Improving diabetic retinopathy screening through a statewide telemedicine program at a large federally qualified health center.

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.

authors

Olayiwola JN,Sobieraj DM,Kulowski K,St Hilaire D,Huang JJ

doi

10.1353/hpu.2011.0066

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

804-16

issue

3

eissn

1049-2089

issn

1548-6869

pii

S1548686911300083

journal_volume

22

pub_type

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