Publications by authors named "Timothy D Bjelland"
Article Synopsis
- Teleophthalmology is an underused telehealth service for diabetic retinopathy screening, highlighting the need for improved adoption in US primary care clinics.
- The study developed a tailored implementation program called I-SITE, using a healthcare process improvement model, to enhance teleophthalmology use by engaging clinical and patient stakeholders.
- Results showed significant increases in teleophthalmology adoption among primary care providers involved in I-SITE, with a major boost in the use of diabetic eye screenings for performance-based incentives post-implementation.
Teleophthalmology is a validated method for diabetic eye screening that is underutilized in U.S. primary care clinics.
View Article and Find Full Text PDFObjective: Teleophthalmology for diabetic eye screening is an evidence-based intervention substantially underused in US multipayer primary care clinics, even when equipment and trained personnel are readily available. We sought to identify patient and primary care provider (PCP) barriers, facilitators, as well as strategies to increase teleophthalmology use.
Design: We conducted standardised open-ended, individual interviews and analysed the transcripts using both inductive and directed content analysis to identify barriers and facilitators to teleophthalmology use.
Objective: Diabetic retinopathy remains the leading cause of blindness among working-age U.S. adults largely due to low screening rates.
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