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Danish teleophthalmology platform reduces optometry referrals into the national eye care system
OBJECTIVE: The purpose of this study was to evaluate the stratification of follow-up and referral pathways after implementation of a systematic cloud-based electronic-referral teleophthalmological service for optometry-initiated ocular posterior segment disease referrals to the Danish national eye c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7978272/ https://www.ncbi.nlm.nih.gov/pubmed/33791435 http://dx.doi.org/10.1136/bmjophth-2020-000671 |
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author | Muttuvelu, Danson Vasanthan Buchholt, Heidi Nygaard, Mads Rasmussen, Marie Louise Roed Sim, Dawn |
author_facet | Muttuvelu, Danson Vasanthan Buchholt, Heidi Nygaard, Mads Rasmussen, Marie Louise Roed Sim, Dawn |
author_sort | Muttuvelu, Danson Vasanthan |
collection | PubMed |
description | OBJECTIVE: The purpose of this study was to evaluate the stratification of follow-up and referral pathways after implementation of a systematic cloud-based electronic-referral teleophthalmological service for optometry-initiated ocular posterior segment disease referrals to the Danish national eye care system. METHODS AND ANALYSIS: A retrospective cohort study was conducted in the period from 1 August 2018 to 31 July 2019. Patients with suspected ocular posterior segment disease reviewed by the telemedical ophthalmology service were included. The service stratified patients into the categories: no need for follow-up, follow-up by optometrist, follow-up by the telemedical service and referral to the national Danish eye care service. RESULTS: From a pool of 386 361 customers, 9938 patients were enrolled into this study. 19.5% of all patients were referred to the Danish national eye care system, while 80.5% of the patients in the telemedical service were not, in the period from 1 August 2018 to 31 July 2019. 14.4% of the optometrist referrals did not need any follow-up, while a majority of 66.1% needed some follow-up either by the optometrist themselves or within the telemedical service. CONCLUSION: Optometrist posterior segment disease referrals can be considerably reduced with a risk stratified approach and optimal use of technology. New models can improve and streamline the healthcare system. |
format | Online Article Text |
id | pubmed-7978272 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-79782722021-03-30 Danish teleophthalmology platform reduces optometry referrals into the national eye care system Muttuvelu, Danson Vasanthan Buchholt, Heidi Nygaard, Mads Rasmussen, Marie Louise Roed Sim, Dawn BMJ Open Ophthalmol Retina OBJECTIVE: The purpose of this study was to evaluate the stratification of follow-up and referral pathways after implementation of a systematic cloud-based electronic-referral teleophthalmological service for optometry-initiated ocular posterior segment disease referrals to the Danish national eye care system. METHODS AND ANALYSIS: A retrospective cohort study was conducted in the period from 1 August 2018 to 31 July 2019. Patients with suspected ocular posterior segment disease reviewed by the telemedical ophthalmology service were included. The service stratified patients into the categories: no need for follow-up, follow-up by optometrist, follow-up by the telemedical service and referral to the national Danish eye care service. RESULTS: From a pool of 386 361 customers, 9938 patients were enrolled into this study. 19.5% of all patients were referred to the Danish national eye care system, while 80.5% of the patients in the telemedical service were not, in the period from 1 August 2018 to 31 July 2019. 14.4% of the optometrist referrals did not need any follow-up, while a majority of 66.1% needed some follow-up either by the optometrist themselves or within the telemedical service. CONCLUSION: Optometrist posterior segment disease referrals can be considerably reduced with a risk stratified approach and optimal use of technology. New models can improve and streamline the healthcare system. BMJ Publishing Group 2021-03-18 /pmc/articles/PMC7978272/ /pubmed/33791435 http://dx.doi.org/10.1136/bmjophth-2020-000671 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Retina Muttuvelu, Danson Vasanthan Buchholt, Heidi Nygaard, Mads Rasmussen, Marie Louise Roed Sim, Dawn Danish teleophthalmology platform reduces optometry referrals into the national eye care system |
title | Danish teleophthalmology platform reduces optometry referrals into the national eye care system |
title_full | Danish teleophthalmology platform reduces optometry referrals into the national eye care system |
title_fullStr | Danish teleophthalmology platform reduces optometry referrals into the national eye care system |
title_full_unstemmed | Danish teleophthalmology platform reduces optometry referrals into the national eye care system |
title_short | Danish teleophthalmology platform reduces optometry referrals into the national eye care system |
title_sort | danish teleophthalmology platform reduces optometry referrals into the national eye care system |
topic | Retina |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7978272/ https://www.ncbi.nlm.nih.gov/pubmed/33791435 http://dx.doi.org/10.1136/bmjophth-2020-000671 |
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