Abstract:
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.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Olayiwola JN,Sobieraj DM,Kulowski K,St Hilaire D,Huang JJdoi
10.1353/hpu.2011.0066subject
Has Abstractpub_date
2011-08-01 00:00:00pages
804-16issue
3eissn
1049-2089issn
1548-6869pii
S1548686911300083journal_volume
22pub_type
杂志文章abstract::In the NIMHD-funded Health Disparities Research Center of Excellence at Meharry, faculty and scholars are trained to better address environmental health issues by integrating longitudinal, multi-systemic, spatially, and temporally referenced analytical methods. These methods include computational, multilevel, and spat...
journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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