La Trobe University, Rural Health School, Melbourne, Australia.
La Trobe University, Rural Health School, Melbourne, Australia.
Patient Educ Couns. 2021 Nov;104(11):2682-2699. doi: 10.1016/j.pec.2021.04.006. Epub 2021 Apr 15.
To investigate what factors need consideration for telehealth services for cancer supportive care, given the rapid transition to telehealth as a result of COVID-19.
A scoping review and a review of current guidance and guidelines provided by professional bodies, representing relevant discipline groups for cancer supportive care, were conducted.
We identified 19 papers and 23 telehealth guidance documents. The results highlight how the characteristics of patient group and healthcare provider influence the acceptability and utility of the service and establish a minimum set of preconditions. The reviews primarily examined patient-focused difficulties or issues with acceptability and efficacy, with only a minority highlighting how provider issues might also be implicated. By contrast, the guidance and guidelines described a need to address skills gaps in providing and receiving support through telehealth.
The capacity and willingness of services to adapt, in the context of COVID-19, is reassuring. It is important that the impact of the move to telehealth on service quality is assessed and systems put in place to ensure sustainability, acceptability, and adaptability.
Key recommendations can be made to assist service telehealth optimisation, many of which apply irrespective of the specific service focus.
鉴于 COVID-19 导致远程医疗迅速普及，本研究旨在探讨癌症支持性护理的远程医疗服务需要考虑哪些因素。
本研究进行了范围界定综述，并对专业机构提供的当前指南和规范进行了回顾，这些机构代表了癌症支持性护理的相关学科组。
本研究共确定了 19 篇论文和 23 份远程医疗指导文件。结果突出了患者群体和医疗服务提供者的特征如何影响服务的可接受性和实用性，并确定了最低限度的前提条件。这些综述主要考察了以患者为中心的可接受性和疗效方面的困难或问题，只有少数综述强调了提供者问题也可能受到影响。相比之下，指南和规范描述了需要解决通过远程医疗提供和接收支持方面的技能差距问题。
在 COVID-19 背景下，服务适应能力和意愿令人感到欣慰。重要的是，应评估向远程医疗转移对服务质量的影响，并建立系统以确保可持续性、可接受性和适应性。
可以提出关键建议来协助远程医疗服务的优化，其中许多建议适用于特定服务重点。
