-and graver consequences-in" national eye health planning (2016-2020) in full
Eye health is an important part of national health, including blindness, visual damage seriously affect people's health and quality of life, family and social burden heavier, threat to social and economic production activities, is a major public health problem related to people's livelihood and social problems. In 1999 the world health organization (WHO) and the international association of blindness (IAPB) put forward "2020 years ago to eliminate avoidable blindness" of global strategic objectives. According to the health of China construction, deepen medical health system reform work general requirements and WHO for general eye health: 2014-2019 global action plan for resolution, to continue to push forward our country during the period of "much starker choices-and graver consequences-in" eye health, to further improve people's health level, formulate the plans.
A, the present situation and problems
"Twelfth five-year" period, our country government entities at all levels actively promoted the blindness blind work, establish and improve national and provincial blindness blind management system and technical guidance system and service system, build the "government-led, all parties involved in" working pattern, the basic formation of eye disease prevention and control work mode suitable for China's national conditions. Effectively curb major blinding eye disease: in the "project of millions of poor patients with cataract surgery, 2015, millions of people in our country the cataract surgery rate (CSR) has more than 1500, is the end of the period of" 11th five-year plan "increased by 56%; Our country active trachoma, trachoma, trichiasis prevalence is much lower than the WHO determine the blinding trachoma popular area standard, prove that trachoma has not a public health problem in our country. Eye health care career fast development, the county hospital ophthalmology to further improve service ability. At present, about 90% of the county with ophthalmic medical institutions in China, of which about 90% can be independent operation in cataract surgery. Ophthalmic medical personnel to participate in the big crowd eye disease prevention and control work enthusiasm generally increased. Adjust the set up a new session of the national committee of blindness technology and prevent blindness technical steering group at the provincial level.
Along with the rapid development of our country's economy and society, population aging process to speed up and the continuous improvement of people's eyes health demand, eye disease prevention and control work in China is still a difficult task. Our country is still the world one of the country with the largest number of patients with injury of blindness and visual, age-related eye disease prevalence, teenagers refractive error problem increasingly prominent, such as rural poor cataract blindness, the problem has not been fully resolved; Ophthalmic medical resources insufficiency, the quality is not high, uneven distribution of problems still exist, eye care work at the grass-roots level still need to strengthen; The crowd love eye eye healthy lifestyle still need to continue to strengthen.
"Much starker choices-and graver consequences-in" period is the critical period of eye disease prevention and control work in China and the opportunity, need to take practical measures to further enhance the level of the people's eye health.
Second, the general requirements
(a) the guiding ideology. Eighteen large, in-depth implementation of the party's sixth plenary session of 3, 4, 5, 18 and the national health and health conference spirit, adhere to the subject position of the people, adhere to the scientific development of eye health, insist on prevention, combining prevention and cure, everyone will have access to basic eye care services, gradually eliminate avoidable blindness and visual damage, improve the level of people's eye health as the starting point and foothold of eye disease prevention and control work, include eye disease prevention and control work in medical and health service system in the overall planning, strengthen the resources integration, and use it as the important content of health poverty alleviation project. Take a bigger, more targeted, more direct policy measures, continue to strengthen county hospital ophthalmology service capability, improve eye care services, accessibility, the fairness and effectiveness.
(2) working principle. Adhere to government-led, multi-sectoral collaboration, the whole society to participate in; To common eye disease prevention and control of blindness and visual impairment and to strengthen the construction of grass-roots eye care services ability unifies, promote eye disease prevention and control of appropriate technologies and working mode, continuously strengthen eye care service system construction, improve the work mechanism; Clear job target and main responsibility at all levels, based on national conditions, adjust measures to local conditions, classification guidance, step by step, grading is responsible for the implementation, to ensure that each work measures to achieve practical results.
(3) the work target. By 2020, strive to achieve the following goals:
1. The upper and lower linkage, work closely with eye disease prevention and control of network, improve eye disease prevention and control of service ability. Establish and improve department coordination mechanism, fully mobilize social forces, actively promote and participate in eye disease prevention and control of related work.
2. At the county level comprehensive hospital for eye care services, has more than 90% of the county medical institutions can independently with cataract surgery operation.
