Centre for Online Health, The University of Queensland, Brisbane, Australia.
Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Asia Pac J Clin Oncol. 2023 Dec;19(6):752-761. doi: 10.1111/ajco.14002. Epub 2023 Sep 15.
COVID-19 accelerated telehealth (video and telephone) use for cancer care to reduce disease exposure and transmission. Understanding consumers' health service delivery needs is required to sustain telehealth activity and develop new models of care. We explored consumers' experiences of telehealth in cancer care and their perspectives on improving and sustaining telehealth uptake in the future.
Exploratory design mixed-methods study using the Model for Assessment of Telemedicine (MAST) framework. Consumers affected by cancer completed an online survey and semistructured interviews. Quantitative data were analyzed using descriptive statistics and chi-square. Qualitative data from the MAST consumer domain were thematically analyzed.
There were 1162 survey respondents and 18 interview participants. Video and telephone were used in cancer care with various providers. Telephone was used more frequently. Most respondents (85%) had reliable internet connections for video, however, 36% were not offered a video consultation. Video compared with telephone users were statistically significantly more likely to be satisfied with the quality of their treatment and perceived their consultation achieved as much as an in-person consultation. Telephone users (51%) compared with video users (31%) were more likely to perceive their concerns would have been better understood by their care provider if they were seen in person. Five themes emerged from the qualitative data. Consumers want modality choice, video provides superior experiences versus telephone, consultation mode preference is fluid, and consultation scheduling and administration need further consideration.
Consumers support telehealth in cancer care. Consumers want consultation mode choices based on their needs and purpose of consultation.
为了减少疾病暴露和传播，COVID-19 加速了癌症护理的远程医疗（视频和电话）应用。为了维持远程医疗活动并开发新的护理模式，需要了解消费者的医疗服务需求。我们探讨了消费者在癌症护理中使用远程医疗的体验，以及他们对改善和维持未来远程医疗使用率的看法。
使用远程医疗评估模型（MAST）框架的探索性设计混合方法研究。受癌症影响的消费者完成了在线调查和半结构化访谈。使用描述性统计和卡方检验对定量数据进行分析。从 MAST 消费者领域获得的定性数据进行主题分析。
有 1162 名调查受访者和 18 名访谈参与者。视频和电话用于与各种提供者的癌症护理。电话使用更频繁。大多数受访者（85%）有可靠的视频互联网连接，但有 36%的受访者没有提供视频咨询。与电话用户相比，视频用户在治疗质量满意度方面更有统计学意义，并且认为他们的咨询与面对面咨询一样有效。与视频用户（31%）相比，电话用户（51%）更有可能认为，如果亲自就诊，他们的护理提供者会更好地理解他们的担忧。从定性数据中得出了五个主题。消费者希望有选择咨询模式的权利，视频提供优于电话的体验，咨询模式偏好是灵活的，咨询预约和管理需要进一步考虑。
消费者支持癌症护理中的远程医疗。消费者希望根据自己的需求和咨询目的选择咨询模式。
