Factors Associated with Ophthalmology Referral and Adherence in a Teleretinal Screening Program: Insights from a Federally Qualified Health Center.
Ailin SongNicholas A JohnsonDelaram MirzaniaAlexandria M AyalaKelly W MuirAtalie C ThompsonPublished in: Clinical ophthalmology (Auckland, N.Z.) (2022)
In an FQHC serving predominantly uninsured and underinsured patients, only 49% of recommended DFE were completed within one year. Less severe diabetic retinopathy, lack of insurance coverage, and Hispanic ethnicity were associated with a lower likelihood of having a DFE regardless of recommendation. These results suggest that greater system-level efforts are needed to increase adherence to follow-up eye exams after TRI to ensure sight-saving care for underserved populations.
Keyphrases
- diabetic retinopathy
- affordable care act
- healthcare
- quality improvement
- end stage renal disease
- newly diagnosed
- ejection fraction
- health insurance
- public health
- chronic kidney disease
- primary care
- palliative care
- optical coherence tomography
- mental health
- peritoneal dialysis
- type diabetes
- early onset
- genetic diversity