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COVID-19 大流行期间妇科癌症幸存者对远程医疗的认知。

Perception of Telehealth During the COVID-19 Pandemic Among Survivors of Gynecologic Cancer.

机构信息

Department of Obstetrics, Gynecology and Women's Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN, USA.

Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.

出版信息

Oncologist. 2022 Jun 8;27(6):512-515. doi: 10.1093/oncolo/oyac041.

Abstract

Our objective was to assess gynecologic cancer survivor preferences for telehealth cancer care. Gynecologic cancer survivors participating in a prospective cohort study were invited to complete a cross-sectional survey regarding their experience with and preferences for telehealth. Of 188 participants, 48.9% had undergone a telehealth visit since March 2020, and 53.7% reported a preference for exclusively in-person visits for their cancer care and surveillance. Furthermore, 80.5% of participants were satisfied with the telehealth care they received and 54.8% would recommend telehealth services to patients with similar conditions. Most participants thought a physical examination was critical to detecting recurrence, and concern that their provider may miss something during telehealth visits was greater among those who preferred in-person visits. With many gynecologic cancer survivors preferring in-person care, building a future care model that includes telehealth elements will require adaptations, careful evaluation of patient concerns, as well as patient education on telehealth.

摘要

我们的目的是评估妇科癌症幸存者对远程医疗癌症护理的偏好。参与前瞻性队列研究的妇科癌症幸存者被邀请完成一项关于他们远程医疗体验和偏好的横断面调查。在 188 名参与者中,48.9%的人自 2020 年 3 月以来进行过远程医疗访问,53.7%的人表示更倾向于亲自就诊进行癌症治疗和监测。此外,80.5%的参与者对他们接受的远程医疗护理感到满意,54.8%的人会向有类似病情的患者推荐远程医疗服务。大多数参与者认为体格检查对于发现复发至关重要,而那些更喜欢亲自就诊的人更担心在远程医疗访问中医生可能会错过一些东西。鉴于许多妇科癌症幸存者更喜欢亲自就诊,因此构建包含远程医疗元素的未来护理模式将需要进行调整,仔细评估患者的担忧,并对患者进行远程医疗教育。

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