Detección de glaucoma mediante telemedicina con SisGlaTel: satisfacción y aceptación entre los participantes y problemas detectados

Blázquez, Francisco Javier Sáez; Sebastián, M.A.; Antón, Alfonso

doi:10.4321/s0365-66912008000900005

Cited by 14 publications

(12 citation statements)

References 8 publications

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“…The high level of patient satisfaction with the EQUALITY telemedicine program in the current study is consistent with other telemedicine glaucoma studies, 33 , 67 as well as with the literature regarding telemedicine used to diagnose diabetic retinopathy. 68 , 69 Patients also found it convenient to have their exam at the EQUALITY location, which could make it more likely that they will pursue eye care utilization using this model in the future, as the community-based eye care clinic is in close proximity to a large general retailer where patients routinely shop for necessary goods.…”

Section: Discussionsupporting

confidence: 91%

Eye Care Quality and Accessibility Improvement in the Community (EQUALITY): impact of an eye health education program on patient knowledge about glaucoma and attitudes about eye care

Rhodes¹,

Huisingh²,

McGwin³

et al. 2016

PROM

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PurposeTo assess the impact of the education program of the Eye Care Quality and Accessibility Improvement in the Community (EQUALITY) telemedicine program on at-risk patients’ knowledge about glaucoma and attitudes about eye care as well as to assess patient satisfaction with EQUALITY.Patients and methodsNew or existing patients presenting for a comprehensive eye exam (CEE) at one of two retail-based primary eye clinics were enrolled based on ≥1 of the following at-risk criteria for glaucoma: African Americans ≥40 years of age, Whites ≥50 years of age, diabetes, family history of glaucoma, and/or preexisting diagnosis of glaucoma. A total of 651 patients were enrolled. A questionnaire was administered prior to the patients’ CEE and prior to the patients receiving any of the evidence-based eye health education program; a follow-up questionnaire was administered 2–4 weeks later by phone. Baseline and follow-up patient responses regarding knowledge about glaucoma and attitudes about eye care were compared using McNemar’s test. Logistic regression models were used to assess the association of patient-level characteristics with improvement in knowledge and attitudes. Overall patient satisfaction was summarized.ResultsAt follow-up, all patient responses in the knowledge and attitude domains significantly improved from baseline (P≤0.01 for all questions). Those who were unemployed (odds ratio =0.63, 95% confidence interval =0.42–0.95, P=0.026) or had lower education (odds ratio =0.55, 95% confidence interval =0.29–1.02, P=0.058) were less likely to improve their knowledge after adjusting for age, sex, race, and prior glaucoma diagnosis. This association was attenuated after further adjustment for other patient-level characteristics. Ninety-eight percent (n=501) of patients reported being likely to have a CEE within the next 2 years, whereas 63% (n=326) had a CEE in the previous 2 years. Patient satisfaction with EQUALITY was high (99%).ConclusionImproved knowledge about glaucoma and a high intent to pursue eye care may lead to improved detection of early disease, thus lowering the risk of blindness.

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Section: Discussionsupporting

confidence: 91%

Eye Care Quality and Accessibility Improvement in the Community (EQUALITY): impact of an eye health education program on patient knowledge about glaucoma and attitudes about eye care

Rhodes¹,

Huisingh²,

McGwin³

et al. 2016

PROM

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“…It would be useful to know the converse, that patients seen in person would feel equally well supported if they had the ophthalmologist input to their care via a virtual clinic evaluation. A Spanish study by Blázquez et al 7 reported high levels of patient satisfaction with a telemedicine glaucoma screening program among an at-risk population but this is the first study we are aware of that looks at the satisfaction of patients reviewed virtually who have already been referred into the hospital eye care setting compared to the traditional standard clinic format.…”

Section: Discussionmentioning

confidence: 93%

Virtual glaucoma clinics: patient acceptance and quality of patient education compared to standard clinics

