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[Telemedicine in ophthalmology: an appropriateness document developed through an e-consensus using the RAND/UCLA

Roberto Perilli1, Claudio Azzolini2, Filippo Cruciani3

  • 1Uos Oculistica territoriale, Asl Pescara.

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Summary

Telemedicine in ophthalmology shows promise for patient history collection and follow-up care. However, clinicians express uncertainty regarding its use for diagnosis and disease identification in Italy.

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Area of Science:

  • Digital Health
  • Ophthalmology
  • Telemedicine

Background:

  • Telemedicine, a core element of Digital Health (e-Health), leverages information and communication technologies to enhance healthcare access and patient monitoring.
  • It is particularly relevant for managing chronic diseases and ensuring continuity of care.

Purpose of the Study:

  • To investigate ophthalmologists' perspectives on telemedicine appropriateness in Italy.
  • To evaluate potential clinical practice recommendations (CPRs) for telemedicine in ophthalmology using an e-consensus method.

Main Methods:

  • An e-consensus study was conducted using the RAND/UCLA method between June and October 2024.
  • Two rounds of questions were administered to a panel of 28 clinicians (40% response rate) and one telemedicine engineer.

Main Results:

  • Clinicians in Italy find telemedicine most appropriate for non-clinical tasks like medical history collection, reporting, goal setting, and follow-up.
  • Significant uncertainty exists regarding the use of telemedicine for diagnostic procedures and disease identification in ophthalmology.

Conclusions:

  • Telemedicine's role in ophthalmology in Italy is currently viewed as more suitable for administrative and follow-up phases than for direct diagnosis.
  • Further research and consensus-building are needed to clarify telemedicine's diagnostic capabilities and applications in ophthalmology.