[Management of diabetic retinopathy using telemedicine and network integration].
Modelo de manejo en red y por telemedicina de la retinopatía diabética en dos comunas del Servicio de Salud Metropolitano Oriente.
Adolescent
Adult
Aged
Aged, 80 and over
Chile
Diabetic Retinopathy
/ diagnosis
Diagnostic Screening Programs
Disease Management
Female
Humans
Male
Middle Aged
Primary Health Care
/ methods
Reproducibility of Results
Retrospective Studies
Sex Distribution
Telemedicine
/ methods
Tertiary Healthcare
/ statistics & numerical data
Treatment Outcome
Young Adult
Journal
Revista medica de Chile
ISSN: 0717-6163
Titre abrégé: Rev Med Chil
Pays: Chile
ID NLM: 0404312
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
02
04
2018
accepted:
22
04
2019
entrez:
26
7
2019
pubmed:
26
7
2019
medline:
6
8
2019
Statut:
ppublish
Résumé
If we are able to increase the resolution of complex medical problems at primary health care levels, we would improve the efficiency of the health care systems and would reduce the burden of specialists. To describe the result of a telemedicine and network management of diabetic retinopathy supervised by an ophthalmological service. Diabetic patients attended in primary health care centers of the East Metropolitan Health Service in Santiago, Chile, derived for 45° digital retinographies were evaluated using telemedicine by the ophthalmologists of the base hospital. These professionals screened for diabetic retinopathy and classified it. Those patients with diabetic retinopathy were derived to the base hospital for specialized management. Of 2,566 patients evaluated, 22% had signs of diabetic retinopathy, 75% did not have the condition and 2% could not be evaluated with retinography. Seventy percent of patients with retinopathy, equivalent to only fifteen percent of total diabetics, were referred to the specialists for treatment. This model allowed a reduction of referrals to ophthalmologists, reducing the burden of secondary and tertiary health care systems.
Sections du résumé
BACKGROUND
BACKGROUND
If we are able to increase the resolution of complex medical problems at primary health care levels, we would improve the efficiency of the health care systems and would reduce the burden of specialists.
AIM
OBJECTIVE
To describe the result of a telemedicine and network management of diabetic retinopathy supervised by an ophthalmological service.
MATERIAL AND METHODS
METHODS
Diabetic patients attended in primary health care centers of the East Metropolitan Health Service in Santiago, Chile, derived for 45° digital retinographies were evaluated using telemedicine by the ophthalmologists of the base hospital. These professionals screened for diabetic retinopathy and classified it. Those patients with diabetic retinopathy were derived to the base hospital for specialized management.
RESULTS
RESULTS
Of 2,566 patients evaluated, 22% had signs of diabetic retinopathy, 75% did not have the condition and 2% could not be evaluated with retinography. Seventy percent of patients with retinopathy, equivalent to only fifteen percent of total diabetics, were referred to the specialists for treatment.
CONCLUSIONS
CONCLUSIONS
This model allowed a reduction of referrals to ophthalmologists, reducing the burden of secondary and tertiary health care systems.
Identifiants
pubmed: 31344205
pii: S0034-98872019000400444
doi: 10.4067/S0034-98872019000400444
pii:
doi:
Types de publication
Journal Article
Langues
spa
Sous-ensembles de citation
IM