July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
DiabBase Ophthalmic IT-System – a Digitized Health Care System for Diabetic Retinopathy
Author Affiliations & Notes
  • Martin Breimer
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
  • Helle Kalm
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
  • Maria Bitziou
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
  • Louise Holmqvist
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
  • Pernilla Laurén
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
  • Dragana Skiljic
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
  • Marita Andersson Gronlund
    Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
  • Footnotes
    Commercial Relationships   Martin Breimer, None; Helle Kalm, None; Maria Bitziou, None; Louise Holmqvist, None; Pernilla Laurén, None; Dragana Skiljic, None; Marita Gronlund, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 5311. doi:
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      Martin Breimer, Helle Kalm, Maria Bitziou, Louise Holmqvist, Pernilla Laurén, Dragana Skiljic, Marita Andersson Gronlund; DiabBase Ophthalmic IT-System – a Digitized Health Care System for Diabetic Retinopathy. Invest. Ophthalmol. Vis. Sci. 2019;60(9):5311.

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

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Abstract

Purpose : To create a valid and cost-effective system for the survey of diabetic retinopathy with a clear focus on the patient and feasible for health care providers of various medical disciplines and professional education levels. Hence, to move from an analog to a digitized chain of every events in the health care process of diabetic retinopathy, i.e. collection of data from referrals, visits, diagnostics, treatment decisions and outcome. Furthermore, to assure up-dated medical information including planning of treatment and consecutive controls.

Methods : A project group of doctors, nurses, nursing assistants, photographers, and administrative staff collaborated in the design of a new platform, DiabBase Ophthalmic IT-system (DOIT). The basic materials used by the group consisted of (1) our previous well-proven digitized model RetiNet.SU implemented in clinical work since 2000 but recently shut down due to a need of switching of IT-platform, (2) current Swedish guidelines of screening and ophthalmological terms concerning diabetic patients, and 3) guidelines for the use of laser and intravitreal injections in treatment of diabetic retinopathy.

Results : DOIT is an integrated systemfor screening, treatment and collection of outcome data. Box checks replacedictations. Individual correspondence of medical information to the patients and concerned health care providers as well as information on further planning and administration are generated automatically and correctly due to a pre-set logistic for different levels of disease. Guided decision making and re-checking assure a correct choice of treatment for the patient. Color-coding of the disease level (diagnostic category) facilitate work shifting. Furthermore, the system’s built-in functions for reasonability, security and reminders assure data validity (Figure).The system, DOIT, reduces the workload as compared to conventional health care and is suitable for remote health care providers as well. DOIT can be integrated with all types of certified medical record systems.

Conclusions : DOIT, an easy-to-use and safe digitized health care system for diabetic retinopathy, has reduced the workload since all written communication is automated. Data validity and safety of the patients are assured by built-in logistics such as progression of disease, reasonability, security, reminders, and guided decision making.

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

 

DiabBase Ophthalmic IT-system (DOIT)

DiabBase Ophthalmic IT-system (DOIT)

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