Olayiwola J N, Sobieraj D M, Kulowski K, St Hilaire D, Huang J J
Community Health Center, Inc., Middletown, CT, USA.
J Health Care Poor Underserved. 2011 Aug;22(3):804-16. doi: 10.1353/hpu.2011.0066.
Diabetic retinopathy (DR) is the leading cause of acquired blindness in U.S. adults. Early detection prevents progression. Screening rates are only 10% in medically underserved populations.
A statewide telemedicine-based program within primary care centers was implemented to improve DR screening, detection and referrals for underserved patients.
Retrospective, descriptive study.
A total of 568 adults were screened during a comprehensive nurse visit from July 2009-June 2010 and had complete data available. Nearly 60% were minorities and 24% were uninsured. A total of 145 cases of DR were identified. The majority were recommended to return in one year for follow-up, while 75 were referred to a specialist.
Telemedicine using digital imaging technology in the primary care office is a strategy that can be used to screen underserved and at-risk patients for DR, increase compliance with screening, and streamline specialist referrals.
糖尿病视网膜病变（DR）是美国成年人后天失明的主要原因。早期检测可预防病情进展。在医疗服务不足的人群中，筛查率仅为10%。
在初级保健中心实施了一项基于全州远程医疗的项目，以改善为服务不足患者的DR筛查、检测和转诊。
回顾性描述性研究。
在2009年7月至2010年6月的一次全面护士访视期间，共对568名成年人进行了筛查，并获得了完整数据。近60%为少数族裔，24%未参保。共确诊145例DR。大多数患者被建议在一年内复诊，75例被转诊至专科医生处。
在初级保健办公室使用数字成像技术的远程医疗是一种可用于筛查服务不足和高危患者DR、提高筛查依从性并简化专科转诊的策略。