3. The eye disease prevention and control of management personnel and professional and technical personnel training.
4. To further improve the CSR, at the end of 2020 the national CSR amounting to more than 2000 rural poor cataract patients get effective treatment.
5. Key in children and adolescents in the screening and science of refractive errors correction, reduce visual damage as a result of not correct refractive errors. Each county have qualified optometrists optometry service.
6. To strengthen the early diagnosis and treatment of diabetic retinopathy and other eye diseases, explore to establish appropriate working mode.
7. Consolidate to eliminate blinding trachoma.
8. Generally for premature retinopathy prevention training, reduce the incidence of premature retinopathy and morbidity.
9. To carry out the treatment and rehabilitation work, low vision of the organization of ophthalmic medical institutions with low vision rehabilitation of cooperation mechanism, referral work.
Three, the main measures
(a) for eye health education and promotion work.
1. Mobilize the social from all walks of life extensive eye disease prevention and control of health education, according to characteristics of different populations and different eye diseases, through radio, television, newspaper, Internet and other new media, such as ways to carry out publicity and education, popularize knowledge of eye health, strengthen the consciousness of the public eye disease prevention and control.
2. Improve cataract, uncorrected refractive errors, diabetic retinopathy, glaucoma, macular degeneration, premature retinopathy and other eye disease prevention and control and of low vision rehabilitation knowledge know degrees.
3. Together with the relevant department to make full use of the national sight day, world vision, world health awareness day conduct propaganda activities, such as glaucoma week vigorously carry forward the "big d sincerely, to heal the wounded and rescue the dying" fine tradition, in-depth reports the ophthalmic medical personnel and grassroots health workers into poor areas for the poor masses remove eye disease, the vivid story of sight, eye disease prevention and control work in the whole society to build actively participate in a good atmosphere for public opinion.
(2) the prevention and control of the leading cause of blindness and visual damage eye disease.
1. Continue to do a good job of patients with cataract surgery, especially the poor work in cataract surgery. Strengthen the consciousness of cataract surgery, vigorously improve the number of cataract surgery and coverage, to improve quality of cataract surgery and postoperative follow-up system.
2. In conjunction with relevant departments, advocate science, with the eye in children and adolescents to promote the standardization of the refractive errors correction, screening, diagnosis and science to improve overall level of optometry correctional services.
3. Strengthen retinopathy especially in prevention of diabetic retinopathy. On the basis of the classification system, to establish diabetic retinopathy early screening, diagnosis, referral and effective mode of treatment. Strengthen the cooperation of ophthalmic and endocrinology screening and diagnosis and treatment. To further improve the standardization of the diabetic retinopathy laser photocoagulation.
4. Applied the premature treatment with oxygen and retinopathy prevention guide ", continue to strengthen the ophthalmology, gynecology and obstetrics, pediatrics and other professional medical personnel to carry out the prevention and cure of premature retinopathy related knowledge training, improve the level of premature retinopathy screening, diagnosis and treatment.
5. Consolidate to eliminate blinding trachoma, monitoring trachoma situation, guide the masses to enhance consciousness of trachoma prevention and prevent trachoma popular again.
6. The implementation of the national basic public health services in the elderly, 0 to 6 years old children's visual acuity.
7. To strengthen the research of eye disease prevention and control of appropriate technology and the popularization and application, the eye disease prevention and control measures to carry out the research of health economics.
8. Promote the low vision rehabilitation work. Tertiary general hospital in ophthalmology and eye hospital should generally provide low vision clinic services, conditional hospital to carry out low vision rehabilitation work. Establish ophthalmic medical institutions of cooperation with low vision rehabilitation institutions, referral work mechanism.
(3) improve the eye disease prevention and control of service system.
1. Establish and improve the national, provincial (autonomous regions and municipalities), city and county, township and village two eye disease prevention and control network, clear eye hospital, general hospital of ophthalmology at all levels, with an eye of maternal and child health care institutions and grassroots medical institutions duty, task and requirement, build a suitable for China's national conditions, relatively complete ophthalmic medical service network, to provide comprehensive, fair, and eye care services.
