دورية أكاديمية
أعرض في EDS

Factors Associated with Utilization of Teleretinal Imaging in a Hospital-Based Primary Care Setting.

التفاصيل البيبلوغرافية
العنوان: Factors Associated with Utilization of Teleretinal Imaging in a Hospital-Based Primary Care Setting.
المؤلفون: Szulborski KJ; Division of Ophthalmology, Department of Surgery, Lahey Hospital & Medical Center, 1 Essex Center Drive, Peabody, MA 01960, USA.; Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111, USA., Gumustop S; Division of Ophthalmology, Department of Surgery, Lahey Hospital & Medical Center, 1 Essex Center Drive, Peabody, MA 01960, USA.; Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111, USA., Lasalle CC; Division of Ophthalmology, Department of Surgery, Lahey Hospital & Medical Center, 1 Essex Center Drive, Peabody, MA 01960, USA., Hughes K; Division of Ophthalmology, Department of Surgery, Lahey Hospital & Medical Center, 1 Essex Center Drive, Peabody, MA 01960, USA.; Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111, USA., Roh S; Division of Ophthalmology, Department of Surgery, Lahey Hospital & Medical Center, 1 Essex Center Drive, Peabody, MA 01960, USA.; Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111, USA., Ramsey DJ; Division of Ophthalmology, Department of Surgery, Lahey Hospital & Medical Center, 1 Essex Center Drive, Peabody, MA 01960, USA.; Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111, USA.
المصدر: Vision (Basel, Switzerland) [Vision (Basel)] 2023 Aug 04; Vol. 7 (3). Date of Electronic Publication: 2023 Aug 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101733282 Publication Model: Electronic Cited Medium: Internet ISSN: 2411-5150 (Electronic) Linking ISSN: 24115150 NLM ISO Abbreviation: Vision (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2017]-
مستخلص: Regular eye examinations to screen for the initial signs of diabetic retinopathy (DR) are crucial for preventing vision loss. Teleretinal imaging (TRI) offered in a primary care setting provides a means to improve adherence to DR screening, particularly for patients who face challenges in visiting eye care providers regularly. The present study evaluates the utilization of TRI to screen for DR in an outpatient, hospital-based primary care clinic. Patients with diabetes mellitus (DM) but without DR were eligible for point-of-care screening facilitated by their primary care provider, utilizing a non-mydriatic, handheld fundus camera. Patient demographics and clinical characteristics were extracted from the electronic medical record. Patients who underwent TRI were more likely to be male, non-White, and have up-to-date monitoring and treatment measures, including hemoglobin A1c (HbA1c), microalbumin, and low-density lipoprotein (LDL) levels, in accordance with Healthcare Effectiveness Data and Information Set (HEDIS) guidelines. Our findings demonstrate that TRI can reduce screening costs compared to a strategy where all patients are referred for in-person eye examinations. A net present value (NPV) analysis indicates that a screening site reaches the break-even point of operation within one year if an average of two patients are screened per workday.
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معلومات مُعتمدة: n/a D.J.R. is supported by the Harry N. Lee Family Chair in Innovation at the Lahey Hospital & Medical Center, Beth Israel Lahey Health, and a grant from the Robert E. Wise, M.D., Research and Edu-cation Institute, Lahey Hospital & Medical Center, Burlington,
فهرسة مساهمة: Keywords: cost analysis; diabetes mellitus; diabetic retinopathy; integrated delivery network; quality improvement; screening; telemedicine; teleretinal imaging
تواريخ الأحداث: Date Created: 20230822 Latest Revision: 20230824
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10443374
DOI: 10.3390/vision7030053
PMID: 37606499
قاعدة البيانات: MEDLINE
الوصف
تدمد:2411-5150
DOI:10.3390/vision7030053