"14th Five-Year" National Eye Health Plan (2021-2025)

Recently, the National Health and Health Commission issued the "14th Five-Year Plan" National Eye Health Plan (2021-2025) (hereinafter referred to as the "Plan"), in order to effectively do a good job in China's eye health during the "14th Five-Year Plan" period, Further improve the people's eye health level, and continue to promote the high-quality development of China's eye health cause
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Main goals According to the "Planning", during the "14th Five-Year Plan" period, focus on strengthening the construction of ophthalmic medical service system, capacity building, and talent team, continue to improve the quality control system of ophthalmic medical care, and promote the expansion and extension of high-quality ophthalmic medical resources
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Effectively promote the prevention and control and scientific correction of myopia in children and adolescents, further improve the ability of cataract recovery, gradually improve the screening ability of primary medical and health institutions for diabetic retinopathy and other fundus diseases, and promote the orderly development of corneal donation
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By 2025, strive to achieve the following goals: 1.
The annual coverage rate of eye care and vision examinations for children aged 0-6 will reach more than 90%, and the overall level of children and adolescents' eye health will continue to improve
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2.
The effective refractive error correction coverage (hereinafter referred to as "eREC") has been continuously improved, and the number of people with visual impairment caused by high myopia has gradually decreased
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3.
The national CSR has reached more than 3500, and the effective cataract surgery coverage rate (hereinafter referred to as eCSC) has been continuously improved
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Promote the high-quality development of the ophthalmic medical service system According to the "Plan", during the 14th Five-Year Plan period, in order to promote the high-quality development of China's ophthalmic medical service system, the following aspects should be focused on: 1.
First, strengthen the ophthalmology and ophthalmology departments of general hospitals Specialized hospital construction, gradually establish and improve the national-regional-provincial-city-county five-level ophthalmic medical service system, optimize the distribution
of medical resources, build an ophthalmic medical highland, give play to the technical leadership and radiation driving role of each center, and improve the overall ophthalmic service capability
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Build an eye health service network suitable for China's national conditions, provide comprehensive, fair and accessible eye health services, and strengthen the construction of an eye medical service system
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2.
The second is to improve the ability of ophthalmic medical services, focusing on children and elderly patients, focusing on improving the ability of scientific correction of myopia, cataract surgery, and common eye disease screening
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Improve the efficiency of ophthalmic medical services and build a "separation of rapid and slow" model
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Strengthen the construction of grass-roots service capacity, and promote the application of effective vision screening and fundus screening technologies at the grass-roots level
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Strengthen the implementation of the requirements for the combination of prevention and treatment, establish a working mechanism that combines medical treatment, prevention and rehabilitation of ophthalmic diseases, and provide patients with continuous diagnosis and treatment services of screening-diagnosis-treatment-follow-up
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3.
The third is to optimize the ophthalmology professional and technical personnel team, strengthen the training and training of ophthalmology medical personnel, and form a stable and reasonable ophthalmology professional talent echelon
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Strengthen the standardized training of ophthalmologists, and further improve the connection mechanism between the standardized training of ophthalmologists and the promotion of professional titles
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Strengthen continuing medical education and training, and improve the clinical technical ability and level of ophthalmologists
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4.
The fourth is to standardize clinical diagnosis and treatment behavior, strengthen the awareness of ophthalmologists to practice according to law, strictly implement the core system of medical quality and safety, and ensure the quality and safety of medical care
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Strengthen the construction of ophthalmic medical quality management and control system, and improve the quality of ophthalmic medical care
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Strengthen the prevention and control of key eye diseases in key populations According to the "Plan", during the "14th Five-Year Plan" period, the prevention and control of eye diseases should be strengthened from the following aspects: 1.
First, fully implement the "Implementation Plan for Comprehensive Prevention and Control of Myopia in Children and Adolescents" and "Prevention and Control of Myopia in Children and Adolescents" Appropriate technical guidelines and other requirements to promote the prevention and control of myopia in children and adolescents
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Guide medical institutions to implement the "Guidelines for the Prevention and Treatment of Myopia" and other requirements, promote scientific myopia correction, and improve the level of myopia prevention and correction
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2.
The second is to promote the sinking of cataract restoration surgery technology and improve the cataract restoration surgery capacity of county hospitals
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Guide medical institutions to carry out cataract restoration surgery in a standardized manner, strengthen surgical quality management, establish and improve postoperative follow-up systems, and improve the coverage of effective cataract surgery
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3.
The third is to promote the early detection, early diagnosis and early treatment of fundus diseases, glaucoma and other eye diseases, and improve the management mode of patients with chronic eye diseases
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Promote the construction of ophthalmology-related medical alliances, and promote the gradual coverage of fundus photography screening technology
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Promote the implementation of the "Thousand-County Project", build a chronic disease management center in county-level general hospitals, build a chronic disease management system, and improve the ability of early diagnosis and early treatment of eye diseases such as fundus diseases and glaucoma
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4.
The fourth is to rationally plan and standardize the construction of eye banks, and standardize the acquisition, processing, preservation and use of donor corneas
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Attach importance to talent team building and related technical training, strengthen the management of the clinical application of corneal transplantation technology, implement quality control of the whole process of corneal transplantation, and improve the ability to treat corneal blindness
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5.
Fifth, consolidate the achievements in eliminating blinding trachoma, improve the treatment level of eye diseases such as neonatal eye diseases, strabismus amblyopia, ocular surface diseases, orbital diseases, and ocular trauma, and strengthen the diagnosis and treatment services for hereditary eye diseases
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Building an eye health service support platform According to the "Plan", in order to provide high-quality eye health services, the following five support platforms should be built: 1.
First, strengthen the construction of eye health service platforms for children aged 0-6, combined with national basic public health Provide services, implement eye care and vision examinations for children aged 0-6, build a children's eye care service network with division of labor, different priorities, and close cooperation, early screening of common eye diseases in children and correction of poor vision
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2.
The second is to strengthen the construction of low vision diagnosis and treatment and rehabilitation platforms, continue to increase the setting rate of low vision outpatient clinics in ophthalmology departments of tertiary general hospitals and ophthalmology specialist hospitals, and improve the referral mechanism for ophthalmic medical institutions and low vision rehabilitation institutions
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3.
The third is to strengthen the construction of eye health information platform, actively promote the application of the "Internet +" medical service model in the field of ophthalmology, and use Internet diagnosis and treatment, telemedicine and other information technologies to improve the accessibility of ophthalmic medical services
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4.
Fourth, strengthen the construction of eye health science popularization platform, establish and improve the public eye health science popularization knowledge base and science popularization platform, with the main line of "focusing on universal eye health", and the national eye love day, world vision day and other time nodes as the main line.
Focus on strengthening the publicity of eye health science
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5.
Fifth, strengthen the construction of eye health scientific research platforms, strengthen the innovation and application research of clinical diagnosis and treatment technology, promote the transfer, transformation and application of research results, strengthen epidemiological research on key eye diseases, and monitor the prevalence of major blinding eye diseases in China rate, incidence, and changes in disease spectrum
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