Welcoming teleretinography into diabetes integrated care.
Roberto PerilliSilvio P MariottiLeonardo MastropasquaFrancesco Maria BandelloMauro GrigioniRosanna TarriconeFrancesco PetraccaAgostino ConsoliPublished in: European journal of ophthalmology (2021)
Integrated Care (IC) is a perfect fit for people with diabetes. Fundus examination (FE) is a disease marker for diabetologists and identifies potentially blinding complications (Diabetic Retinopathy, DR). In our Diabetes Clinic (DC) in Pescara, Italy, FE is possibly provided with telemedicine in same day as other exams, avoiding it to be a standalone clinical one; images taken with a retinal digital camera are graded by a remote ophthalmologist within a shared Electronic Health Record (EHR), immediately readable by other stakeholders; a dedicated care path to the Eye Clinic, University of Chieti-Pescara is provided for urgent cases. Personnel's worktime shortening allows gaining time for ophthalmologists' eye examinations in outpatient settings and other stakeholders' work in the DC. The need for a DR digital screening system is growing worldwide: our experience confirms the ease of implementation, and the advantage of sharing clinical data with all stakeholders when working within an EHR, aiming to optimize an IC effective system.
Keyphrases
- electronic health record
- diabetic retinopathy
- healthcare
- optical coherence tomography
- type diabetes
- quality improvement
- cardiovascular disease
- palliative care
- primary care
- clinical decision support
- glycemic control
- adverse drug
- dendritic cells
- affordable care act
- deep learning
- convolutional neural network
- risk factors
- health information
- big data
- adipose tissue
- machine learning
- artificial intelligence
- social media