INTEGRATION OF OPHTHALMIC CARE INTO THE PUBLIC HEALTH SYSTEM: PROSPECTS FOR INTERSECTORAL COLLABORATION AT THE REGIONAL LEVEL

Abstract

Introduction. The article analyzes modern approaches to integrating ophthalmic care into the public health system at the regional level through the lens of intersectoral collaboration. The introduction examines the relevance of the problem associated with the growing prevalence of ophthalmic diseases amid demographic aging and increased incidence of chronic noncommunicable diseases accompanied by visual organ damage. Analysis of international experience demonstrates the success of integrated models of ophthalmic care delivery in countries with different levels of economic development. The aim of the study is to substantiate organizational mechanisms for integrating ophthalmic care into the public health system at the regional level through the development of intersectoral collaboration. The methodological section employs a systematic approach involving analysis of World Health Organization regulatory documents, medical documentation from regional healthcare institutions, statistical data on ophthalmic care provision, and synthesis of contemporary scientific publications on ophthalmology service organization and public health. The main material presentation characterizes the current state of ophthalmic care, barriers to accessibility of specialized ophthalmic care for the population, especially in rural and remote regions, and insufficient integration of ophthalmic screening into primary care practice. Models of ophthalmic care integration are presented, including creation of regional coordination centers for ophthalmic care, implementation of telemedicine technologies for consulting patients from remote territories, training primary care physicians in basic ophthalmic screening skills, and formation of intersectoral working groups involving representatives from healthcare, social protection, and education sectors. Special attention is given to the role of artificial intelligence and digitalization in optimizing diagnostic processes and expanding access to specialized care. Conclusions emphasize the necessity of a systematic approach to ophthalmic care integration through formation of regional coordination structures, expansion of primary care competencies, implementation of digital technologies, and creation of intersectoral collaboration mechanisms to ensure accessibility and quality of ophthalmic care for the population at the regional level.