韩国眼科学会会员调查显示的韩国低视力保健现状

Hyuna Kim, Ungsoo Samuel Kim
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摘要

目的:调查韩国低视力护理的现状和眼科医生的需求,并确定低视力患者诊断和治疗的未来方向:方法: 通过电子邮件向韩国眼科学会成员发送 20 个有关低视力知识的调查问题,并对回复进行分析:结果:共收集到 158 份来自不同机构眼科医生的回复,其中 62 人(45.6%)在大学医院工作。许多受访者(91 人,占 57.6%)表示知道低视力的标准,但约有一半的受访者(74 人,占 46.9%)表示对低视力知之甚少或一无所知。超过一半的受访者(87 人,55.1%)从未开过助视器处方,只有 32 人(20.2%)会开助视器处方。在治疗低视力患者方面犹豫不决的主要原因是缺乏知识(117 人,占 74.5%)和医疗费用报销不及时(41 人,占 26.1%)。许多受访者(152,96.2%)希望了解更多有关低视力的知识,大约一半的受访者(71,45.5%;74,47.4%)认为韩国目前的低视力护理环境需要改善:结论:尽管韩国对低视力保健的需求日益增长,但能够提供低视力保健服务(包括开具助视器处方)的眼科医生人数却不足。缺乏教育和医疗报销差是重要的问题。低视力诊所必须推广外展活动,医疗机构也应制定眼科医生教育计划。
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Current Status of Korean Low-vision Care According to a Survey of Korean Ophthalmological Society Members
Purpose: To investigate the status of low-vision care in Korea and the needs of ophthalmologists, and to define future directions for the diagnosis and treatment of low-vision patients.Methods: Twenty survey questions exploring low-vision knowledge were emailed to members of the Korean Ophthalmological Society, and the responses were analyzed.Results: In total, 158 responses were collected from ophthalmologists working in different institutions, including 62 (45.6%) at university hospitals. Many respondents (91, 57.6%) reported knowing the criteria for low vision, but approximately half (74, 46.9%) reported that they had little or no knowledge of low vision in general. More than half of the respondents (87, 55.1%) had never written a prescription for a visual aid, and only 32 (20.2%) were able to prescribe such aids. The principal reasons for hesitation in the treatment of low-vision patients were lack of knowledge (117, 74.5%) and poor medical reimbursement (41, 26.1%). Many respondents (152, 96.2%) wanted to learn more about low vision, and approximately half (71, 45.5%; 74, 47.4%) felt that the current low-vision care environment in Korea requires improvement.Conclusions: Despite the increasing need for low-vision care in South Korea, the number of ophthalmologists who can provide such care (including prescriptions for visual aids) is insufficient. Lack of education and poor medical reimbursement are important problems. Low-vision clinics must promote outreach activities, and institutions should develop programs to educate ophthalmologists.
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