Increasing the impact of teleophthalmology in Australia: Analysis of structural and economic drivers in a state service

The Australian Journal of Rural Health
Hessom RazaviAngus W Turner

Abstract

Despite its potential to improve service provision for country patients, teleophthalmology is currently underused in Australia. There is an associated lack of cost-effectiveness data for teleophthamology. Retrospective and prospective hospital-based clinical audits of 5456 patients; descriptive survey of available telehealth equipment in 129 regional facilities; cost calculations for teleophthalmology, patient transfers and outreach services. Primary (optometry, general practice [GP], Aboriginal Medical Service [AMS]) and secondary (hospital) sites in regional Western Australia; a tertiary hospital in Perth. Proportion of patients suitable for teleophthalmology; proportion of regional practices with telehealth technology; capital expenditure to equip regional practices for teleophthalmology; total savings from increased utilisation of teleophthalmology. Advocacy for funding, regulatory, training and infrastructure recommendations, in order to support efficient models of teleophthalmology. A total of 15% and 24% of urgent patient transfers and outreach consultations, respectively, were found to be suitable for teleophthalmology, equating to a potential total cost saving of $1.1 million/year. Capital expenditure required for basi...Continue Reading

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Citations

Feb 26, 2019·Clinical & Experimental Ophthalmology·Aisling McGlacken-ByrneJocelyn Drinkwater
Oct 28, 2019·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Andrew Ak NguyenAngus W Turner
Jun 18, 2020·European Journal of Ophthalmology·Rawan Shahbaz, Mauro Salducci
Jan 14, 2020·International Journal of Telemedicine and Applications·Anthony Vipin DasMukesh Taneja
Nov 14, 2017·Clinical & Experimental Ophthalmology·Hessom RazaviRobyn Guymer
Dec 5, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Marcus P ConwayEmma S Duignan
Aug 13, 2021·Asia-Pacific Journal of Ophthalmology·Rishi RamessurDawn A Sim

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