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Satisfaction of patients and primary care professionals with a teleophthalmology-based screening programme for diabetic retinopathy in a rural area in Castilla y León, Spain.
Rural Remote Health. 2020 01; 20(1):5180.RR

Abstract

INTRODUCTION

Diabetic retinopathy (DR) is the leading cause of blindness in working-age adults in most developed countries. Early diagnosis and early treatment for retinopathy can reduce the incidence of severe loss of vision in a high percentage of sight-threatening DR. However, sight-threatening DR is asymptomatic in a high percentage of patients and no more than 50% of the diabetic patients are reviewed periodically in ophthalmology, mainly in rural areas. Telemedicine facilitates the exchange of information among professionals, reducing unnecessary journeys for patients who live in rural or remote areas. The survey of satisfaction is a highly useful quantitative instrument to obtain information directly from the users of a screening program. One aim of this study has been to determine the prevalence of DR in a sample of diabetic patients from a rural area of Spain and to classify DR patients according to the type and severity of this complication of the disease. The other main target was to evaluate the degree of satisfaction in both diabetic patients and professionals with a teleophthalmology-based screening program of DR.

METHODS

A sample of 114 diabetic patients included in a new teleophthalmology program for the screening of DR in Castilla y León, Spain, were asked to take part in an in-person survey designed to evaluate the degree of satisfaction. This sample was obtained through a consecutive non-probability sampling technique, out of a total of 752 diabetic patients who underwent a retinography screening program in a distant rural healthcare center. The survey assessed aspects related to the information about the program the patients received, the organization of the center, the way the test was conducted and the reception of the results. All the included participants consented to participate in this study. Additionally, an anonymous survey was conducted via email. The sample was made up of 10 professionals responsible for taking the retinal images from the patients included in the study. This survey assessed their degree of satisfaction with their training, the way the test was carried out, the support from their managers and how this activity influenced their relationship with their patients.

RESULTS

A high percentage of patients with DR in the study sample had a form of sight-threatening retinopathy (29.4%), which in this program is a criterion of referral to be assessed by an ophthalmologist. Of the surveyed patients, 93.8% scored eight points or higher for their degree of general satisfaction with the activity. All of them claimed they would prefer to continue their exploration at the healthcare center instead of going to the hospital. As regards the professionals, 70% scored eight points or more in terms of their degree of general satisfaction with the activity, whereas 20% scored between five and seven. One professional did not respond to the question. Finally, 90% stated that they would continue performing the activity, while the remaining 10% answered no.

CONCLUSION

According to the high percentage of patients diagnosed with vision-threatening DR in this study, an early diagnosis of this complication of diabetes seems to be important. Teleophthalmology enhances patient accessibility to the healthcare system, making early diagnosis of DR easier, with a high degree of satisfaction among patients and healthcare professionals.

Authors+Show Affiliations

Peñafiel Healthcare Centre, Salud Castilla y Leon, Avenida de la Cruz Roja s/n Peñafiel, 47300, Valladolid, Spain yvalpuestam@gmail.com.Ophthalmology, Hospital Clínico Universitario, Valladolid, Spain gabriela.26391@gmail.com.Peñafiel Healthcare Centre, Salud Castilla y Leon, Avenida de la Cruz Roja s/n Peñafiel, 47300, Valladolid, Spain tmaroto@saludcastillayleon.es.Peñafiel Healthcare Centre, Salud Castilla y Leon, Avenida de la Cruz Roja s/n Peñafiel, 47300, Valladolid, Spain mopivel@hotmail.com.Peñafiel Healthcare Centre, Salud Castilla y Leon, Avenida de la Cruz Roja s/n Peñafiel, 47300, Valladolid, Spain susanahs@hotmail.com.Ophthalmology, Hospital Clínico Universitario, Valladolid, Spain maribel@ioba.med.uva.es.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31941342

