App-Based Tele Ophthalmology: A Novel Method of Rural Eye Care Delivery Connecting Tertiary Eye Care Center and Vision Centers in India.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2019-12-18 eCollection Date: 2019-01-01 DOI:10.1155/2019/8107064
Anthony Vipin Das, Shravani Mididoddi, Priyanka Kammari, Navya Deepthi Davara, Abhinav Loomba, Rohit Khanna, Mukesh Taneja
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引用次数: 18

Abstract

Purpose: The study aims to describe a novel method of utilization of the eyeSmart EMR (electronic medical record) app. It describes the demographic distribution, clinical presentation, query requested by the vision technician, and management advised to the patients by using "eyeSmart EMR" app from the vision centers located across a three-tier eye care network in India.

Methods: This is a retrospective review of all patients who required a tele-ophthalmology consultation from January 2017 to August 2018. The demographic, clinical details, and the impact of teleophthalmology using eyeSmart app, in the vision centers of a three-tier eye care network, was analyzed in detail.

Results: A total of 15,001 tele-ophthalmology consults were included which is from January 2017 to August 2018. The mean age was 38 ± 19 years and male to female ratio was 1 : 2. Video calls were performed for 6191 (41.27%) consults and the impact was measured. Additional clinical information was received in 65.61% consults through video call. Medical management was advised in 47.07% of patients and 30.30% were referred to higher centers for medical intervention and 0.59% were referred for surgical intervention, 16.23% were prescribed glasses. No intervention required for 0.69% of cases. Hence nil intervention was advised.

Conclusion: The combination of using tablet and video calls with the help of eyeSmart EMR app is a novel method in teleophthalmology. It helps in connecting the patients at rural areas and the ophthalmologists in higher centers. The use of technology plays a vital role in the appropriate medical management of the patient.

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基于应用程序的远程眼科:一种连接印度三级眼科保健中心和视力中心的农村眼科保健服务的新方法。
目的:本研究旨在描述一种利用eyeesmart EMR(电子病历)应用程序的新方法。它描述了人口分布、临床表现、视力技术员要求的查询,以及通过使用位于印度三级眼科保健网络的视力中心的“eyeesmart EMR”应用程序向患者提出的管理建议。方法:回顾性分析2017年1月至2018年8月所有需要远程眼科会诊的患者。详细分析了在三级眼科保健网络的视力中心使用eyeSmart应用程序进行远程眼科的人口统计、临床细节和影响。结果:2017年1月至2018年8月共纳入远程眼科会诊15001例。平均年龄38±19岁,男女比例为1:2。对6191例(41.27%)咨询者进行了视频通话,并测量了影响。65.61%的问诊者通过视频电话获得额外的临床信息。47.07%的患者接受了医疗管理,30.30%的患者转诊到高等医疗中心接受医疗干预,0.59%的患者转诊到外科干预,16.23%的患者配戴了处方眼镜。0.69%的病例无需干预。因此不建议干预。结论:利用平板电脑与视频通话相结合,借助eyeSmart EMR app进行远程眼科检查是一种新颖的方法。它有助于将农村地区的患者与高等中心的眼科医生联系起来。技术的使用在患者的适当医疗管理中起着至关重要的作用。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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