Department of Radiation Oncology, Benavides Cancer Institute, University of Santo Tomas Hospital, Manila, Philippines.
Department of Medical Oncology, Benavides Cancer Institute, University of Santo Tomas Hospital, Manila, Philippines.
JCO Glob Oncol. 2023 Jun;9:e2200370. doi: 10.1200/GO.22.00370.
The study reports on the current perception of medical and radiation oncologists regarding teleconsultation in the Philippines. Before the COVID-19 pandemic, the adoption of telemedicine was not widespread. With movement restrictions imposed during the pandemic, physicians were compelled to use telemedicine. It is uncertain whether physicians will still adopt its use in practice in the post-COVID-19 era. This study gives insight into the possible adaptation of this mode of consultation in the future, especially in areas with limited health care resources.
We conducted a national survey among medical oncologists and radiation oncologists in the Philippines. A 43-item online survey was developed, validated, and administered to the oncologists. The demographics and data from categorical questions were reported as frequencies and percentages.
A total of 142 responses were gathered from 82 medical oncologists and 60 radiation oncologists. There was agreement among participants that, during the pandemic, teleconsultation could be used for the first visit, diagnostic workup request, treatment explanation, follow-up care, and chronic disease management. There was disagreement whether cancer diagnosis disclosure and cancer prognosis revelation could be performed via teleconsultation, and there was agreement that emergency consultation and physical examination would warrant a face-to-face consultation. After the COVID-19 pandemic, 78.7% intend to continue using teleconsultation except for emergency consultations, first visits, physical examination, diagnosis disclosure, and cancer prognosis revelation.
Teleconsultation was perceived by oncologists as an acceptable method of providing cancer care during and after the COVID-19 pandemic. Oncologists also intend to use teleconsultation in the post-COVID-19 era in certain aspects of patient care.
本研究报告了菲律宾医学和肿瘤学家对远程咨询的当前看法。在 COVID-19 大流行之前，远程医疗的采用并不广泛。由于大流行期间实施了行动限制，医生被迫使用远程医疗。不确定医生在 COVID-19 后时代是否仍会在实践中采用这种方法。本研究深入了解了这种咨询模式在未来，特别是在医疗资源有限的地区的可能适应。
我们在菲律宾对肿瘤内科医生和放射肿瘤学家进行了一项全国性调查。开发了一个包含 43 个项目的在线调查，并对肿瘤学家进行了验证和管理。将分类问题的人口统计学和数据报告为频率和百分比。
从 82 名肿瘤内科医生和 60 名放射肿瘤学家中收集了 142 份回复。参与者一致认为，在大流行期间，远程咨询可用于首次就诊、诊断工作请求、治疗解释、随访护理和慢性病管理。对于是否可以通过远程咨询进行癌症诊断披露和癌症预后揭示存在分歧，并且一致认为紧急咨询和体检需要面对面咨询。在 COVID-19 大流行之后，除了紧急咨询、首次就诊、体检、诊断披露和癌症预后揭示外，78.7%的医生打算继续使用远程咨询。
远程咨询被肿瘤学家视为在 COVID-19 大流行期间和之后提供癌症护理的一种可接受的方法。肿瘤学家也打算在 COVID-19 后时代在患者护理的某些方面使用远程咨询。
