Sharma Jivesh J, Gross Gary, Sharma Poonam
NexGen Oncology, Dallas; Blood and Cancer Center of East Texas, Tyler; and The University of Texas Health Science Center, San Antonio, TX.
J Oncol Pract. 2012 Mar;8(2):68. doi: 10.1200/JOP.2011.000436.
Abstracts Purpose: For patients in rural Texas, accessing cancer specialists is quite challenging. Texas has many remote areas without community-based cancer care, requiring patients to travel long distances for specialized cancer professional consultations and services. An anticipated shortage of medical oncology expertise will exacerbate this situation. The advent of telemedicine tools has created an opportunity to easily extend specialized cancer services to underserved populations of patients with cancer in Texas. However, more research is needed to explore how well telemedicine tools will be accepted and used by both patients and oncologists alike. Data suggesting that teleoncology services are well accepted and liked by patients and health care professionals would provide a basis for expanding this method of delivering care. If effective, telemedicine tools could help patients with cancer in rural Texas, and throughout the United States, access the same quality of cancer care as their counterparts living in urban areas.
This pilot study will compare the effectiveness and reliability of remote oncologic clinical evaluations conducted via a telemedicine application with the traditional method of onsite evaluations in a private practice setting in rural East Texas. Patient and physician satisfaction with the clinical consultations and their perceptions of the telemedicine application will be assessed using a questionnaire administered at the conclusion of the clinical meetings.
Initial results indicate high patient and physician satisfaction scores as well as high reliability and adequacy of the equipment and technology being used.
Both patients and physicians are highly satisfied with the quality of teleoncology examinations and express openness to this method of delivering care.
摘要 目的:对于德克萨斯州农村地区的患者而言,获得癌症专科医生的服务极具挑战性。德克萨斯州有许多偏远地区缺乏基于社区的癌症护理,这就要求患者长途跋涉去接受专业的癌症专家咨询和服务。预计医疗肿瘤学专业知识的短缺将使这种情况更加恶化。远程医疗工具的出现创造了一个机会,可以轻松地将专业癌症服务扩展到德克萨斯州癌症患者中服务不足的人群。然而,需要更多研究来探讨远程医疗工具在患者和肿瘤学家中被接受和使用的程度。表明远程肿瘤学服务受到患者和医疗保健专业人员广泛接受和喜爱的数据,将为扩大这种护理提供方式提供依据。如果有效,远程医疗工具可以帮助德克萨斯州农村地区以及美国各地的癌症患者获得与城市地区患者相同质量的癌症护理。
这项试点研究将在东德克萨斯州农村的一家私人诊所环境中,比较通过远程医疗应用程序进行的远程肿瘤临床评估与传统现场评估方法的有效性和可靠性。在临床会议结束时,通过问卷调查评估患者和医生对临床咨询的满意度以及他们对远程医疗应用程序的看法。
初步结果表明患者和医生的满意度得分很高,并且所使用的设备和技术具有很高的可靠性和适用性。
患者和医生对远程肿瘤学检查的质量都非常满意,并表示愿意接受这种护理提供方式。