Assessing potential barriers and facilitators in preparation for implementing a diabetic retinopathy tele-screening program in Argentina

ORTIZ-BASSO, TOMÁS; PALADINI, ARIEL

Oftalmología Clínica y Experimental

Consejo Argentino de Oftalmología

Año: 2020 vol. 13 p. 127 - 134

1851-2658

Objective: Tele-screening programs against blindness have proved to be effective in many countries. However, there are lots of difficulties that could directly influence their execution, and scaling them up could be a hard challenge. This study aims to identify barriers and facilitators for implementing a DR tele-screening program in a rural area of Argentina.Methods: A qualitative research study was performed. Unstructured interviews with the healthcare team were made and a Consolidated Framework for Implementation Research to assess details of the program was carried out.Results: Main enablers are simple examination, good organizational structure, and political decision to implement the program. Principal barriers are work overload, initial high costs, and cultural rejection.Conclusion: Barriers and facilitators should be assessed before implementing a DR Tele-Screening Program. It is recommended to gain political support and face cultural barriers before the implementation.