Modelo de manejo en red y por telemedicina de la retinopatía diabética en dos comunas del Servicio de Salud Metropolitano Oriente

Abstract

Management of diabetic retinopathy using telemedicine and network integrationBackground: If we are able to increase the resolution of complex medical problems at primary health care levels, we would improve the efficiency of the health care systems and would reduce the burden of specialists. Aim: To describe the result of a telemedicine and network management of diabetic retinopathy supervised by an ophthalmological service. Material and Methods: Diabetic patients attended in primary health care centers of the East Metropolitan Health Service in Santiago, Chile, derived for 45° digital retinographies were evaluated using telemedicine by the ophthalmologists of the base hospital. These professionals screened for diabetic retinopathy and classified it. Those patients with diabetic retinopathy were derived to the base hospital for specialized management. Results: Of 2,566 patients evaluated, 22% had signs of diabetic retinopathy, 75% did not have the condition and 2% could not be evaluated with retinography. Seventy percent of patients with retinopathy, equivalent to only fifteen percent of total diabetics, were referred to the specialists for treatment. Conclusions: This model allowed a reduction of referrals to ophthalmologists, reducing the burden of secondary and tertiary health care systems.

Evaluación de satisfacción en la implementación de un nuevo sistema de telemedicina en el Servicio de Otorrinolaringología del Complejo Asistencial Dr. Sótero del Río (CASR) durante la pandemia de COVID-19

“…En salud, este fenómeno se ha evidenciado en la digitalización de la información por medio de registros clínicos electrónicos, utilización de licencias médicas electrónicas, agendamiento de consultas por vía electrónica, canales virtuales de capacitación, por mencionar algunos. Focos de desarrollo de telemedicina como lo son el hospital digital, consultas de teleasistencia a especialistas, sesiones de telerehabilitación, entre otros se venían gestando hace varios años en nuestro país [17][18][19][20] . Sin embargo, la pandemia por SARS-CoV-2 aceleró significativamente la implementación y desarrollo de plataformas capaces de entregar atención por vía remota, con el fin de mantener la atención de salud y prevenir la exposición al virus por parte de pacientes y personal sanitario.…”

Newest Diabetes-Related Technologies for Pediatric Type 1 Diabetes and Its Impact on Routine Care: a Narrative Synthesis of the Literature

“…Remote medical care, or telehealth, had been practiced increasingly for people with T1D with positive impact on their metabolic control [66]. Telemedicine's usefulness, applied to diabetic retinopathy even before pandemics, has led to optimization of health care delivery in this field around the world [67]. Recently, the COVID19 pandemic made the telemedicine practice a necessary tool to ensure care worldwide [68][69][70].…”