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  • 學位論文

臺灣視力保健法規與家長視力衛教市場調查的推廣與分析

An Analysis of Taiwanese Optic Care Regulations and the Potential Improvements of the Eye Care System via Market Research and Increased Parental Healthcare Education

指導教授 : 楊曙榮

摘要


This study’s primary goal was to understand the current status of pediatric eye care in Taiwan and to discuss whether or not there is room for improvement regarding governmental regulations and managerial insights at the clinic where this study’s research took place. According to the Ministry of Health and Welfare of the Republic of China (MOHW), an optic exam will be held once a year in all elementary schools and all students are required to participate in the vision check. In understanding the current pediatric eye care system, this study conducted interviews with three ophthalmologists and two optometrists. The main topics of the interviews were to focus on the goals of annual optic exams and to understand the logic behind the government policies. The study also discussed the tension between ophthalmologists and optometrists in Taiwan due to government regulations. The data from the clinic has shown that 52.3% of the patients have critical visual conditions that require mandatory check-ups; however, not all of them went to a follow-up appointment. The data also showed there are children who are in need of glasses but have no record of acquiring a pair from the clinic. Since all the decisions were made by the parents, the study focused on analyzing the influential factors that determine both the parents’ behavior and their perceptions of the eye care system among the 52.3% of individuals neglecting proper eye care - the targeted group. The study then designed questionnaire questions based on the four factors summarized from interview comments and feedback from ophthalmologists. The study evaluated the parents’ answers from the questionnaires question and hypothesized some suggestions for future government policies and possible managerial changes at the clinic in order to improve the current eye care system.

並列摘要


This study’s primary goal was to understand the current status of pediatric eye care in Taiwan and to discuss whether or not there is room for improvement regarding governmental regulations and managerial insights at the clinic where this study’s research took place. According to the Ministry of Health and Welfare of the Republic of China (MOHW), an optic exam will be held once a year in all elementary schools and all students are required to participate in the vision check. In understanding the current pediatric eye care system, this study conducted interviews with three ophthalmologists and two optometrists. The main topics of the interviews were to focus on the goals of annual optic exams and to understand the logic behind the government policies. The study also discussed the tension between ophthalmologists and optometrists in Taiwan due to government regulations. The data from the clinic has shown that 52.3% of the patients have critical visual conditions that require mandatory check-ups; however, not all of them went to a follow-up appointment. The data also showed there are children who are in need of glasses but have no record of acquiring a pair from the clinic. Since all the decisions were made by the parents, the study focused on analyzing the influential factors that determine both the parents’ behavior and their perceptions of the eye care system among the 52.3% of individuals neglecting proper eye care - the targeted group. The study then designed questionnaire questions based on the four factors summarized from interview comments and feedback from ophthalmologists. The study evaluated the parents’ answers from the questionnaires question and hypothesized some suggestions for future government policies and possible managerial changes at the clinic in order to improve the current eye care system.

參考文獻


Asbury T, Augsburger J, Biswell R, Chan T, Chang D, Charles S, et al. 2011. Vaughan and Asbury’s General Ophthalmology. 18. McGraw Hill
Awan, M. (2008) Amblyopia and Visual Development. 1,2-6
Barrett, B. T., Bradley, A. & Mcgraw, P. V. (2004) Understanding the neural basis of amblyopia. Neuroscientist, 10, 106-17.
Chung K, Mohidin N, O’Leary D. 2002. Undercorrection of myopia enhances rather than inhibits myopia progression. Vision Research 42:2555-2559.
Daw, N. W. (1998) Critical periods and amblyopia. Arch Ophthalmol, 116, 502-5.

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