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首页> 外文期刊>Journal of health care for the poor and underserved >Improving diabetic retinopathy screening through a statewide telemedicine program at a large federally qualified health center.
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Improving diabetic retinopathy screening through a statewide telemedicine program at a large federally qualified health center.

机译：通过大型联邦合格医疗中心的全州远程医疗计划，改善糖尿病性视网膜病变的筛查。

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BACKGROUND: Diabetic retinopathy (DR) is the leading cause of acquired blindness in U.S. adults. Early detection prevents progression. Screening rates are only 10% in medically underserved populations. METHODS: A statewide telemedicine-based program within primary care centers was implemented to improve DR screening, detection and referrals for underserved patients. STUDY DESIGN: Retrospective, descriptive study. RESULTS: A total of 568 adults were screened during a comprehensive nurse visit from July 2009-June 2010 and had complete data available. Nearly 60% were minorities and 24% were uninsured. A total of 145 cases of DR were identified. The majority were recommended to return in one year for follow-up, while 75 were referred to a specialist. CONCLUSIONS: Telemedicine using digital imaging technology in the primary care office is a strategy that can be used to screen underserved and at-risk patients for DR, increase compliance with screening, and streamline specialist referrals.
机译：背景：糖尿病性视网膜病（DR）是美国成年人获得性失明的主要原因。早期发现可防止进展。在医疗不足的人群中，筛查率仅为10％。方法：在基层医疗中心实施了一项基于州远程医疗的计划，以改善对服务不足的患者的DR筛查，检测和转诊。研究设计：回顾性描述性研究。结果：从2009年7月至2010年6月，在对护士进行全面访问期间，共筛选了568名成人，并获得了完整的数据。少数民族中将近60％，未投保的有24％。共鉴定出145例DR。建议大多数人在一年内返回以进行随访，另有75人被推荐给专家。结论：在基层医疗机构使用数字成像技术进行远程医疗是一种可用于筛查服务不足和高危患者的DR的方法，提高对筛查的依从性，并简化专家转诊的流程。

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