Journal of Health Care for the Poor and Underserved · 2011 · 33 citations · 20 references
MedicineFamily MedicineOphthalmologyDiabetologyPrimary CareTeledermatologyDiabetic RetinopathyScreeningTelehealth For Underserved CommunitiesTelehealth In Primary CareTelehealth PracticeTelemedicineAdult BlindnessDiabetic Retinopathy AssessmentDiabetic Retinopathy BlindnessDiabetic Retinopathy DetectionPrimary CentersProgression DetectionTelemedicine In Diabetes CareTelemedicine Screening
BACKGROUND: Diabetic retinopathy (DR) is the leading cause of acquired blindness in U.S. adults. Early detection prevents progression. Screening rates are only 10% in medically underserved populations. METHODS: A statewide telemedicine-based program within primary care centers was implemented to improve DR screening, detection and referrals for underserved patients. STUDY DESIGN: Retrospective, descriptive study. RESULTS: A total of 568 adults were screened during a comprehensive nurse visit from July 2009-June 2010 and had complete data available. Nearly 60% were minorities and 24% were uninsured. A total of 145 cases of DR were identified. The majority were recommended to return in one year for follow-up, while 75 were referred to a specialist. CONCLUSIONS: Telemedicine using digital imaging technology in the primary care office is a strategy that can be used to screen underserved and at-risk patients for DR, increase compliance with screening, and streamline specialist referrals.
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Improving Chronic Illness Care: Translating Evidence Into Action
Edward H. Wagner, Brian T. Austin, Connie L. Davis et al. · Health Affairs · 2001 · 3.5K citations
James P. Boyle, Theodore J. Thompson, Edward W. Gregg et al. · Population Health Metrics · 2010 · 1.3K citations · Full text
Public Health, Chronic Disease Prevention, Preventive Medicine +17
The Prevalence of Diabetic Retinopathy Among Adults in the United States
John H. Kempen, O'Colmain Bj, Leske Mc et al. · Archives of Ophthalmology · 2004 · 1.1K citations
Medicine, Ophthalmology, Diabetology +14