2017
DOI: 10.1186/s12913-017-2045-2
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What do patients with diabetes and providers think of an innovative Australian model of remote diabetic retinopathy screening? A qualitative study

Abstract: BackgroundDiabetic retinopathy (DR) is the commonest cause of preventable blindness in working age populations, but up to 98% of visual loss secondary to DR can be prevented with early detection and treatment. In 2012, an innovative outreach DR screening model was implemented in remote communities in a state of Australia. The aim of this study was to explore the acceptability of this unique DR screening model to patients, health professionals and other key stakeholders.MethodsThis descriptive qualitative study… Show more

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Cited by 17 publications
(23 citation statements)
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“…Understanding the demand-side factors facilitates the development of targeted demand-side interventions that reduce the barriers and support the enablers to increase the uptake of eye examination. Several studies have examined the use of eye care among patients with diabetes in America, Asia, Europe, and Oceania [ 16 21 ]. Many studies in Africa have focused on access to eye care for cataract but not DR [ 22 30 ].…”
Section: Introductionmentioning
confidence: 99%
“…Understanding the demand-side factors facilitates the development of targeted demand-side interventions that reduce the barriers and support the enablers to increase the uptake of eye examination. Several studies have examined the use of eye care among patients with diabetes in America, Asia, Europe, and Oceania [ 16 21 ]. Many studies in Africa have focused on access to eye care for cataract but not DR [ 22 30 ].…”
Section: Introductionmentioning
confidence: 99%
“…Over 10 years (1996–2006) this initiative increased screening rates threefold . Many studies have proven efficacy of diabetic retinopathy screening in research settings, such as: an orthoptist‐based opportunistic screening initiative trialling automated real‐time grading of retinal fundus images from patients with type 1 diabetes attending a city hospital endocrinology outpatient clinic, a nurse‐led screening initiative within a pathology service with grading in an offsite grading centre; a screening initiative in the Northern Territory led by Aboriginal Health Workers and Practitioners with grading in a remote city‐based retinopathy grading centre; and a mobile outreach screening service in rural and remote communities . To date, these models of diabetic retinopathy screening implementation in Australia have demonstrated efficacy, but have had varying degrees of success beyond the research setting, partly due to inadequate public awareness of diabetic retinopathy, high retinopathy screening programme costs and inadequate screening integration into existing clinical workflows.…”
Section: Australian Camera‐based Retinopathy Screening Initiativesmentioning
confidence: 99%
“…Currently, credentialled diabetes educators with retinal imager training are a scarce, but potentially valuable, resource. A large body of evidence from camera‐based screening studies since the 1990s demonstrates that retinal photography with digital retinal cameras is a skill readily acquired by non‐ophthalmic clinical staff, including GP, nurses and Aboriginal health workers . Endocrinologists are also potential trainees.…”
Section: A Novel Model Of Integrated Diabetic Retinopathy Screeningmentioning
confidence: 99%
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“…Given that chronic care management is intended to improve both health service delivery and patient quality of life, research into facilitators of chronic care management has grown in recent years. This has resulted in the identification of several domains of interest: health information systems development [ 17 , 18 , 19 ], organized channels of communication [ 6 , 20 , 21 ], collaboration with specialists such as endocrinologists [ 22 , 23 , 24 ], relationship building with patients to improve engagement [ 6 , 25 ], involvement of community health workers and/or educators [ 20 , 26 , 27 ], telemedicine such as remote screenings [ 28 , 29 , 30 ], medication management [ 21 , 31 ], and establishment of clinic-community collaborations [ 6 , 18 ]. Potential barriers to implementing CCM programs include challenges addressing social needs of the patient that impact their self-management ability [ 6 ] and establishing provider buy-in for new processes and procedures [ 18 ].…”
Section: Introductionmentioning
confidence: 99%