Patient Attitudes Toward Telemedicine for Diabetic Retinopathy

Valikodath, Nita; Leveque, Thellea K.; Wang, Sophia Y.; Lee, Paul P.; Newman-Casey, Paula Anne; Hansen, Sean; Woodward, Maria A.

doi:10.1089/tmj.2016.0108

Cited by 52 publications

(56 citation statements)

References 36 publications

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“…However, the adoption, spread and sustainability of telemedicine tends to be disappointing, because of issues of cost, patient preferences and subtle but vital impacts on professional roles, interactions and work routines. 73,79,80 Telehealth Telehealth (involving the exchange of data between a patient at home and their clinician, often via a remote monitoring centre, to inform diagnosis and monitoring) and telecare (involving the use of technologies, installed at home or attached to the person's body, to allow remote monitoring of position or environment) are both the subject of considerable debate. Proof of concept (that the technology 'works') has been shown for many telehealth [81][82][83][84] and telecare 81,82,[85][86][87] technologies, and some randomised trials have demonstrated improved outcomes, such as reduced hospital admission and mortality rates.…”

Section: Telemedicinementioning

confidence: 99%

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Shaw

Wherton

Vijayaraghavan

et al. 2018

Health Serv Deliv Res

148

186

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 13/59/26. The contractual start date was in March 2015. The final report began editorial review in July 2017 and was accepted for publication in November 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Depar...

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Section: Telemedicinementioning

confidence: 99%

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Shaw

Wherton

Vijayaraghavan

et al. 2018

Health Serv Deliv Res

148

186

View full text Add to dashboard Cite

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“…These individuals were among the older ones in the group. They expressed valuing their relationship with their eye care provider and questioned the level of expertise and thoroughness of exam afforded by the primary care based teleophthalmology, a finding similar to a recent study of US Veterans [31]. Thus, ensuring that patients, especially older adults, are comfortable with the quality and reliability of teleophthalmology is important.…”

Section: Discussionmentioning

confidence: 78%

“…We not only identified many of the same barriers to obtaining a dilated eye exam as other US based studies [18-20, 31, 32, 34, 35], but also demonstrated the value of a teleophthalmology service using nonmydriatic retinal cameras in PCP practices in overcoming such barriers. The most common stated value was convenience and the ability to overcome transportation and time management issue, as noted in other international and US studies, including a recent study of a white Caucasian rural population in Wisconsin [21,23,27,30,31,34,35]. Other value included ease of use, ability to detect disease before visual symptoms, and the knowledge provided by the photos and technicians about retinopathy and eye disease, which have been only reported thus far in international studies [21][22][23][24][25][26][27].…”

Section: Discussionmentioning

confidence: 95%

“…In both the interviews and focus groups, participants first completed a brief (~10-minutes) self-administered survey [All relevant data underlying this study are within the paper. The full survey data can be found at https://doi.org/10.5281/zenodo.3550069 ] in English with open and closed ended items that were derived from the behavioral risk factors survey study [33] and previously published literature on the perception and satisfaction of teleophthalmology programs and obtaining dilated eye exams among patients with diabetes [31], but was not pilot tested. The survey including the following sections and is detailed in supplemental material: Demographic information (7-items), health information (6-items), personal views on the importance of eye care, having a dilated eye exam (5-items), and perceived value of teleophthalmology (9 in dilated exam group and 7-items in teleophthalmology group) (S1 Text).…”

Section: Data Collectionmentioning

confidence: 99%

“…A survey of US Veterans with diabetes also found that convenience was a key factor in favoring teleophthalmology. However, this cohort had not actually experienced teleophthalmology [31]. A recently published study identified barriers and facilitators of teleophthalmology among rural, white Caucasian patients in Wisconsin who had experienced this type of examination found that the convenience of teleophthalmology was a key facilitator, whereas not knowing enough about teleophthalmology was a key barrier for having such an exam [30].…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Patient perceived value of teleophthalmology in an urban, low income US population with diabetes

et al. 2020

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Dilated eye exams are the standard of care to detect advancing, vision threatening, but often asymptomatic retinopathy in a timely fashion, allowing for vision preserving treatments. Annual exam rates are suboptimal, especially in underserved populations. Although teleophthalmology programs tremendously improve annual exam rates in low income/under resourced settings, widespread adoption is limited. Using a mixed methods approach, three focus groups and individual interviews were conducted for patients with type 2 diabetes (N = 23) who had a teleophthalmology exam or a dilated eye exam. A survey and discussion assessed patients' perspectives and value of teleophthalmology, including willingness to pay (WTP). Financial, transportation, and motivational barriers to obtaining an annual dilated eye exam were identified. Patients greatly valued having primary care (PC) based teleophthalmology for its convenience and ability to detect disease to allow for timely treatment and would recommend such a service. Although their WTP was at least the amount of their usual copay, cost was universally cited as a concern. Having a conveniently offered PC based teleophthalmology exam was valued. Educating patients on the value and costs of having such exams may be helpful to encourage informed discussions on eye care, especially in low income, underserved populations. Our study is among the few to provide insight on the value and perceptions of teleophthalmology in US low income, urban minority populations needed to help increase uptake of this innovation. Using surveys followed by facilitated discussion allowed for richer and more varied responses.

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Scaling Up Teleophthalmology for Diabetic Eye Screening: Opportunities for Widespread Implementation in the USA

2019

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Patient Attitudes Toward Telemedicine for Diabetic Retinopathy

Cited by 52 publications

References 36 publications

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Patient perceived value of teleophthalmology in an urban, low income US population with diabetes

Scaling Up Teleophthalmology for Diabetic Eye Screening: Opportunities for Widespread Implementation in the USA

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