Teleophthalmology: improving patient outcomes?
Teleophthalmology: improving patient outcomes?
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DOI：
10.2147/opth.s80487
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Ramesh SV
中科院分区：
文献类型：
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作者：
Sreelatha OK;Ramesh SV
远程眼科作为一种有效的眼科护理服务方式在全球范围内变得越来越重要。在许多发展中国家，远程眼科正在被用来为服务不足的城市人口和服务匮乏的偏远农村人口提供优质的眼科护理。多年来，技术创新带来了证据的改进，远程眼科已经从研究工具发展成为临床工具。目前大多数远程眼科服务都集中在患者筛查和适当转诊给专家。使用远程眼科服务为儿科群体提供的专业护理包括筛查以及为早产儿视网膜病变 (ROP) 提供及时护理。在老年眼病中，专业远程眼科护理的重点是筛查和转诊糖尿病视网膜病变 (DR)、青光眼、年龄相关性黄斑变性 (ARMD) 和其他威胁视力的疾病。综合视力筛查和屈光不正服务通常包含在大多数远程眼科方法中。在过去的几十年里，医疗保健系统的结果评估包括患者对其健康、护理和接受的服务的评估。总的来说，结果仍然是医疗保健有效性和质量的最终验证因素。远程眼科可产生与传统系统相同的预期临床结果。远程门户允许专家在更大的区域提供护理，从而改善健康结果并增加更多人群获得专业护理的机会。大多数研究都报告了较高的满意度和接受度，因为可及性增加并减少了旅行成本和时间。考虑到这些远程医疗服务的患者护理质量和患者满意度的提高，本综述探讨了远程眼科如何帮助改善患者的治疗结果。
Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP). Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR), glaucoma, age-related macular degeneration (ARMD), and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time. Considering the improved quality of patient care and patient satisfaction reported for these telemedicine services, this review explores how teleophthalmology helps to improve patient outcomes.