Nguyen Oliver T, Mason Arianna, Khanna Neel, Charles Dannelle, Naso Cristina, Hong Young-Rock, Sprow Olivia, Alishahi Tabriz Amir, Turner Kea, Spiess Philippe, Patel Krupal B
Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, USA.
Research, Interventions, and Measurement Core, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, USA.
J Surg Oncol. 2023 Jun;127(7):1203-1211. doi: 10.1002/jso.27228. Epub 2023 Mar 8.
The COVID-19 pandemic led to telemedicine adoption for many medical specialties, including surgical cancer care. To date, the evidence for patient experience of telemedicine among patients with cancer undergoing surgery is limited to quantitative surveys. Thus, this study qualitatively assessed the patient and caregiver experience of telehealth visits for surgical cancer care.
We conducted semistructured interviews with 25 patients with cancer and three caregivers who had completed a telehealth visit for preanesthesia or postoperative visits. Interviews covered visit descriptions, overall satisfaction, system experience, visit quality, what roles caregivers had, and thoughts on what types of surgery-related visits would be appropriate through telehealth versus in-person.
Telehealth delivery for surgical cancer care was generally viewed positively. Multiple factors influenced the patient experience, including prior experience with telemedicine, ease of scheduling visits, smooth connection experiences, having access to technical support, high communication quality, and visit thoroughness. Participants identified use cases on telehealth for surgical cancer care, including postoperative visits for uncomplicated surgical procedures and educational visits.
Patient experiences with telehealth for surgical care are influenced by smooth system experiences, high-quality patient-clinician communications, and a patient-centered focus. Interventions are needed to optimize telehealth delivery (e.g., improve telemedicine platform usability).
COVID-19大流行促使许多医学专科采用远程医疗，包括外科癌症护理。迄今为止，对于接受手术的癌症患者远程医疗患者体验的证据仅限于定量调查。因此，本研究定性评估了癌症手术护理远程健康访视的患者及护理人员体验。
我们对25名癌症患者和3名护理人员进行了半结构化访谈，他们完成了用于麻醉前或术后访视的远程健康访视。访谈内容包括访视描述、总体满意度、系统体验、访视质量、护理人员的角色以及对于哪些类型的手术相关访视通过远程医疗而非面对面进行更为合适的看法。
癌症手术护理的远程健康服务总体上得到了积极评价。多种因素影响患者体验，包括既往远程医疗经历、访视安排的便利性、顺畅的连接体验、获得技术支持、高质量的沟通以及访视的全面性。参与者确定了癌症手术护理远程健康的用例，包括简单手术操作的术后访视和教育性访视。
患者对手术护理远程健康的体验受到顺畅的系统体验、高质量的医患沟通以及以患者为中心的关注的影响。需要采取干预措施来优化远程健康服务（例如，提高远程医疗平台的可用性）。
