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dc.contributor.authorAraújo, Aline Lutz dept_BR
dc.contributor.authorMoreira, Taís de Campospt_BR
dc.contributor.authorRados, Dimitris Rucks Varvakipt_BR
dc.contributor.authorGross, Paula Blascopt_BR
dc.contributor.authorBastos, Cynthia Goulart Molinapt_BR
dc.contributor.authorKatz, Natanpt_BR
dc.contributor.authorHauser, Lisianept_BR
dc.contributor.authorSilva, Rodolfo Souza dapt_BR
dc.contributor.authorGadenz, Sabrina Dalboscopt_BR
dc.contributor.authorDal Moro, Rafael Gustavopt_BR
dc.contributor.authorCabral, Felipe Cezarpt_BR
dc.contributor.authorSilva, Lucas Matturro dapt_BR
dc.contributor.authorPagano, Cassia Garcia Moraespt_BR
dc.contributor.authorFaria, Amanda Gomespt_BR
dc.contributor.authorFalavigna, Maiconpt_BR
dc.contributor.authorSiqueira, Ana Célia da Silvapt_BR
dc.contributor.authorSchor, Paulopt_BR
dc.contributor.authorGonçalves, Marcelo Rodriguespt_BR
dc.contributor.authorUmpierre, Roberto Nunespt_BR
dc.contributor.authorHarzheim, Ernopt_BR
dc.date.accessioned2022-04-13T04:51:44Zpt_BR
dc.date.issued2020pt_BR
dc.identifier.issn1932-6203pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/237168pt_BR
dc.description.abstractPurpose: To determine whether teleophthalmology can help physicians in assessing and managing eye conditions and to ascertain which clinical conditions can be addressed by teleophthalmology in primary care setting. Methods: We evaluated the resolution capacity of TeleOftalmo, strategy implemented in the public health system of southern Brazil. Resolution capacity was defined as the ability to fully address patients’ eye complaints in primary care with remote assistance from ophthalmologists. Data from tele-eye reports were collected over 14 months. Resolution capacity was compared across different age groups and different ocular conditions. Results: Overall, 8,142 patients had a tele-eye report issued in the study period. Resolution capacity was achieved in 5,748 (70.6%) patients. When stratified into age groups, the lowest capacity was 43.1% among subjects aged �65 years, while the highest was 89.7% among subjects aged 13–17 years (p<0.001). Refractive error (70.3%) and presbyopia (56.3%) were the most prevalent conditions followed by cataract (12.4%) and suspected glaucoma (7.6%). Resolution capacity was higher in cases of refractive error, presbyopia, spasm of accommodation and lid disorders than in patients diagnosed with other condition (p<0.001). Conclusions: With telemedicine support, primary care physicians solved over two-thirds of patients’ eye or vision complaints. Refractive errors had high case resolution rates, thus having a great impact on reducing the number of referrals to specialty care. Teleophthalmology adoption in primary-care settings as part of the workup of patients with eye or vision complaints promotes a more effective use of specialty centers and will hopefully reduce waiting times for specialty referral.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofPlos one. San Francisco. Vol. 15, no. 4 (Apr. 2020), e0231034, 12 p.pt_BR
dc.rightsOpen Accessen
dc.subjectTelemedicinapt_BR
dc.subjectOftalmologiapt_BR
dc.titleThe use of telemedicine to support Brazilian primary care physicians in managing eye conditions : the TeleOftalmo Projectpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001138059pt_BR
dc.description.originTelemedicinapt_BR
dc.type.originEstrangeiropt_BR


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