Evaluando posibles barreras y facilitadores para implementar un programa de tele-screening de retinopatía diabética en la Argentina

Abstract

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.