Citation

Valpuesta Martin, Yolanda, et al. "Satisfaction of Patients and Primary Care Professionals With a Teleophthalmology-based Screening Programme for Diabetic Retinopathy in a Rural Area in Castilla Y León, Spain." Rural and Remote Health, vol. 20, no. 1, 2020, p. 5180.
Valpuesta Martin Y, Pacheco Callirgos GE, Maroto Martín TM, et al. Satisfaction of patients and primary care professionals with a teleophthalmology-based screening programme for diabetic retinopathy in a rural area in Castilla y León, Spain. Rural Remote Health. 2020;20(1):5180.
Valpuesta Martin, Y., Pacheco Callirgos, G. E., Maroto Martín, T. M., Piriz Veloso, M., Hernández Santamaría, S., & López Gálvez, M. I. (2020). Satisfaction of patients and primary care professionals with a teleophthalmology-based screening programme for diabetic retinopathy in a rural area in Castilla y León, Spain. Rural and Remote Health, 20(1), 5180. https://doi.org/10.22605/RRH5180
Valpuesta Martin Y, et al. Satisfaction of Patients and Primary Care Professionals With a Teleophthalmology-based Screening Programme for Diabetic Retinopathy in a Rural Area in Castilla Y León, Spain. Rural Remote Health. 2020;20(1):5180. PubMed PMID: 31941342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Satisfaction of patients and primary care professionals with a teleophthalmology-based screening programme for diabetic retinopathy in a rural area in Castilla y León, Spain. AU - Valpuesta Martin,Yolanda, AU - Pacheco Callirgos,Gabriela Estefanía, AU - Maroto Martín,Teresa Marcela, AU - Piriz Veloso,Monserrat, AU - Hernández Santamaría,Susana, AU - López Gálvez,María Isabel, Y1 - 2020/01/16/ PY - 2020/1/17/entrez PY - 2020/1/17/pubmed PY - 2021/1/27/medline KW - Spain KW - non-mydriatic retinal camera KW - patient satisfaction KW - primary health care KW - teleophthalmology KW - diabetic retinopathy SP - 5180 EP - 5180 JF - Rural and remote health JO - Rural Remote Health VL - 20 IS - 1 N2 - INTRODUCTION: Diabetic retinopathy (DR) is the leading cause of blindness in working-age adults in most developed countries. Early diagnosis and early treatment for retinopathy can reduce the incidence of severe loss of vision in a high percentage of sight-threatening DR. However, sight-threatening DR is asymptomatic in a high percentage of patients and no more than 50% of the diabetic patients are reviewed periodically in ophthalmology, mainly in rural areas. Telemedicine facilitates the exchange of information among professionals, reducing unnecessary journeys for patients who live in rural or remote areas. The survey of satisfaction is a highly useful quantitative instrument to obtain information directly from the users of a screening program. One aim of this study has been to determine the prevalence of DR in a sample of diabetic patients from a rural area of Spain and to classify DR patients according to the type and severity of this complication of the disease. The other main target was to evaluate the degree of satisfaction in both diabetic patients and professionals with a teleophthalmology-based screening program of DR. METHODS: A sample of 114 diabetic patients included in a new teleophthalmology program for the screening of DR in Castilla y León, Spain, were asked to take part in an in-person survey designed to evaluate the degree of satisfaction. This sample was obtained through a consecutive non-probability sampling technique, out of a total of 752 diabetic patients who underwent a retinography screening program in a distant rural healthcare center. The survey assessed aspects related to the information about the program the patients received, the organization of the center, the way the test was conducted and the reception of the results. All the included participants consented to participate in this study. Additionally, an anonymous survey was conducted via email. The sample was made up of 10 professionals responsible for taking the retinal images from the patients included in the study. This survey assessed their degree of satisfaction with their training, the way the test was carried out, the support from their managers and how this activity influenced their relationship with their patients. RESULTS: A high percentage of patients with DR in the study sample had a form of sight-threatening retinopathy (29.4%), which in this program is a criterion of referral to be assessed by an ophthalmologist. Of the surveyed patients, 93.8% scored eight points or higher for their degree of general satisfaction with the activity. All of them claimed they would prefer to continue their exploration at the healthcare center instead of going to the hospital. As regards the professionals, 70% scored eight points or more in terms of their degree of general satisfaction with the activity, whereas 20% scored between five and seven. One professional did not respond to the question. Finally, 90% stated that they would continue performing the activity, while the remaining 10% answered no. CONCLUSION: According to the high percentage of patients diagnosed with vision-threatening DR in this study, an early diagnosis of this complication of diabetes seems to be important. Teleophthalmology enhances patient accessibility to the healthcare system, making early diagnosis of DR easier, with a high degree of satisfaction among patients and healthcare professionals. SN - 1445-6354 UR - https://www.unboundmedicine.com/medline/citation/31941342/Satisfaction_of_patients_and_primary_care_professionals_with_a_teleophthalmology_based_screening_programme_for_diabetic_retinopathy_in_a_rural_area_in_Castilla_y_León_Spain_ L2 - https://www.rrh.org.au/articles/subviewnew.asp?ArticleID=5180 DB - PRIME DP - Unbound Medicine ER -