乌克兰的眼科护理。现状与改进展望(文献综述)

А.S. Zdelova
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引用次数: 0

摘要

目的:对乌克兰眼科护理系统的现状和进一步发展的前景进行科学出版物的分析和概括。材料和方法。对有关乌克兰眼科护理系统的现状和进一步发展前景的科学研究和出版物进行了分析和概括。研究方法:系统方法、文献语义学方法、分析方法。结果和讨论。据医学统计,最常见的眼部病理是炎症性眼病,80%的病例会导致暂时性残疾。年龄相关性黄斑变性在世界致盲原因排名中占据领先地位。平均而言,发病率约为每1000人中15人,随着年龄的增长而显著增加,例如,在52至64岁年龄组中发病率为1.6%,65至74岁年龄组为15%,75至84岁年龄组为25%,85岁以上人群为30%。卫生组织活动的战略领域体现在乌克兰的国家保健政策中。在国家和地区各级制定保护和改善残疾年龄人口健康的方案时,应注意针对最常见的与年龄有关的病理的措施。此外,确保提供高质量眼科护理的问题仍未得到解决;在卫生保健系统预算资金不足的情况下,眼科服务的活动;在保持高质量的前提下降低眼科护理成本;管理眼科护理的效率和质量等系统的现代化。结论。通过对国内外卫生保健质量保证与管理的理论与实践经验、质量保证与管理的类型、途径和方法的分析,表明当前国内卫生保健体系发展的优先方向之一是建立和发展卫生保健管理体系,特别是建立面向人群的眼科保健体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OPHTHALMOLOGICAL CARE IN UKRAINE. STATUS AND PERSPECTIVES OF IMPROVEMENT (literature review)
The aim: to conduct an analysis and generalization of scientific publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine. Materials and methods. An analysis and generalization of scientific research and publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine has been carried out. Methods were used: systematic approach, bibliosemantic, analytical. Results and discussion. According to medical statistics, the most common eye pathology is inflammatory eye diseases, which in 80% of cases lead to temporary disability. Age-related macular degeneration occupies the leading position in the world ranking of causes of blindness. On average, the incidence is about 15 people per 1,000 population, increasing significantly with age, for example, in the age group from 52 to 64 years it is 1.6%, from 65 to 74 years - 15%, from 75 to 84 years - 25% , and among people over 85 years old – 30%. The strategic areas of WHO activity are embodied in the national health care policy of Ukraine. When developing programs to preserve and improve the health of the population of disabled age at the state and regional levels, attention should be paid to measures against the most common age-related pathology. In addition, issues of ensuring the availability of high-quality ophthalmic care remain unresolved; the activity of the ophthalmology service in conditions of deficit of budget funding of the health care system; reduction of the cost of ophthalmic care against the background of maintaining its high quality; modernization of the system for managing the efficiency and quality of ophthalmic care, etc. Conclusions. The analysis of the domestic and foreign experience in the theory and practice of quality assurance and management in health care, its types, approaches and methods showed that one of the priority directions of the development of the domestic health care system at present is the creation and development of the management system of health care , in particular in the system of ophthalmological care for the population.
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