Court¹,

Austin²

2015

OPTH

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PurposeVirtual glaucoma clinics allow rapid, reliable patient assessment but the service should be acceptable to patients and concordance with treatment needs to be maintained with adequate patient education. This study compares experiences and understanding of patients reviewed via the virtual clinic versus the standard clinic by way of an extended patient satisfaction questionnaire (PSQ).Patients and methodsOne hundred PSQs were given to consecutive patients attending glaucoma clinics in October 2013. All 135 patients reviewed via the virtual clinic from April 2013 until August 2013 were sent postal PSQs in September 2013. Data were obtained for demographics, understanding of glaucoma, their condition, satisfaction with their experience, and quality of information. Responses were analyzed in conjunction with the clinical records.ResultsEighty-five percent of clinic patients and 63% of virtual clinic patients responded to the PSQ. The mean satisfaction score was over 4.3/5 in all areas surveyed. Virtual clinic patients’ understanding of their condition was very good, with 95% correctly identifying their diagnosis as glaucoma, 83% as ocular hypertension and 78% as suspects. There was no evidence to support inferior knowledge or self-perceived understanding compared to standard clinic patients. Follow-up patients knew more about glaucoma than new patients. Over 95% of patients found our information leaflet useful. Forty percent of patients sought additional information but less than 20% used the internet for this.ConclusionA substantial proportion of glaucoma pathway patients may be seen by non-medical staff supervised by glaucoma specialists via virtual clinics. Patients are accepting of this format, reporting high levels of satisfaction and non-inferior knowledge to those seen in standard clinics.

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“…Physician supervision may be reduced to quality control and confirmation of abnormal imaging results, which may significantly decrease assessment time and cost. De Mul et al showed that GDx images obtained and filtered by optometrists are useful for glaucoma screening by telemedicine, 10 while Blazquez et al, 11 Ohkubo et al, 8 and Toth et al 9 reported the usefulness of HRT for glaucoma screening.…”

Section: Introductionmentioning

confidence: 99%

Cost and detection rate of glaucoma screening with imaging devices in a primary care center

Antón¹,

Fallon²,

Cots³

et al. 2017

OPTH

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PurposeTo analyze the cost and detection rate of a screening program for detecting glaucoma with imaging devices.Materials and methodsIn this cross-sectional study, a glaucoma screening program was applied in a population-based sample randomly selected from a population of 23,527. Screening targeted the population at risk of glaucoma. Examinations included optic disk tomography (Heidelberg retina tomograph [HRT]), nerve fiber analysis, and tonometry. Subjects who met at least 2 of 3 endpoints (HRT outside normal limits, nerve fiber index ≥30, or tonometry ≥21 mmHg) were referred for glaucoma consultation. The currently established (“conventional”) detection method was evaluated by recording data from primary care and ophthalmic consultations in the same population. The direct costs of screening and conventional detection were calculated by adding the unit costs generated during the diagnostic process. The detection rate of new glaucoma cases was assessed.ResultsThe screening program evaluated 414 subjects; 32 cases were referred for glaucoma consultation, 7 had glaucoma, and 10 had probable glaucoma. The current detection method assessed 677 glaucoma suspects in the population, of whom 29 were diagnosed with glaucoma or probable glaucoma. Glaucoma screening and the conventional detection method had detection rates of 4.1% and 3.1%, respectively, and the cost per case detected was 1,410 and 1,435€, respectively. The cost of screening 1 million inhabitants would be 5.1 million euros and would allow the detection of 4,715 new cases.ConclusionThe proposed screening method directed at population at risk allows a detection rate of 4.1% and a cost of 1,410 per case detected.

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Detección de glaucoma mediante telemedicina con SisGlaTel: satisfacción y aceptación entre los participantes y problemas detectados

Cited by 14 publications

References 8 publications

Eye Care Quality and Accessibility Improvement in the Community (EQUALITY): impact of an eye health education program on patient knowledge about glaucoma and attitudes about eye care

Eye Care Quality and Accessibility Improvement in the Community (EQUALITY): impact of an eye health education program on patient knowledge about glaucoma and attitudes about eye care

Virtual glaucoma clinics: patient acceptance and quality of patient education compared to standard clinics

Cost and detection rate of glaucoma screening with imaging devices in a primary care center

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