July 2019
Volume 60, Issue 9
Free
ARVO Annual Meeting Abstract  |   July 2019
Screening of diabetic retinopathy by the public health system with a new teleophthalmology programme based on the incorporation of a external reading center. Effectiveness and degree of satisfaction of patients and healthcare proffesionals
Author Affiliations & Notes
  • Gabriela Estefania Pacheco Callirgos
    Hospital Clinico Universitario de Valladolid, Valladolid, Spain
  • Laura Andrea Lima Modino
    Hospital Clinico Universitario de Valladolid, Valladolid, Spain
  • María Yolanda Valpuesta Martín
    Centro de Atención Primaria de Peñafiel, Peñafiel, Valladolid, Spain
  • Carlos Daniel Blando Labrandero
    Hospital Clinico Universitario de Valladolid, Valladolid, Spain
  • María Isabel López Gálvez
    Hospital Clinico Universitario de Valladolid, Valladolid, Spain
  • Footnotes
    Commercial Relationships   Gabriela Estefania Pacheco Callirgos, None; Laura Andrea Lima Modino, None; María Yolanda Valpuesta Martín, None; Carlos Daniel Blando Labrandero, None; María Isabel López Gálvez, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 5310. doi:
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      Gabriela Estefania Pacheco Callirgos, Laura Andrea Lima Modino, María Yolanda Valpuesta Martín, Carlos Daniel Blando Labrandero, María Isabel López Gálvez; Screening of diabetic retinopathy by the public health system with a new teleophthalmology programme based on the incorporation of a external reading center. Effectiveness and degree of satisfaction of patients and healthcare proffesionals. Invest. Ophthalmol. Vis. Sci. 2019;60(9):5310.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The increasing incidence of diabetic retinopathy (RD) creates growthing of burden work in clinical practice in both first care and in ophthalmological assistance. We assessed the impact and degree of satisfaction of patients and technicians with a new Diabetic Retinopathy (DR) screening and monitoring teleophthalmology program in Castilla-Leon, Spain with a multidisciplinary approach.

Methods : Out of a total of 752 diabetic patients participating in the RD screening program, a sample of 114 patients was obtained and a total of 10 health professionals were included in this retrospective study. The program included a complete medical history and 4 retinographies per eye following the Joslin Diabetes Center (JVN) proposed protocol. The research was divided into three items: demographic data, characteristics of the study population and severity stage and degree of satisfaction from patients and from health professionals who made the image captures using two anonymous, previously validated surveys.

Results : Out of the patients sample, 98.2% were diabetics type 2. The retinographies were reported as pathological in 33.3% of patients, RD was found in 15% of the sample and 88.2% had a non-proliferative form (NPDR). Only 29.4% of the patients were referred for retina unit. Finally, 100% of the patients expressed that they would keep to perform the diabetic retinopathy evaluation by teleophthalmology (Table 1). The satisfaction degree of the technicians was good, 80% of health professionals considered the use of new technologies was easy (Graphic 1) and 100% would keep to perform the activity in their job.

Conclusions : The incorporation of an external retinography reading center for the DR program allows us to provide specialized care and follow-up to diabetic patients, as well as to reduce the barriers that prevent access to a periodic fundus examination. Finally, the teleophthalmology was well accepted by patients and health professionals associated with a high degree of satisfaction, an important issue since it is a key to ensure proper functioning and success of RD screening.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

 

Table 1.Of the patients, 99% scored 6 or higher for their degree of general satisfaction with the activity

Table 1.Of the patients, 99% scored 6 or higher for their degree of general satisfaction with the activity

 

Graphic 1. 80% of health professionals considered the use of new technologies easy

Graphic 1. 80% of health professionals considered the use of new technologies easy

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