【摘要】 目的通过对重庆市璧山县社区医院眼科医疗服务机构进行调查,为加强防盲治盲工作,提高初级眼保健水平提供依据。方法选择重庆市璧山县所有社区医院进行调查,获得璧山县社区医院眼科医疗服务资源调查资料。结果璧山县63万人口共有15个社区医院,602名专业技术人员。3个(20%)社区医院开设有眼耳鼻喉科,共有5名眼耳鼻喉科医师,占全县社区医院专业技术人员的0.83%,能够处理部分眼科急诊、常见病,能做部分门诊小手术,年诊治眼病共约5 000余人次;其余12个(80%)社区医院无眼科及眼科医师,无诊治眼病能力。全县平均每10万人口在社区拥有兼职眼科医师0.79名,无眼科护士。结论璧山县社区医院眼科资源和服务能力参差不齐,专业技术人员极少,需要争取政府和其他部门对社区眼科卫生事业的支持,努力建立县与社区的二级防盲网络。更多还原

【Abstract】 Objective To investigate the medical service organizations of ophthalmology department in Bishan Chongqing county community hospitals to provide basis for strengthening the prevention and cure of blindness,and improving the level of primary care.Methods We put all the community hospitals into such investigation,and got the materials about the resources of medical service.Results Bishan county has 15 community hospitals and 602 professional personnel for 0.63 million people.Only 3 hospitals have departments of ophthalmology and E.N.T with total 5 such doctors,which occupy 0.83% professional personnel of entire county community hospitals.Diagnosis and treatment of the eye diseases containing eye disease emergency,common diseases and some outpatient operations were about 5 000 each year.It only has 0.79part-time ophthalmologists,no nurse in the community with average per one hundred thousand of the population.Conclusion Ragged resources and service abilities of such department,the lack of professional personnel are hindering the establishment of second-tier blindness-prevention network.We need more investments from the government and other departments in the community ophthalmology department.更多还原