@文章{信息:doi/10.2196/37867，作者=“Stamenova, Vess和Nguyen, Megan和Onabajo, Nike和Merritt, Rebecca和Sutakovic, Olivera和Mossman, Kathryn和Wong, Ivy和Ives-Baine, Lori和Bhatia, R Sacha和Brent, Michael H和Bhattacharyya, Onil”，标题=“邮寄信件与电话提高糖尿病相关视网膜病变在团队基础的初级保健实践中的参与程度:前瞻性、单盲、随机试验”，期刊=“J Med Internet Res”，年=“2023”，月=“1”，日=“11”，卷=“25”，页=“e37867”，关键词=“远眼医学;糖尿病;diabetic-related视网膜病变;筛选;初级保健;病人;视力下降;背景:糖尿病相关视网膜病变(DR)导致的视力丧失是可以通过定期筛查预防的。目的:本研究的目的是在加拿大多伦多市的一家初级保健诊所测试不同的患者参与方法来扩展远程眼科项目。 Methods: A teleophthalmology program was set up in a large, urban, academic, team-based primary care practice. Patients older than 18 years with type 1 or type 2 diabetes were randomized to one of the following 4 engagement strategies: phone call, mail, mail plus phone call, or usual care. Outreach was conducted by administrative staff within the clinic. The primary outcome was booking an appointment for DR screening. Results: A total of 23 patients in the phone, 28 in the mail, 32 in the mail plus phone call, and 27 in the control (usual care) group were included in the analysis. After the intervention and after excluding patients who said they were screened, 88{\%} (15/17) of patients in the phone, 11{\%} (2/18) in the mail, and 100{\%} (21/21) in the mail and phone group booked an appointment with the teleophthalmology program compared to 0{\%} (0/12) in the control group. Phoning patients positively predicted patients booking a teleophthalmology appointment (P<.001), whereas mailing a letter had no effect. Conclusions: Patient engagement to book DR screening via teleophthalmology in an urban, academic, team-based primary care practice using telephone calls was much more effective than patient engagement using letters or usual care. Practices that have access to a local DR screening program and have resources for such engagement strategies should consider using them as a means to improve their DR screening rates. Trial Registration: ClinicalTrials.gov NCT03927859; https://clinicaltrials.gov/ct2/show/NCT03927859 ", issn="1438-8871", doi="10.2196/37867", url="//www.mybigtv.com/2023/1/e37867", url="https://doi.org/10.2196/37867", url="http://www.ncbi.nlm.nih.gov/pubmed/36630160" }