TELERETINOGRAPHY INTO DIABETES INTEGRATED CARE: AN ITALIAN EXPERIENCE

Authors

Abstract

Integrated care allows information exchange among health professionals. In diabetes, a better control of outcomes and a reduction of the need for hospital admission were noticed worldwide. Teleretinography, performed in Diabetology Units (DUs), graded by a remote ophthalmologist, and forwarded to general practitioners (GPs), can cost-effectively identify retinal microangiopathy. In our DU, participating in a national diabetes integrated care program (IGEA), in a ten-month period teleretinography was performed in 362 new patients not having undergone fundus examination in the last year or more. Retinal imaging allowed discovering stages of diabetic retinopathy (DR) to be referred to the hospital setting, and a series of comorbidities. The suggested care path and follow-up were rapidly forwarded to GPs for all patients, thus improving their adherence to guidelines. These advantages and other important ones, such as reducing fundus examinations in ophthalmic settings and conveying information into the patient's Electronic Health Record, make teleretinography worth becoming part of the integrated care process in diabetic patients.    

Share on

Downloads

Authors

Roberto Perilli - UOSD OFTALMOLOGIA SOCIALE TERRITORIALE AZIENDA SANITARIA LOCALE PESCARA

Rosamaria Di Biagio - UOC ENDOCRINOLOGIA E MALATTIE DEL METABOLISMO, CENTRO DI DIABETOLOGIA AUSL PESCARA

Renato Seller - GENERAL PRACTITIONER PESCARA

Luigi Ruotolo - opeNETica, MONTESILVANO (PESCARA)

Carla Granchelli - DIPARTIMENTO DI PREVENZIONE AUSL PESCARA

Valeria Marisi - DIPARTIMENTO DI PREVENZIONE AUSL PESCARA

Stefania Melena - SERVIZIO PREVENZIONE E TUTELA SANITARIA, ASSESSORATO SANITA', REGIONE ABRUZZO

Agostino Consoli - UOC ENDOCRINOLOGIA E MALATTIE DEL METABOLISMO, CENTRO DI DIABETOLOGIA AUSL PESCARA

How to Cite
Perilli, R., Di Biagio, R., Seller, R., Ruotolo, L., Granchelli, C., Marisi, V., Melena, S., & Consoli, A. (2017). TELERETINOGRAPHY INTO DIABETES INTEGRATED CARE: AN ITALIAN EXPERIENCE. Annali dell’Istituto Superiore Di Sanità, 52(4), 598-602. Retrieved from https://annali.iss.it/index.php/anna/article/view/272
  • Abstract viewed - 350 times