在COVID-19大流行期间,远视科扩展用于糖尿病视网膜病症查的使用
Lindsey Nguyen1, Trisha Jaishankar1, Tanvi Chokshi1
1Department of Ophthalmology & Vision Sciences, University of California, Davis, Sacramento, California, USA.
概括
加利福尼亚大学戴维斯健康扩大了糖尿病视网膜病变查的远视医学,增加了获取和提高了率. 虽然最初的流行病封锁造成了差异,但这些差异在封锁后没有持续.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,医疗保健的快速适应变得更加必要.
- 远视眼科成为维持基本健康查的关键工具.
- 糖尿病视网膜病变 (DR) 查对于预防糖尿病患者视力丧失至关重要.
研究的目的:
- 评估加利福尼亚大学戴维斯健康 (UCDH) 对糖尿病视网膜病症查扩大远程眼科服务的结果.
- 在COVID-19流行病封锁期间调查在远程DR查中潜在的人口,社会经济和临床差异.
主要方法:
- 在UCDH进行远程DR查的患者的回顾性审查.
- 在COVID-19封锁期间之前,期间和之后患者特征的比较.
- 分析远视科诊所的访问量,DR查率和患者人口统计数据.
主要成果:
- 在封锁后,UCDH显著增加了季度远视科诊所的次数 (46.4至253.8,p < 0.001).
- 糖尿病视网膜病变查率从51.0%提高到56.9% (p = 0.03).
- 在封锁期间,失业者比例较高,收入较高,地理位置较近的患者较多,社会经济不利的人数较少.
结论:
- 在UCDH扩展远视医学导致了DR查的持续改善.
- 在最初的疫情封锁期间,弱势群体的远视治疗机会减少.
- 在最初的封锁期后,这些访问差异在很大程度上得到解决,这表明扩展系统的弹性.
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