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[摘要]
文章探讨了一种全面管理屈光不正的模型,重点聚焦近视问题。研究分析了屈光不正的流行病学背景及其社会经济影响,强调早期发现与管理的重要性,特别是针对视网膜病变和青光眼等严重眼部疾病。文章简述了现有屈光不正管理模式的局限性,并指出无症状近视患者管理的挑战。提出“近视慢性病管理(MCDM)”模型作为创新性综合管理方案,该模型建立了涵盖筛查、诊断、干预、随访和反馈的数字化闭环管理路径。通过与慢性病管理模型(CCM)及世界卫生组织(WHO)患者中心眼科护理(IPCEC)的对比分析,凸显其在整合数字技术与多层级医疗网络方面的创新优势。该模型涵盖整个屈光矫正流程,并整合了通过互联网和新媒体开展公众教育的策略。在策略实施方面,文章讨论了建立眼部健康档案和长期随访计划的必要性,以及医疗联盟模式和家庭合约服务在管理中的潜在应用。此外,文章着重强调了智能软件系统在慢性眼病健康管理中的重要性,系统梳理了这种新型管理模式的优势与挑战,并为未来研究方向及潜在改进方案提出了建议。通过深入分析,研究揭示了在屈光不正管理中实施全面、多维度且持续性策略的关键作用与显著成效。
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[Abstract]
This article examines a comprehensive model for managing refractive errors, with a specific focus on myopia. It investigates the epidemiological context of refractive errors and their socio-economic implications. It underscores the importance of early detection and management, especially for severe ocular conditions like retinal lesions and glaucoma. The article critiques existing refractive error management models' limitations and highlights challenges in managing asymptomatic myopic patients. It proposes a “Myopia Chronic Disease Management(MCDM)” model as an innovative comprehensive management approach. The model establishes a data-driven closed-loop management pathway that encompasses screening, diagnosis, intervention, follow-up, and feedback. Through a comparative analysis with the chronic care model(CCM)and the World Health Organization's(WHO)Integrated Patient-Centered Eye Care(IPCEC), it highlights its innovative strengths in integrating digital technologies with multi-tiered healthcare networks. This model encompasses the entire refractive correction process and incorporates strategies for public education via the internet and new media. In terms of strategy implementation, the article discusses the necessity of establishing eye health records and long-term follow-up plans, as well as the potential applications of medical consortium models and family contract-based services in management. Moreover, the article emphasizes the importance of intelligent software systems in chronic ocular condition health management. It provides an overview of the benefits and challenges associated with this novel management model and proposes directions for future research and potential enhancements. Through this thorough examination and analysis, the article highlights the critical importance and effectiveness of implementing comprehensive, multifaceted, and sustained strategies in the management of refractive errors.
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