{"id":"https://openalex.org/W42490177","doi":null,"title":"Cost-savings analysis of telemedicine use for ophthalmic screening in a rural Appalachian health clinic.","display_name":"Cost-savings analysis of telemedicine use for ophthalmic screening in a rural Appalachian health clinic.","publication_year":2013,"publication_date":"2013-07-01","ids":{"openalex":"https://openalex.org/W42490177","mag":"42490177","pmid":"https://pubmed.ncbi.nlm.nih.gov/23930563"},"language":"en","primary_location":{"id":"pmid:23930563","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23930563","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The West Virginia medical journal","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112760431","display_name":"Deborah Richardson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I88694374","display_name":"Marshall University","ror":"https://ror.org/02erqft81","country_code":"US","type":"education","lineage":["https://openalex.org/I88694374"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D Russell Richardson","raw_affiliation_strings":["West Virginia University Eye Institute, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"West Virginia University Eye Institute, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA","institution_ids":["https://openalex.org/I88694374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002934528","display_name":"Russell L Fry","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Russell L Fry","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5076691764","display_name":"Michael Krasnow","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael Krasnow","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.2813,"has_fulltext":false,"cited_by_count":14,"citation_normalized_percentile":{"value":0.87082567,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"109","issue":"4","first_page":"52","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.7753999829292297,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.7753999829292297,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14384","display_name":"Ophthalmology and Visual Health Research","score":0.14810000360012054,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11438","display_name":"Retinal Imaging and Analysis","score":0.023900000378489494,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.9890000224113464},{"id":"https://openalex.org/keywords/diabetic-retinopathy-screening","display_name":"diabetic retinopathy screening","score":0.9470000267028809},{"id":"https://openalex.org/keywords/fundus-photography","display_name":"fundus photography","score":0.9710000157356262},{"id":"https://openalex.org/keywords/ophthalmic-screening","display_name":"ophthalmic screening","score":0.6949999928474426},{"id":"https://openalex.org/keywords/rural-health-care","display_name":"rural health care","score":0.7770000100135803},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.5659999847412109},{"id":"https://openalex.org/keywords/travel-cost","display_name":"travel cost","score":0.6769999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8255568742752075},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.793941855430603},{"id":"https://openalex.org/C2776474195","wikidata":"https://www.wikidata.org/wiki/Q1144413","display_name":"Fundus photography","level":4,"score":0.6872314214706421},{"id":"https://openalex.org/C2779829184","wikidata":"https://www.wikidata.org/wiki/Q631361","display_name":"Diabetic retinopathy","level":3,"score":0.6297252178192139},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6281692981719971},{"id":"https://openalex.org/C119767625","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Optometry","level":1,"score":0.6103330254554749},{"id":"https://openalex.org/C2776391266","wikidata":"https://www.wikidata.org/wiki/Q9612","display_name":"Fundus (uterus)","level":2,"score":0.5823822617530823},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5121734142303467},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45877063274383545},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.40583664178848267},{"id":"https://openalex.org/C118487528","wikidata":"https://www.wikidata.org/wiki/Q161437","display_name":"Ophthalmology","level":1,"score":0.27079612016677856},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.2553803026676178},{"id":"https://openalex.org/C2778257484","wikidata":"https://www.wikidata.org/wiki/Q555066","display_name":"Visual acuity","level":2,"score":0.09707427024841309},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C2780248432","wikidata":"https://www.wikidata.org/wiki/Q1434206","display_name":"Fluorescein angiography","level":3,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005128","descriptor_name":"Eye Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009885","descriptor_name":"Ophthalmology","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D009885","descriptor_name":"Ophthalmology","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D014903","descriptor_name":"West Virginia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015351","descriptor_name":"Vision Screening","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D015351","descriptor_name":"Vision Screening","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:23930563","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23930563","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The West Virginia medical journal","raw_type":"Journal Article"},{"id":"mag:42490177","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23930563","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W1978958180","https://openalex.org/W1995943023","https://openalex.org/W2089679450","https://openalex.org/W2170869778","https://openalex.org/W2187524180"],"related_works":["https://openalex.org/W2059989967","https://openalex.org/W2938579429","https://openalex.org/W2240740515","https://openalex.org/W2004942838","https://openalex.org/W2168553690","https://openalex.org/W3200792752","https://openalex.org/W4401189389","https://openalex.org/W25406985","https://openalex.org/W4415787487","https://openalex.org/W4205644732"],"abstract_inverted_index":{"Life":[0],"in":[1,74,80],"mountainous,":[2,76],"rural":[3,77],"areas":[4],"poses":[5],"unique":[6],"obstacles":[7],"for":[8,30,48],"ophthalmic":[9,72],"care--notably,":[10],"a":[11,24,55,63,75,84,95,140],"lack":[12],"of":[13,19,71,128,142],"access":[14],"to":[15,41,115],"ophthalmologists":[16],"and":[17,44,102,136],"cost":[18],"care.":[20],"Using":[21],"telemedicine":[22,73],"as":[23,35,62],"screening":[25,47,64],"tool":[26],"addresses":[27],"both":[28],"issues":[29],"diabetic":[31],"retinopathy":[32],"(DR)":[33],"screening,":[34],"fundus":[36,60,96],"photography":[37,61],"has":[38],"been":[39],"determined":[40],"be":[42],"sensitive":[43],"specific":[45],"when":[46],"DR.":[49],"The":[50],"American":[51],"Diabetes":[52],"Association":[53],"places":[54],"Grade":[56],"E":[57],"recommendation":[58],"on":[59],"tool.":[65],"We":[66],"analyze":[67],"the":[68,103,126],"financial":[69],"impact":[70],"health":[78],"clinic":[79,100],"West":[81],"Virginia":[82],"over":[83],"seven":[85],"year":[86],"period":[87],"from":[88],"2003-2009.":[89],"At-risk":[90],"patients":[91,129],"are":[92,112],"screened":[93],"with":[94],"camera":[97],"during":[98],"routine":[99],"visits,":[101],"image":[104],"is":[105],"interpreted":[106],"off-site":[107],"by":[108],"an":[109,121],"ophthalmologist.":[110],"Patients":[111],"either":[113],"advised":[114],"follow":[116],"up":[117],"yearly":[118],"or":[119],"receive":[120],"immediate":[122],"opthalmic":[123],"referral.":[124],"Considering":[125],"number":[127],"screened,":[130],"travel":[131],"costs,":[132],"work":[133],"missed,":[134],"overhead,":[135],"billing":[137],"considerations":[138],"yields":[139],"savings":[141],"$153.43":[143],"per":[144],"patient":[145],"visit.":[146]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}