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首页> 外文期刊>Ophthalmic epidemiology >How to achieve universal coverage of cataract surgical services in developing countries: Lessons from systematic reviews of other services
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How to achieve universal coverage of cataract surgical services in developing countries: Lessons from systematic reviews of other services

机译：如何在发展中国家实现白内障手术服务的全民覆盖：对其他服务进行系统审查的经验教训

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Purpose: Since the Declaration of Alma Ata, universal coverage has been at the heart of international health. The purpose of this study was to review the evidence on factors and interventions which are effective in promoting coverage and access to cataract and other health services, focusing on developing countries. Methods: A thorough literature search for systematic reviews was conducted. Information resources searched were Medline, The Cochrane Library and the Health System Evidence database. Medline was searched from January 1950 to June 2010. The Cochrane Library search consisted of identifying all systematic reviews produced by the Cochrane Eyes and Vision Group and the Cochrane Effective Practice and Organisation of Care. These reviews were assessed for potential inclusion in the review. The Health Systems Evidence database hosted by MacMaster University was searched to identify overviews of systematic reviews. Results: No reviews met the inclusion criteria for cataract surgery. The literature search on other health sectors identified 23 systematic reviews providing robust evidence on the main factors facilitating universal coverage. The main enabling factors influencing access to services in developing countries were peer education, the deployment of staff to rural areas, task shifting, integration of services, supervision of health staff, eliminating user fees and scaling up of health insurance schemes. Conclusion: There are significant research gaps in eye care. There is a pressing need for further high quality primary research on health systems-related factors to understand how the delivery of eye care services and health systems' capacities are interrelated.
机译：目的：自《阿拉木图宣言》以来，普遍覆盖一直是国际卫生的核心。这项研究的目的是回顾有关因素和干预措施的证据，这些因素和干预措施有效地促进了白内障和其他卫生服务的覆盖面和获取，并重点关注发展中国家。方法：进行全面的文献检索以进行系统评价。搜索的信息资源是Medline，Cochrane图书馆和卫生系统证据数据库。从1950年1月至2010年6月对Medline进行了搜索。对Cochrane图书馆的搜索包括确定由Cochrane眼睛与视觉小组以及Cochrane有效实践和护理组织提供的所有系统评价。对这些评论进行了评估，以将其包含在评论中。搜索了麦克马斯特大学托管的卫生系统证据数据库，以识别系统评价的概述。结果：没有评论符合白内障手术的纳入标准。对其他卫生部门的文献检索确定了23篇系统综述，为促进全民覆盖的主要因素提供了有力的证据。影响发展中国家获得服务的主要促成因素是同伴教育，工作人员在农村地区的部署，任务转移，服务整合，卫生人员的监督，取消用户费用和扩大健康保险计划。结论：眼保健方面存在重大研究空白。迫切需要对卫生系统相关因素进行高质量的基础研究，以了解眼保健服务的提供与卫生系统能力之间的相互关系。

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