Abstract Background Diabetic Retinopathy (DR) is a leading cause of vision loss among people with Diabetes Mellitus worldwide. Early stages are asymptomatic, making timely screening essential to prevent irreversible damage. Telemedicine offers a promising avenue to improve screening accessibility, especially where specialist services are limited. Aim and Objectives This study aims to explore the attitudes of patients and healthcare providers towards telemedicine-based screening for Diabetic Retinopathy. Objectives include identifying beliefs, biases, and barriers influencing the adoption of teleophthalmology for DR screening. Materials and Methods A meta-ethnography was conducted, synthesising qualitative studies from PubMed, Scopus, and MEDLINE that utilised interviews, focus groups, and document analysis to investigate perceptions of telemedicine in DR screening. Nineteen studies met the inclusion criteria and underwent quality appraisal. Results Five higher-order themes emerged: lack of knowledge, economic factors, provider challenges, ease of integration, and perceived benefits of screening. Patient non-attendance was largely due to low awareness and asymptomatic disease perception, while providers faced training, technical, and referral pathway challenges. Telemedicine’s integration requires leadership engagement and clear workflows. Interpretation Both patient and provider perspectives significantly influence telemedicine adoption for DR screening. Addressing knowledge gaps, financial barriers, and provider training, alongside streamlined referral systems, could enhance screening uptake and effectiveness. Added Value of this Study This synthesis uniquely highlights the complex psychosocial and systemic factors affecting telemedicine-based DR screening acceptance, providing actionable insights for improving screening programmes globally.
Suraj Patil (Mon,) studied this question.