关键词:  , 三级甲等医院, 眼科机构, 问卷调查

Abstract: Objective To analysis the ophthalmology resource and service skills in 3 Grade A hospitals to provide the basic information for the prevention and treatment of blindness in Shandong province. Design Cross-sectional questionnaire survey. Participants Department of Ophthalmology in twenty-eight 3 Grade A hospitals in Shandong Province. Methods The ophthalmology status survey forms designed by Chinese Medical Association was used to investigate the institutions of ophthalmology. The collected data were analyzed using SPSS16.0 software.  Main Outcome Measures Number of ophthalmologists and ophthalmic nurses, educational level and title of ophthalmologists and ophthalmic nurses, outpatient volume per year, number of medical equipment. Results There were totally 875 opened beds and 47 inpatient areas in the department of ophthalmology in twenty-eight 3 Grade A hospitals. They were all the independent department that have director or responsible person. There were 468 ophthalmic equipment and 844 medical personnels in the 28 hospitals, including doctors(51.3%) and nurses(48.7%),  with 15.5 doctors on average in each hospital. 47.1% of health workers had senior professional title, 34.9% had middle professional title, and 18.0% had primary professional title. The average number of doctors worked in the institutions belong to the province and ministry （23.7±12.3） was more than that of whom worked in the institutions belong to municipal（12.1±7.2）(t=2.364，P=0.00). From 2008 to 2010, the number of average out patients have been increasing from 25289 to 27528, the discharged patients have been increasing from 1203 to 1423， and the surgery patients have been increasing from 914 to 1133. Average length of stay has been descending from 7.49 to 7.01 days. The number of cataract surgeries have been increasing from 8155 to 10595 from the year 2008 to 2010, which accounted for more than 50% of all surgical cases in these years. Conclusion The level of eye care service were improved in our province, but the configuration of eye resources were not balanced, we should integrate the  resource in the further to provide a better quality of eye care services to patients.

Key words: 3 Grade A hospitals, eye institutions, questionaire survey