Utilization and Practical Aspects of Tele-Ophthalmology between South Africa and the UK

Kennedy, Craig; Heerden, Anton Van; Cook, Colin; Murdoch, Ian

doi:10.1177/1357633x010070s108

Cited by 16 publications

(4 citation statements)

References 1 publication

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“…The largest numbers of tele-ophthalmic MOCs ( n = 17; 26%) identified in this review were for general eye care rather than for a specific disease process. 4,12,17–40 In general eye services, health professionals sought specialist advice on a specific case. Eight services described video consultations between specialists and the patient.…”

Section: Resultsmentioning

confidence: 99%

Models of care in tele-ophthalmology: A scoping review

et al. 2017

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The objective of this review was to identify and describe telehealth models of care for ophthalmic services. We conducted a scoping review of the literature to identify how ophthalmic care can be delivered by telehealth. We searched the PubMed database to identify relevant articles which were screened based on pre-defined inclusion criteria. For included articles, data were extracted, categorised and analysed. Synthesis of findings was performed narratively. The scoping review included 78 articles describing 62 discrete tele-ophthalmic models of care. Tele-ophthalmic models of care can be used for consultative service, screening, triage and remote supervision. The majority of services were for general eye care and triage ( n = 17; 26%) or emergency services ( n = 8; 12%). The most common conditions for disease-specific models of care were diabetic retinopathy ( n = 14; 21%), and glaucoma ( n = 8; 12%). Most models of care involved local clinicians capturing images and transmitting them to an ophthalmologist for assessment. This scoping review demonstrated tele-ophthalmology to be feasible for consultation, screening, triage and remote supervision applications across a broad range of ophthalmic conditions. A large number of models of care have been identified and described in this review. Considerable collaboration between patient-end clinicians and substantial infrastructure is typically required for tele-ophthalmology.

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Section: Resultsmentioning

confidence: 99%

Models of care in tele-ophthalmology: A scoping review

et al. 2017

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“…13 Several studies have explored and demonstrated the usefulness of telemedicine technology for ophthalmogy. [18][19][20][21][22] In a study done using TOSCA telescreening procedure for diabetic retinopathy, 23 94% reported satisfaction with telescreening model. In our study 97.98% reported as being satisfied with teleophthalmology screening.…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction Levels During Teleophthalmology Consultation in Rural South India

Paul

Raman

Rani

et al. 2006

Telemedicine and e-Health

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The application of new technologies for analysis of retinal images, neural networks for automated retinopathy grading, and teleophthalmology have been shown to have great value in ophthalmology. India has only one ophthalmic surgeon for every 107,000 population. Given this situation, teleophthalmology can play a vital role in addressing to the eye care needs of the country. The objective of this study was to assess patient satisfaction levels and factors influencing it during teleophthalmology consultation in India. A patient satisfaction questionnaire was prepared to assess the prominent aspects of patient satisfaction, including teleophthalmology screening, confidence in the technology used to transfer the fundus images, comprehensiveness of information available to the doctor in the central hub, and graded the opinion regarding the teleophthalmology. A cross-sectional survey among patients who attended a teleophthalmology screening conducted across eight villages in rural Tamilnadu. Responses were then subjected to qualitative analysis and conclusions made. The number of respondents was 348. Of this, 56.4% were males. The mean age of was 50 +/- 17 years. Age ranged from 2 years to 83 years. 44.4% of the respondents were satisfied with teleophthalmology screening. (95% confidence interval [CI]: 38.58%-49.42%) No association was found between age, gender, education, and occupation, respectively, with satisfaction levels. We found that patients who asked questions during the screening were 2.18 times more likely to be satisfied with teleophthalmology than those who did not (odds ratio [OR] = 2.19, 95% CI 1.37-3.5). This study highlights sentiments of the rural subjects when they underwent teleophthalmology consultations. This study provides valuable insights about patient's preferences and satisfaction levels with this newer technology.

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“…Telemedicine can support the use of real time surgical telementoring to teach complex ophthalmological procedures (Camara & Rodriguez 1998). Tele-ophthalmology can provide secondary specialist advice in the diagnosis and treatment of difficult ophthalmology cases (Kennedy et al 2001). Telemedical services must be understood as a complete process of medical care on the basis of modern communication technologies, a premise that influences the management of the process.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in ophthalmology

Lamminen

Voipio²,

Ruohonen

et al. 2003

Acta Ophthalmologica Scandinavica

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ABSTRACT.Objectives: To give an overview of telemedical applications in ophthalmology and to provide background information on new tele-ophthalmological applications. Methods: We carried out a literature review, a database search and an Internet search. Results: According to published research, the cost-efficiency of telemedicine in ophthalmology has not been established. It has been found to have educational benefits and patients have been satisfied with the possibility of obtaining specialist care without having to travel. Conclusions: Most studies have been pilot studies and telemedicine is still seldom the primary mode of operation. Technical problems have not been significant, but many open questions about organizational and operational issues remain. Further studies should be directed towards solving these problems and establishing technical standards.

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Utilization and Practical Aspects of Tele-Ophthalmology between South Africa and the UK

Cited by 16 publications

References 1 publication

Models of care in tele-ophthalmology: A scoping review

Models of care in tele-ophthalmology: A scoping review

Patient Satisfaction Levels During Teleophthalmology Consultation in Rural South India

Telemedicine in ophthalmology

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