EYE DISEASE AT A COMMUNITY-HEALTH CENTER
EYE DISEASE AT A COMMUNITY-HEALTH CENTER
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DOI：
10.1136/bmj.293.6560.1477
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发表时间：
1986-12-06
影响因子：
--
通讯作者：
DART, JKG
中科院分区：
文献类型：
--
作者：
DART, JKG
在伦敦一家社区卫生中心进行了为期三个月的眼科疾病试点研究。在研究期间，223名有眼部症状的患者就诊，占所有医疗咨询的2.7%，眼病年咨询率为每1000名从业人员中57人。其中169名患者接受了眼科医生的检查，诊断出43种不同的表现障碍；季节性过敏性结膜炎占21%，其他眼睑和结膜疾病占28%。比较30例全科医生与眼科医生的诊断结果；主要的差异是外部疾病、医学视网膜疾病的专科领域，以及与眼部异常无关的眼部症状。成本分析表明，通过减少医院门诊部的出勤率，在社区保健中心提供眼科服务将具有成本效益。
A pilot study of eye disease was carried out over three months in a general practice at a London community health centre. During the study 223 patients with eye symptoms attended, representing 2.7% of all medical consultations and giving an annual consultation rate for eye disease of 57 per 1000 of the practice population. One hundred and sixty nine of these patients were seen by an ophthalmologist who diagnosed 43 different presenting disorders; seasonal allergic conjunctivitis accounted for 21% of these cases and other disorders of the lids and conjunctiva for 28%. The general practitioner's diagnoses were compared with the ophthalmologist's diagnoses in 30 cases; the principal differences were for specialist areas of external disease, medical retinal disorders, and where ophthalmic symptoms were unrelated to ocular abnormality. A cost analysis showed that an ophthalmic service in a community health centre would be cost effective by reducing attendances at the hospital outpatient department.