摘要
眼科作为临床医学的重要分支,承担着防治视觉障碍、维护眼健康的重要职责。随着人口老龄化加剧及系统性疾病患病率的增加,白内障、青光眼、糖尿病性视网膜病变等眼病的发病率逐年攀升,眼科医疗质量直接关系到患者的视觉功能与生活质量。本文从结构指标、过程指标、结果指标三个维度,系统梳理国内外眼科医疗质量控制的研究进展。国际经验显示,发达国家已建立以循证医学为基础、多维度联动的质控体系,并通过信息化手段实现动态监测与持续改进;相比之下,我国眼科质控体系虽在政策引导下逐步完善,但仍存在指标标准化不足、数据整合能力薄弱等问题。基于此,本文提出推动眼科质控指标标准化、强化信息化平台建设、构建第三方监管与医疗机构自查协同机制等建议,以期为我国眼科医疗质量的优化提供参考。
As a crucial branch of clinical medicine,ophthalmology bears the responsibility of preventing visual impairments and safeguarding ocular health.With the intensification of population aging and the widespread use of electronic devices,the incidence of eye diseases such as cataracts,glaucoma,and diabetic retinopathy has been rising annually.The quality of ophthalmic care directly impacts patients’visual function and quality of life.This paper systematically reviews research progress in ophthalmic medical quality control across three dimensions—structure indicators,process indicators,and outcome indicators—both domestically and internationally.International experience reveals that developed countries have established evidence-based,multi-dimensional quality control systems supported by information technology to enable dynamic monitoring and continuous improvement.In contrast,while China’s ophthalmic quality control framework has gradually improved under policy guidance,challenges such as insufficient standardization of indicators and weak data integration capabilities persist.Based on these observations,this paper proposes recommendations to advance the standardization of ophthalmic quality control metrics,strengthen the development of information technology platforms,and establish a collaborative mechanism involving third-party oversight and institutional selfassessment.These suggestions aim to provide insights for optimizing the quality of ophthalmic medical care in China.
作者
叶宇豪
何忠惠
楚瑞林
孙玲
文雯
王晓瑛
周行涛
YE Yuhao;HE Zhong hui;CHU Ruilin;SUN Ling;WEN Wen;WANG Xiaoying;ZHOU Xingtao(Department of Ophthalmology,Eye&ENT Hospital,Fudan University,Shanghai 200031,China)
出处
《中国眼耳鼻喉科杂志》
2025年第4期259-262,共4页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
眼科
医疗质量
质量控制
结构指标
过程指标
结果指标
Ophthalmology
Medical quality
Quality control
Structure indicators
Process indicators
Outcome indicators
