Operationalization of Retinopathy of Prematurity Screening by the Application of the Essential Public Health Services Framework.
Operationalization of Retinopathy of Prematurity Screening by the Application of the Essential Public Health Services Framework.
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通过应用基本公共卫生服务框架来实施早产儿视网膜病变筛查。
DOI：
10.1097/iio.0000000000000448
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发表时间：
2023
影响因子：
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通讯作者：
Yeh,Steven
中科院分区：
文献类型：
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作者：
Sobhy,Myrna;Cole,Emily;Jabbehdari,Sayena;Valikodath,NitaG;Al-Khaled,Tala;Kalinoski,Lauren;Chervinko,Margaret;Cherwek,DavidHunter;Chuluunkhuu,Chimgee;Shah,ParagK;KC,Sagun;Jonas,KarynE;Scanzera,Angel;Yap,VivienL;Yeh,Steven
早产儿视网膜病变（ROP）筛查面临的挑战和评估筛查方法的模型需求ROP是世界上可预防的儿童失明的主要原因之一。1 2010年，全世界估计有184,700名早产儿出现了一定程度的ROP，其中53,800名发展为严重的视力损害疾病（Blencowe et al . 2010）。提高ROP筛查过程的效率和功效、教育以及提供者和家庭之间的意识是减少儿童一生中视力发病率的最重要工具。世界各国都设计了使筛查、教育和认识负担得起、有效和可及的方法。然而，根据疾病严重程度的地区趋势和筛查、治疗和新生儿重症监护基础设施的不同，这些筛查项目存在很大差异。本方案审查旨在通过公共卫生模型来检查在建立ROP筛查方案方面所做的努力，以确定这些方案的优势以及需要改进的领域。通过收集数据并通过客观模型对这些项目进行评估，公共卫生专家、卫生保健提供者和政策制定者可以对能力建设和ROP筛选项目制定方面的先前工作进行概述。有了这些信息，他们可以利用这个模型来确定成功和挑战，以实施适合一个地区需求的筛查项目。在选择模型来评估各种筛选方案的过程中，考虑了2020年健康的社会决定因素（SDH）模型进行评估。这一动态模型解决了健康不平等的促成因素，尽管它限制了作为ROP筛选计划核心部分的几个领域的评估。SDH模型没有解决导致ROP发病率和患病率的物质环境、行为、生物和社会心理因素。此外，它没有解决研究在评价未来工作领域中的作用。然而，十项基本公共卫生服务（TEPHS）模式可以解决可持续发展卫生服务模式的一些潜在局限性，并包括卫生不平等的社会决定因素。3因此，经过进一步的考虑和评估，我们选择了十大基本公共卫生服务模型进行分析。
Challenges to Retinopathy of Prematurity (ROP) Screening and the Need for a Model to Evaluate Screening Methods ROP is one the leading causes of preventable childhood blindness in the world. 1 In 2010, an estimate of 184,700 preterm infants worldwide developed some degree of ROP, and of these, 53,800 developed visually impairing severe disease (Blencowe et al 2010). Improving the efficiency and efficacy of ROP screening processes, education, and awareness amongst providers and families are the most important tools to reduce visual morbidity over a child’s lifetime. Countries all around the world have designed methods for making screening, education, and awareness affordable, efficient, and accessible. However, there is great variability among these screening programs based on regional trends in disease severity and variable access to infrastructure for screening, treatment, and neonatal intensive care. This programmatic review seeks to examine efforts in establishing ROP screening programs through the lens of a public health model to identify strengths of these programs, as well as areas for improvement. By collecting data and evaluating these programs through an objective model, public health experts, health care providers, and policymakers can get an overview of previous work in capacity building and ROP screening program development. With this information, they can use this model to identify the successes and challenges to implement screening programs that are tailored to the needs of a region.Model Selection In the process of selecting a model to evaluate the various screening programs, the Social Determinants of Health (SDH) model of 2020 was considered for evaluation. 2 This dynamic model addresses contributing factors of health inequities, though it limits evaluation in several areas which are a core part of ROP screening programs. The SDH model does not address material circumstances, behavior, biological, and psychosocial factors that contribute to ROP incidence and prevalence. In addition, it does not address the role of research in evaluating areas for future work. The Ten Essential Public Health Services (TEPHS) model, however, may address some of the potential limitations of the SDH model and includes social determinants of health inequities. 3 Therefore, after further consideration and evaluation, the Ten Essential Public Health Services Model was chosen for our analysis.