Scaling Up Teleophthalmology for Diabetic Eye Screening: Opportunities for Widespread Implementation in the USA

Current Diabetes Reports
Yao LiuRamsey Benkert

Abstract

We discuss opportunities to address key barriers to widespread implementation of teleophthalmology programs for diabetic eye screening in the United States (U.S.). Teleophthalmology is an evidence-based form of diabetic eye screening. This technology has been proven to substantially increase diabetic eye screening rates and decrease blindness. However, teleophthalmology implementation remains limited among U.S. health systems. Major barriers include financial concerns as well as limited utilization by providers, clinical staff, and patients. Possible interventions include increasingly affordable camera technology, demonstration of financially sustainable billing models, and engaging key stakeholders. Significant opportunities exist to overcome barriers to scale up and promote widespread implementation of teleophthalmology in the USA. Further development of methods to sustain effective increases in diabetic eye screening rates using this technology is needed. In addition, the demonstration of cost-effectiveness in a variety of billing models should be investigated to facilitate widespread implementation of teleophthalmology in U.S. health systems.

References

Jan 23, 1996·Proceedings of the National Academy of Sciences of the United States of America·M Meister
Apr 23, 2003·Retina·Anthony A CavalleranoUNKNOWN Joslin Vision Network Clinical Team
Mar 16, 2005·Archives of Ophthalmology·M Elizabeth HartnettKaren B Desalvo
Apr 6, 2005·American Journal of Ophthalmology·Anthony A CavalleranoUNKNOWN Joslin Vision Network Research Team
Feb 21, 2007·Journal of Rehabilitation Research and Development·Paul R ConlinAdam W Darkins
Jun 17, 2009·Journal of Occupational and Environmental Medicine·Meghan E ShortMark G Wilson
Oct 31, 2009·Investigative Ophthalmology & Visual Science·Clay D Holley, Paul P Lee
Jan 1, 2008·Journal of Diabetes Science and Technology·Anthony A Cavallerano, Paul R Conlin
Feb 5, 2010·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Nawaaz NathooMatthew T S Tennant
Oct 6, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Helen K LiJay Federman
Dec 6, 2012·Ophthalmology·Sudhir RachapelleSarah Polack
Oct 10, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Steven L MansbergerThomas M Becker
Nov 19, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nancy E Brown-ConnollyJennifer English
May 31, 2014·JAMA Ophthalmology·Joel E ChasanMary G Lynch
Nov 14, 2014·JAMA Ophthalmology·Cynthia OwsleyUNKNOWN Innovative Network for Sight (INSIGHT) Research Group
Dec 5, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Isabel de la Torre-DíezCarlos de Castro
Mar 12, 2015·Current Opinion in Ophthalmology·Ingrid E Zimmer-GallerSunil Gupta
Jan 1, 2014·The Pan African Medical Journal·Guillermo Martínez PérezPeter Saranchuk
Jan 1, 2016·JAMA Ophthalmology·O Bennett WaltonYvonne I Chu
Jun 24, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nita G ValikodathMaria A Woodward
Jul 15, 2016·The New England Journal of Medicine·E Ray Dorsey, Eric J Topol
Oct 21, 2016·Archivos de la Sociedad Española de Oftalmología·A Pareja-RíosM D Marrero-Saavedra
Nov 1, 2016·Current Diabetes Reports·Mark B HortonLloyd Paul Aiello
Dec 17, 2016·Diabetes Care·UNKNOWN American Diabetes Association
Jan 13, 2017·Journal of Racial and Ethnic Health Disparities·Juan R CanedoMaureen Sanderson
Feb 23, 2017·Diabetes Care·Sharon D SolomonThomas W Gardner
Jun 26, 2017·Ophthalmology·Siddarth RathiJoel S Schuman

❮ Previous
Next ❯

Citations

Jun 3, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Michael P EllisGlenn Yiu
Jul 23, 2020·Current Opinion in Ophthalmology·Meghana KalavarJayanth Sridhar
Mar 27, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Mark B HortonIngrid Zimmer-Galler
Aug 28, 2020·JAMA Ophthalmology·William G GensheimerGary L Legault
Oct 1, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Gary J LelliSuzanne W van Landingham
Oct 12, 2021·Ophthalmology and Therapy·Yee Ling WongTariq M Aslam

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.