Impact of Implementing Teleophthalmology Referral Guidelines Using the eyeSmart EMR App in 63,703 Patients from India.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2022-01-27 eCollection Date: 2022-01-01 DOI:10.1155/2022/8523131
Anthony Vipin Das, Rohit C Khanna, Niranjan Kumar, Padmaja Kumari Rani
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引用次数: 2

Abstract

Objective: To describe the clinical indications and the impact of implementation of specific teleophthalmology referral guidelines in a large rural village vision centre network in India.

Methods: This cross-sectional vision centre-based study included 1,016,284 patients presenting between January 2017 and March 2020. Patients who were referred for a teleophthalmology opinion were included as cases. The data were collected using the eyeSmart EMR app on a smart tablet. A training intervention was done to reinforce the implementation of targeted teleophthalmology referral guidelines.

Results: Overall, 63,703 (6.3%) patients were referred for a teleophthalmology opinion and were included for analysis. The median age was 41 (IQR: 26-59) years, and adults (88.4%) were commonly referred for a consult. The two most common age groups were between 31-40 years (17.4%) and 21-30 years (16.3%), and the majority of patients were male (59.1%). The most common clinical indication was cornea and anterior segment disorders (71.05%). The most common queries for teleophthalmology referral before versus after the reinforcement of implementation of guidelines were red eye (33.4% vs. 45.6%) followed by cataract (21.2% vs. 8.1%). There was an increase in the red eye (<0.001) and a decrease in cataract (<0.001) which was statistically significant. The proportion of patients for whom a teleophthalmology consult could have been requested but not sent was minimal (2.3%).

Conclusion: Implementation of targeted teleophthalmology referral guidelines enables an effective triage to seek opinion for more pertinent ocular diseases that require care. Adult male patients with cornea and anterior segment disorders are most commonly referred for a teleophthalmology opinion.

Abstract Image

使用eyeSmart EMR应用程序对63703名印度患者实施远程眼科转诊指南的影响
目的:描述临床适应症和实施特定的远程眼科转诊指南在印度的一个大型农村视力中心网络的影响。方法:这项以横断面视觉中心为基础的研究纳入了2017年1月至2020年3月期间就诊的1,016,284例患者。患者谁被转诊远眼的意见包括作为病例。数据是通过智能平板电脑上的eyeSmart电子病历应用程序收集的。进行了培训干预,以加强实施有针对性的远视转诊指南。结果:总体而言,63,703例(6.3%)患者被转诊为远视医学意见并纳入分析。中位年龄为41岁(IQR: 26-59岁),成人(88.4%)常被转诊。最常见的两个年龄组为31-40岁(17.4%)和21-30岁(16.3%),以男性为主(59.1%)。最常见的临床指征是角膜及前段病变(71.05%)。在加强实施指南之前和之后,最常见的眼科转诊查询是红眼(33.4%对45.6%),其次是白内障(21.2%对8.1%)。红眼增加(结论:实施有针对性的远程眼科转诊指南可以有效地进行分诊,以便为需要护理的更相关的眼部疾病寻求意见。成年男性患者的角膜和前段疾病是最常见的参考远视病学意见。
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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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