Telemed J E Health - Improved access and cycle time with an in-house patient-centered teleglaucoma program versus traditional in-person assessment.

Tópicos

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Resumo

CKGROUND: To compare access time and cycle time between an "in-house" teleglaucoma program and in-person glaucoma consultation.PATIENTS AND METHODS: This was a prospective comparative study of 71 patients seen through the teleglaucoma program (eligible patients were glaucoma suspects or early-stage open-angle glaucoma) and 63 patients seen via a traditional in-person exam with a physician present. Access time was calculated as the time from the patient being referred to the date of a booked visit for either a teleglaucoma or in-person exam. Cycle time was defined as the time from registration until departure during the visit to the hospital; it was calculated for the subset of patients from each study group who completed activity logs on the day of their visit.RESULTS: The mean access time was significantly shorter for patients seen through teleglaucoma compared with in-person exam: 45?22 days (range, 13-121 days) (n=68) versus 88?47 days (range, 27-214 days) (n=63), respectively (p<0.0001). The cycle time was also reduced for patients seen through teleglaucoma, compared with in-person assessment: 78?20min (range, 40-130min) (n=39) versus 115?44min (range, 51-216min) (n=39), respectively (p<0.001). The mean percentage time spent in the waiting room was also significantly reduced for patients seen through teleglaucoma versus in-person assessments: 19?13% versus 41?24% (n=39), respectively (p<0.01).CONCLUSIONS: Teleglaucoma improves access to care and is a more efficient way of managing glaucoma suspects and patients with early-stage glaucoma compared with in-person assessment.

Resumo Limpo

ckground compar access time cycl time inhous teleglaucoma program inperson glaucoma consultationpati method prospect compar studi patient seen teleglaucoma program elig patient glaucoma suspect earlystag openangl glaucoma patient seen via tradit inperson exam physician present access time calcul time patient refer date book visit either teleglaucoma inperson exam cycl time defin time registr departur visit hospit calcul subset patient studi group complet activ log day visitresult mean access time signific shorter patient seen teleglaucoma compar inperson exam day rang day n versus day rang day n respect p cycl time also reduc patient seen teleglaucoma compar inperson assess min rang min n versus min rang min n respect p mean percentag time spent wait room also signific reduc patient seen teleglaucoma versus inperson assess versus n respect pconclus teleglaucoma improv access care effici way manag glaucoma suspect patient earlystag glaucoma compar inperson assess

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