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实践中的远程眼科:从一个试点项目中吸取的经验教训。

Teleophthalmology in Practice: Lessons Learned from a Pilot Project.

作者信息

Ayatollahi Haleh, Nourani Aynaz, Khodaveisi Taleb, Aghaei Hossein, Mohammadpour Mehrdad

机构信息

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Open Med Inform J. 2017 Aug 22;11:20-28. doi: 10.2174/1874431101711010020. eCollection 2017.

DOI:10.2174/1874431101711010020
PMID:29081869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5633703/
Abstract

INTRODUCTION

Ophthalmology is a medical specialty which may benefit from using telemedicine and teleophthalmology services. Such services are significantly important in the poor, remote, and impassable geographical areas, where there is no access to the ophthalmology services and ophthalmologists. This study aimed to design and implement a teleophthalmology system using the method of store-and-forward.

METHODS

The study was conducted in 2015 and consisted of two main phases. The first phase was based requirement analysis, and in the second phase, after designing the prototype, an initial usability testing was undertaken in a teaching hospital. The participants of the study were 10 optometrists and 10 ophthalmologists (cornea specialists). For each phase of the research, a questionnaire was used to collect data, and the collected data were analyzed using descriptive statistics.

RESULTS

In this study, users' requirements were initially investigated. Then, the teleophthalmology system was designed based on the literature review and the results derived from the requirements' analysis. Finally, usability testing showed that the users were relatively satisfied with the system.

CONCLUSION

According to the results, it can be concluded that the teleophthalmology technology can be used in the country by optometrists and ophthalmologists to improve eye health care services and to prevent the prevalence of curable eye diseases.

摘要

引言

眼科作为一门医学专科,可从使用远程医疗和远程眼科服务中受益。此类服务在贫困、偏远且交通不便的地理区域极为重要,在这些地区无法获得眼科服务和眼科医生的帮助。本研究旨在采用存储转发方法设计并实施一个远程眼科系统。

方法

该研究于2015年开展,包括两个主要阶段。第一阶段基于需求分析,在第二阶段,设计出原型后,在一家教学医院进行了初步可用性测试。研究参与者为10名验光师和10名眼科医生(角膜专家)。对于研究的每个阶段,均使用问卷收集数据,并采用描述性统计方法对收集到的数据进行分析。

结果

在本研究中,首先对用户需求进行了调查。然后,基于文献综述和需求分析得出的结果设计了远程眼科系统。最后,可用性测试表明用户对该系统相对满意。

结论

根据研究结果可以得出结论,验光师和眼科医生可在该国使用远程眼科技术,以改善眼部保健服务并预防可治愈眼病的流行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5633703/a3af07a24739/TOMINFOJ-11-20_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5633703/97b4897f4115/TOMINFOJ-11-20_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5633703/a3af07a24739/TOMINFOJ-11-20_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5633703/97b4897f4115/TOMINFOJ-11-20_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5633703/a3af07a24739/TOMINFOJ-11-20_F2.jpg

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Telemedicine vs. in-person delivery of intensive short-term dynamic psychotherapy for patients with medically unexplained pain: A 12-month randomized, controlled trial.远程医疗与面对面提供强化短期动态心理治疗对医学上无法解释的疼痛患者的疗效比较:一项为期12个月的随机对照试验。
J Telemed Telecare. 2017 Jan;23(1):133-141. doi: 10.1177/1357633X15627382. Epub 2016 Jul 9.
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Optometric use of a teleophthalmology service in rural Western Australia: comparison of two prospective audits.
远程咨询在 COVID-19 大流行期间获取发展中国家眼科护理的实用性。
PLoS One. 2021 Jan 14;16(1):e0245343. doi: 10.1371/journal.pone.0245343. eCollection 2021.
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Ophthalmologists on Smartphones: Image-Based Teleconsultation.智能手机上的眼科医生:基于图像的远程会诊。
Br Ir Orthopt J. 2019 Jan 9;15(1):3-7. doi: 10.22599/bioj.118.
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Tele-ophthalmology: Need of the hour.远程眼科学:当下的需求。
Indian J Ophthalmol. 2020 Jul;68(7):1328-1338. doi: 10.4103/ijo.IJO_1784_20.
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Clin Ophthalmol. 2018 Nov 29;12:2459-2470. doi: 10.2147/OPTH.S183249. eCollection 2018.
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