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Mayinuer Yusufu, Ailian Hu, Ping Xu, Xiaohui Yang, Xiaobin Yu, Xu Zhang, Qing Lu, Lei Wang, Ningli Wang; STEER: A National Pilot Program of Standardized Training to Elevate Eyecare in Rural China. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5061.
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© ARVO (1962-2015); The Authors (2016-present)
To describe design and methodology of China STEER( Standardized Training to Elevate Eyecare in Rural China) program which aims to improve eyecare service in county hospitals and create matching curricula and sustainable training model for county level eyecare teams, and serves as a pilot project for a national program.
Training curricula covering common eye diseases were developed by National Committee for the Prevention of Blindness(NCPB) and other Chinese experts by adapting International Council of Ophthalmology international curricula. The project adopted a three-tier training system, a model developed by NCPB and Orbis International in collaboration, with NCPB providing training for trainers at provincial hospitals, trainers for trainees at county hospitals, and trainees for township doctors and school teachers. The intermediated results will be evaluated at baseline and followed up once a year until 2019, including the curricula created, trainers trained, training delivered, and service delivered at county hospitals. Training quality will be supervised with database created to monitor eyecare services (diagnosis, treatment and outcome) provided by trainees.
A three-tier training system was established in 60 county hospitals in Sichuan, Hebei, Shandong and Guangdong. Table 1 presents baseline data on the annual eyecare service in the county hospitals that have started to receive training in 2016. A total of 60 administers, 120 ophthalmologists, 60 optometrists and120 nurses will receive hands-on training, followed by supervised surgery and outcome monitoring at their own facilities by trainers. Each trained county hospital is obligated to train 20 township doctors for cataract screening (total 1200), each of whom will screen 5000 persons (total 300,000) and 10 teachers for school screening (total 600 teachers), each of whom will screen 5000 children (total 300,000).
A standardized training model with matching curricula would be created and adopted to carry out a national program aiming at ensuring high-quality eyecare in county hospitals as a major strategy to redress existing eye health disparities between urban and rural populations. In addition, this project will advocate better medical insurance policy support for rural eyecare by documenting novel training techniques and lessons learned.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
Table 1. Annual eyecare service in the county hospitals
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