2. Encourage urban tertiary hospital ophthalmology and eye hospital and general hospital of ophthalmology at the county level, basic medical and health institutions to establish collaboration, carry out various forms of vertical cooperation, improve the overall level of ophthalmic diagnosis and eye health services.
3. And on the reform of public hospitals at the county level comprehensive tertiary hospitals counterpart support poverty-stricken county hospital, etc as an opportunity to vigorously promote the eye the county health service ability construction, play its role as the center of the primary eye care services technical guidance, enhance common eye disease diagnosis and treatment and emergency handling capacity, to carry out the eye disease diagnosis and classification.
4. Strengthen eye disease prevention and control work, especially in rural areas at the grass-roots level to explore establishing basic eye disease prevention and control work mode. The primary eye care services into the primary health care system.
5. Strengthen eye eye disease prevention and control of medical institutions and disease prevention and control institutions or agencies, low vision rehabilitation facility of communication and collaboration, establish medical, prevention, rehabilitation of the combination of cooperation mechanism.
(4) strengthen the personnel team construction, and promote sustainable development.
1. The eye disease prevention and control of management personnel and professional and technical personnel training work. Fully give play to the role of continuing medical education, to strengthen the construction of training base, the formation of teaching staff, making training syllabus, course system and effect evaluation index system, etc., give full play to their role as the training base of demonstration, hierarchical classification of eye disease prevention and control of management personnel and professional and technical personnel to carry out the training.
2. Give full play to the national and provincial committee of blindness technology and the professional advantages of ophthalmology profession association, organize grass-roots eye and related health technical personnel training.
(5) strengthening the construction of data collection and information.
1. Conduct eye disease prevention and control of related medical resources investigation and eye disease epidemiology investigation, sustained and effective monitoring mainly the prevalence of blindness and visual damage eye disease, morbidity and the sequence and comprehensive evaluation of eye disease comprehensive service ability.
2. Continuously improve cataract surgery operation information reporting system, further strengthen the management of cataract surgery operation information report on its work. Conditional province to speed up the residents based on electronic medical records and electronic health records system of collaborative operation information report work in cataract surgery.
3. To explore the information technology in such aspects as eye disease prevention, diagnosis and follow-up of application, raise the level of information management. Make full use of remote medical information systems promote grass-roots eye disease prevention and diagnosis and treatment level.
(6) we will improve the mechanism of government leading, collaborative work.
1. The eye disease prevention and control work in family planning career development planning and all levels of government health health poverty alleviation work plans, specific mission requirements. To strengthen and disabled persons' federation, education, civil affairs, finance and other departments of communication and coordination, overall arrangement, the detailed division of labor, ensure each work to obtain actual effect.
2. Strengthen the ability construction of blindness technical steering group at all levels, to carry out the performance appraisal, further arouse the enthusiasm of work, and give full play to the expert technical guidance and coordination.
3. Perfect encourage private medical institutions, charities, ngos, enterprises and individual citizens to participate in love eye eye propaganda education and eye disease prevention and control work of policies and measures to guide more social capital in poor areas, the poor eye disease prevention and control work.
Fourth, safeguard measures
(a) to strengthen organization and leadership. The family planning administrative department of public health at various levels shall attach great importance to eye disease prevention and control work, close cooperation with relevant departments, to establish long-term eye disease prevention and control work mechanism, intensify propaganda, good atmosphere conducive to the work.
(2) to promote the work carries out. The family planning administrative department of public health at various levels shall in accordance with these "" much starker choices-and graver consequences-in" national eye health plan "(hereinafter referred to as the" planning "), combining the reality of the region, formulate work plans in the region, form the timetable and roadmap, clear division of labor, the implementation of the responsibility. Conditional place to carry out integrated demonstration area of eye disease prevention and control, to point with surface, promote eye disease prevention and control work.
(3) to evaluate. National health and family planning commission of evaluation methods for the planning, to implementation supervision assessment; In the process of implementing adjustments, the new situation and new problems. Family planning administrative department of public health at the provincial level shall be responsible for formulating regional assessment method, ensure the effective implementation of the various tasks.
