Declaration of Eye Health Management in China
Time: Dec 2nd, 2017
Location: Zhongshan Ophthalmic Center, Guangzhou, China
Conference: Eye Health Development Forum
Subject: Eye Health Management (Comprehensive Eye Care) development in China
Attendees: Consensus Common Interest Experts Group (name list attached)
Outcome of the meeting: Eye Health Management (COMPREHENSIVE EYE CARE) CONSENSUS IN CHINA
The development of Optometry in the last thirty years coupled with huge economic growth in China resulted in more eye care professionals providing comprehensive eye care services. An obvious phenomenon is that both Hospital based and Optical shop based vision centers are moving towards providing such services. It is, however, noted there is a variety of format and understanding to comprehensive eye care.
The subject was brought up by Chairmen Prof. Jian Ge and Prof. George Woo, together with sixteen professionals from different universities. The purpose was to review the concept and basic requirement in promoting comprehensive eye care in China. The outcome of the consensus was approved by the participants of this common interest experts group after a full day dialogue and discussion at the forum. It took place on 2nd Dec 2017 at the Zhongshan Ophthalmic Center.
Conference Summary (see http://training.eyescare.cn/v_1/4222.aspx)
1, Purpose and Necessity of Eye Health Management (Comprehensive eye care) in China
It is pointed out at the 19th CPC National Congress that Socialism with Chinese characteristics has entered a new stage and the social principal conflict has transformed into the one between unbalanced and inadequate development and the public’s increasing demand for a better life. This scientific thesis generalizes the current Chinese ocular health issue that the ophthalmic clinical development is no longer keeping up with the appropriate assessment of eye health resulting in dissatisfaction of the public.
In order to satisfy the public demand for comprehensive eye health services, there is an urgent need to draw eye care experiences from developed countries thereby driving eye care management to be in line with Socialism with Chinese characteristics.
2, Basic Concept of Eye Health Management (Comprehensive eye care)
The basic concept of eye health management is as follows:
1) Promotion of comprehensive eye health awareness through eye health education.
2) Managing eye health issues by standardizing the protocol of eye health services including examination, evaluation, monitoring and intervention.
3) Early detection and intervention to preserve and/or to restore vision.
3, Content and Requirement of Eye Health Management (Comprehensive eye care)
1) Eye Health Education
Develop systematic eye heath education and improve eye health awareness of the patients through the whole process of eye health management.
2) Eye Health Record
Set up eye health data for the patients and realize its multiregional sharing through internet for real-time reading and updating.
3) Examination and Evaluation
Evaluate visual function and eye health through professional examination and assessment.
4) Referral and Intervention
Establish convenient referrals for patients who need further diagnosis and treatment.
5) Monitoring and Follow-up
Based on the eye health record, monitor closely and follow up with the target population for long term eye health care.
6) Target population
- Population with visual dysfunction caused by refractive error and presbyopia.
- Population with Video Terminal syndrome, binocular dysfunction, asthenopia and xeroma.
- Population with low vision caused by a variety of ocular diseases.
- High risk population with different visual impairment caused by cataract, glaucoma, high myopia and diabetic retinopathy.
- Population with other eye health issues.
4, Basic Requirement for Eye Health Management Institution
Eye health management institution should allocate appropriate staff and equipment in accordance with the target population and the scope of its service.
1) Staff qualification
- Professional demeanor
- At least one member of the staff should have formal medical or optical education and obtain his/her professional qualification there afterwards.
- Staff should receive regular eye health management training and master the basic management skills for eye health services.
2) Equipment and Space Requirement
- Facilities and space for eye health education promotion
- Equipment for record keeping, filing and storage.
- Equipment for optometric tests of visual acuity, refraction, binocular function, color vision and stereopsis.
- Equipment for ocular biometric measurement of corneal curvature, corneal topography, corneal thickness and axis.
- Equipment for ocular morphological examination of eyelid, conjunctiva, cornea, iris, lens and central or peripheral retina.
- Equipment for other ocular function including eye pressure and visual field
Members of Consensus Common Interest Experts Group
Jian Ge, Zhongshan Ophthalmic Center, Sun Yat-sen University
George Woo, Hong Kong Polytechnic University
Hong Xing Diao, Zhongshan Ophthalmic Center
Yunfeng Wang, Shanghai Eye and ENT Hospital, Fudan University
Qianlong Liu, West China Hospital, Sichuan University
Jie Li, Tianjin Aier Eye Hospital
Lihua Li, Tianjin Eye hospital
Minbing Yu, Sun Yat-sen University
Jiantao Wang, Shenzhen Eye Hospital
Liang Zhang, Guangdong General Hospital
Zhi Lin, Zhongshan Ophthalmic Center
Jiewen Yang, Guangzhou Primary and Middle School Health Promoting Center
Wanqing Jin, Eye Hospital, Wenzhou Medical University
Jingxiang Zhong, The First Affiliated Hospital of Jinan University
Qing Guo, Zhejiang Chinese Medical University
Zhiyi Jiao, Beijing Tongren Hospital, Chinese Medical University
Junwen Zeng, Zhongshan Ophthalmic Center
Ruihua Wei, Tianjin Medical University Eye Hospital
Yangfa Zeng, Zhongshan Ophthalmic Center
Linxing Chen, Zhongshan Ophthalmic Center
Shuiming Yu, Zhongshan Ophthalmic Center