Objective To explore the effect of health service model based on combination of medicine and education which may impact primary and middle school students′ eyesight health.

Methods Students were selected from Longhua community in 2013 and 2015 and from Kangjian community in 2015 by stratified and random cluster sampling and examined for their eyesight.

Results Prevalence of poor eyesight of Longhua community was 43.45%, 58.14%, 63.28% and 73.99%(χ_趋²=16.60, P < 0.001) in 2013 and 35.35%, 56.60%, 62.07% and 70.33%(χ_趋²=40.26, P < 0.001)in 2015 for primary grade three, five and junior grade seven, nine successively, 42.67%, 63.87%, 66.67% and 72.04%(χ_趋²=19.14, P < 0.001)in Kangjian community in 2015 successively.Incidence of poor eyesight of students decreased significantly in 2015 compared with that in 2013 covering different grades respectively in Longhua community(P < 0.05), the group of primary school contained grade three(26.36% vs 3.90%)and grade five(32.84% vs 21.84%), the group of middle school contained grade seven(16.07% vs 6.10%)and grade nine(32.84% vs 10.14%).Incidence of poor eyesight in Longhua community was lower significantly than in Kangjian community in 2015 covering different grades respectively(P < 0.05), the group of primary school contained grade three(3.90% vs 21.30%) and grade five(21.84% vs 34.56%), the group of middle school contained grade seven(6.10% vs 17.71%)and grade nine(10.14% vs 27.78%).

Conclusion The health service mode has a significant role in promoting eyesight health of primary and middle school students and reducing the poor eyesight incidence.