ArticleBMC health services research2025
Impact of teleretinal screening program on diabetic retinopathy screening compliance rates in community health centers: a quasi-experimental study.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Transforming Eye-Care Diagnostics Through Artificial Intelligence, Biometric Evaluation, and Tele-Optometry.Cureus · 2026Review
- Integrating Ophthalmology, Endocrinology, and Digital Health: A Bibliometric Analysis of Telemedicine for Diabetic Retinopathy.Healthcare (Basel, Switzerland) · 2026Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetic retinopathy (DR) remains a leading cause of preventable blindness, with inadequate screening rates even in urban areas with high concentrations of medical professionals. While medical guidelines recommend annual diabetic retinopathy screening for patients with diabetes mellitus, adherence to these recommendations remains low. This study evaluates the impact of a novel teleretinal DR screening program on screening compliance across urban community health centers in Boston, Massachusetts.
methodsWe conducted a quasi-experimental study comparing DR screening compliance between intervention and comparison community health centers before and after implementing a teleretinal screening program. Participants included patients diagnosed with diabetes mellitus with primary care providers at the studied sites. We defined compliance as completion of either teleretinal screening or a documented eye care professional examination within the previous 365 days. Monthly compliance rates were analyzed using two-way fixed effects regression and event study techniques.
resultsThe study included 10,247 patients with diabetes mellitus who received care at six participating sites, generating 222 monthly compliance rate estimates. Baseline compliance rates before implementation ranged from 25 to 40% across sites. The two-way fixed effects regression analysis revealed that the screening program significantly increased DR compliance rates by an average of 7.2% points (p < 0.001). Event study analysis showed positive effects across all sites, though the initial improvement tended to diminish over time.
conclusionsImplementation of a community-based teleretinal DR screening program significantly improved compliance with annual screening guidelines in urban communities. These findings support the broader adoption of teleretinal screening as an effective strategy for preventing DR-related vision loss in vulnerable populations. Further research is needed to assess long-term clinical outcomes and optimize program sustainability.
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