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Grand Challenges in global eye health: a global prioritisation process using Delphi method.

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机构： [1]International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK. [2]School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand. [3]Centre for Public Health, Queen's University Belfast, Belfast, UK. [4]Eyu-Ethiopia: Eye Health Research, Training and Service Centre, Bahirdar, Ethiopia. [5]Kenya Medical Training College, Nairobi, Kenya. [6]Pan American Health Organization, Bogotá, Colombia. [7]The Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA. [8]Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. [9]Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. [10]Orbis International, New York, NY, USA. [11]Department of Ophthalmology, University of Calabar, Calabar, Nigeria. [12]Africa Vision Research Institute, Durban, Kwa-Zulu Natal, South Africa. [13]Massachusetts Eye and Ear, Harvard Ophthalmology, Harvard Medical School, Boston, MA, USA. [14]Department of Ophthalmology, University of Nairobi, Nairobi, Kenya. [15]Institute of Clinical and Scientific Ophthalmology and Acupuncture Jonas &amp [17]Panda, Heidelberg, Germany. [16]Department of Ophthalmology, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. [17]Institute of Molecular and Clinical Ophthalmology Basel, Basel, Switzerland. [18]National Institute for Health Research Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. [19]College of Health Sciences, University of Abuja, Abuja, Nigeria. [20]Indian Institute of Public Health, Hyderabad, India. [21]Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [22]Beijing Ophthalmology and Visual Sciences Key Laboratory, Beijing, China. [23]Singapore Eye Research Institute, Singapore National Eye Center, Singapore. [24]Duke-NUS Medical School, Singapore. [25]Melbourne School of Population Health, The University of Melbourne, Melbourne, VIC, Australia. [26]Brien Holden Vision Institute and School of Optometry and Vision Science, UNSW, Sydney, NSW, Australia. [27]Dana Center for Preventive Ophthalmology, Johns Hopkins University, Baltimore, MD, USA.

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We undertook a Grand Challenges in Global Eye Health prioritisation exercise to identify the key issues that must be addressed to improve eye health in the context of an ageing population, to eliminate persistent inequities in health-care access, and to mitigate widespread resource limitations.Drawing on methods used in previous Grand Challenges studies, we used a multi-step recruitment strategy to assemble a diverse panel of individuals from a range of disciplines relevant to global eye health from all regions globally to participate in a three-round, online, Delphi-like, prioritisation process to nominate and rank challenges in global eye health. Through this process, we developed both global and regional priority lists.Between Sept 1 and Dec 12, 2019, 470 individuals complete round 1 of the process, of whom 336 completed all three rounds (round 2 between Feb 26 and March 18, 2020, and round 3 between April 2 and April 25, 2020) 156 (46%) of 336 were women, 180 (54%) were men. The proportion of participants who worked in each region ranged from 104 (31%) in sub-Saharan Africa to 21 (6%) in central Europe, eastern Europe, and in central Asia. Of 85 unique challenges identified after round 1, 16 challenges were prioritised at the global level; six focused on detection and treatment of conditions (cataract, refractive error, glaucoma, diabetic retinopathy, services for children and screening for early detection), two focused on addressing shortages in human resource capacity, five on other health service and policy factors (including strengthening policies, integration, health information systems, and budget allocation), and three on improving access to care and promoting equity.This list of Grand Challenges serves as a starting point for immediate action by funders to guide investment in research and innovation in eye health. It challenges researchers, clinicians, and policy makers to build collaborations to address specific challenges.The Queen Elizabeth Diamond Jubilee Trust, Moorfields Eye Charity, National Institute for Health Research Moorfields Biomedical Research Centre, Wellcome Trust, Sightsavers, The Fred Hollows Foundation, The Seva Foundation, British Council for the Prevention of Blindness, and Christian Blind Mission.For the French, Spanish, Chinese, Portuguese, Arabic and Persian translations of the abstract see Supplementary Materials section.© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.

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最新[2023]版：

Q1 GERIATRICS & GERONTOLOGY

影响因子： 13.4 最新[2023版] 13.8 最新五年平均 0 出版当年[2020版] 0 出版当年五年平均 0 出版前一年[2019版]

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第一作者机构： [1]International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK. [2]School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand. [*1]International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK

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通讯机构： [1]International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK. [2]School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand. [*1]International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK

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