Review of cataract surgery in rural north Western Australia with the Lions Outback Vision

McGlacken-Byrne, Aisling; Turner, Angus; Drinkwater, Jocelyn J.

doi:10.1111/ceo.13481

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…Synchronous videoconferencing may also be utilized to consent patients for surgical management during their first in-person contact point with the specialist, as shown within Lions Outback Vision. An audit of outreach surgery found that patients assessed through telemedicine waited half the length of time compared to those assessed in traditional outpatient clinics ( 23 ). Urban centers in the United Kingdom have explored comparable models involving community optometrists and telemedicine consultations to enable “one stop cataract surgery,” demonstrating similar benefits ( 24 , 25 ).…”

Section: Translational Telemedicine: Outback Solutions To Big City Pr...mentioning

confidence: 99%

Benefits of Integrating Telemedicine and Artificial Intelligence Into Outreach Eye Care: Stepwise Approach and Future Directions

Chia

Turner

2022

Front. Med.

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Telemedicine has traditionally been applied within remote settings to overcome geographical barriers to healthcare access, providing an alternate means of connecting patients to specialist services. The coronavirus 2019 pandemic has rapidly expanded the use of telemedicine into metropolitan areas and enhanced global telemedicine capabilities. Through our experience of delivering real-time telemedicine over the past decade within a large outreach eye service, we have identified key themes for successful implementation which may be relevant to services facing common challenges. We present our journey toward establishing a comprehensive teleophthalmology model built on the principles of collaborative care, with a focus on delivering practical lessons for service design. Artificial intelligence is an emerging technology that has shown potential to further address resource limitations. We explore the applications of artificial intelligence and the need for targeted research within underserved settings in order to meet growing healthcare demands. Based on our rural telemedicine experience, we make the case that similar models may be adapted to urban settings with the aim of reducing surgical waitlists and improving efficiency.

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Section: Translational Telemedicine: Outback Solutions To Big City Pr...mentioning

confidence: 99%

Benefits of Integrating Telemedicine and Artificial Intelligence Into Outreach Eye Care: Stepwise Approach and Future Directions

Chia

Turner

2022

Front. Med.

Self Cite

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“…Several service delivery models were identified from the literature, including outreach services [ 67 , 68 , 69 , 70 , 71 ], collaboration with other healthcare professionals, including optometrists and nurses [ 72 , 73 ], integration of eye care with other locally available services [ 74 ] and the use of teleophthalmology [ 75 , 76 , 77 , 78 , 79 , 80 , 81 ] ( Table 4 ). Research has identified that ophthalmologists are one of the most willing medical specialties to participate in service outreach to rural and remote communities [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

Considerations for Training and Workforce Development to Enhance Rural and Remote Ophthalmology Practise in Australia: A Scoping Review

Obamiro

Jessup

Allen

et al. 2022

IJERPH

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Australia has one of the lowest per capita numbers of ophthalmologists among OECD countries, and they predominantly practise in metropolitan centres of the country. Increasing the size and distribution of the ophthalmology workforce is of critical importance. The objective of this review was to investigate the context of rural ophthalmology training and practise in Australia and how they relate to future ophthalmology workforce development. This scoping review was informed by Arksey and O’Malley’s framework and the methodology described by Coloqhuon et al. The search yielded 428 articles, of which 261 were screened for eligibility. Following the screening, a total of 75 articles were included in the study. Themes identified relating to rural ophthalmology training and practise included: Indigenous eye health; access and utilisation of ophthalmology-related services; service delivery models for ophthalmic care; ophthalmology workforce demographics; and ophthalmology workforce education and training for rural and remote practise. With an anticipated undersupply and maldistribution of ophthalmologists in the coming decade, efforts to improve training must focus on how to build a sizeable, fit-for-purpose workforce to address eye health needs across Australia. More research focusing on ophthalmology workforce distribution is needed to help identify evidence-based solutions for workforce maldistribution. Several strategies to better prepare the future ophthalmology workforce for rural practise were identified, including incorporating telehealth into ophthalmology training settings; collaborating with other health workers, especially optometrists and specialist nurses in eyecare delivery; and exposing trainees to more patients of Indigenous background.

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“…49 Lastly, one model described the use of teleophthalmology to assist in preoperative assessments to reduce the waiting times for cataract surgery. 50 Beyond integration of teleophthalmology services, nine models described the integration of other eye care services into existing Indigenous primary healthcare. Three models focused on optometry services in the USA 51 and Australia.…”

Section: Characteristics Of Implemented Service Delivery Modelsmentioning

confidence: 99%

Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

et al. 2021

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PurposeGlobally, there are ~370 million Indigenous peoples. Indigenous peoples typically experience worse health compared with non-Indigenous people, including higher rates of avoidable vision impairment. Much of this gap in eye health can be attributed to barriers that impede access to eye care services. We conducted a scoping review to identify and summarise service delivery models designed to improve access to eye care for Indigenous peoples in high-income countries.MethodsSearches were conducted on MEDLINE, Embase and Global Health in January 2019 and updated in July 2020. All study designs were eligible if they described a model of eye care service delivery aimed at populations with over 50% Indigenous peoples. Two reviewers independently screened titles, abstracts and full-text articles and completed data charting. We extracted data on publication details, study context, service delivery interventions, outcomes and evaluations, engagement with Indigenous peoples and access dimensions targeted. We summarised findings descriptively following thematic analysis.ResultsWe screened 2604 abstracts and 67 studies fulfilled our eligibility criteria. Studies were focused on Indigenous peoples in Australia (n=45), USA (n=11), Canada (n=7), New Zealand (n=2), Taiwan (n=1) and Greenland (n=1). The main disease focus was diabetic retinopathy (n=30, 45%), followed by ‘all eye care’ (n=16, 24%). Most studies focused on targeted interventions to increase availability of services. Fewer than one-third of studies reported involving Indigenous communities when designing the service. 41 studies reflected on whether the model improved access, but none undertook rigorous evaluation or quantitative assessment.ConclusionsThe geographical and clinical scope of service delivery models to improve access to eye care for Indigenous peoples in high-income countries is narrow, with most studies focused on Australia and services for diabetic retinopathy. More and better engagement with Indigenous communities is required to design and implement accessible eye care services.

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Review of cataract surgery in rural north Western Australia with the Lions Outback Vision

Cited by 6 publications

References 5 publications

Benefits of Integrating Telemedicine and Artificial Intelligence Into Outreach Eye Care: Stepwise Approach and Future Directions

Benefits of Integrating Telemedicine and Artificial Intelligence Into Outreach Eye Care: Stepwise Approach and Future Directions

Considerations for Training and Workforce Development to Enhance Rural and Remote Ophthalmology Practise in Australia: A Scoping Review

Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

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