Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Telemed J E Health. 2021 Sep;27(9):1021-1028. doi: 10.1089/tmj.2020.0270. Epub 2020 Nov 19.
Teleophthalmology is a validated method for diabetic eye screening that is underutilized in U.S. primary care clinics. Even when made available to patients, its long-term effectiveness for increasing screening rates is often limited. We hypothesized that a stakeholder-based implementation program could increase teleophthalmology use and sustain improvements in diabetic eye screening. NIATx Model p p p p p Our stakeholder-based implementation program achieved a significant increase in overall teleophthalmology use and maintained increased post-teleophthalmology diabetic eye screening rates. Stakeholder-based implementation may increase the long-term reach and effectiveness of teleophthalmology to reduce vision loss from diabetes. Our approach may improve integration of telehealth interventions into primary care.
远程眼科是一种经过验证的糖尿病眼病筛查方法，但在美国初级保健诊所中未得到充分利用。即使向患者提供了这种方法，其长期提高筛查率的效果也往往有限。我们假设基于利益相关者的实施计划可以增加远程眼科的使用并维持糖尿病眼病筛查率的提高。NIATx 模型
我们基于利益相关者的实施计划显著增加了远程眼科的总体使用，并保持了增加后的远程眼科糖尿病眼病筛查率。基于利益相关者的实施可能会增加远程眼科的长期覆盖面和效果，以减少糖尿病导致的视力丧失。我们的方法可以改善远程医疗干预措施在初级保健中的整合。
