Hendrix Emma K, Henderson Nicole L, Padalkar Tanvi V, Kaufmann Tara, Ingram Stacey A, Dent D'Ambra N, Huang Chao-Hui Sylvia, Odom J Nicholas, Weiner Bryan J, Howell Doris, Stover Angela M, Basch Ethan M, McGowan Chelsea, Pierce Jennifer Young, Rocque Gabrielle B
Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.
Dell Medical School, University of Texas at Austin, Austin, TX.
JCO Oncol Pract. 2025 Jun;21(6):853-861. doi: 10.1200/OP-24-00593. Epub 2024 Dec 11.
Remote symptom monitoring (RSM) using electronic patient-reported outcomes (ePROS) connects patients and health care teams between appointments. Patient-perceived benefits and drawbacks of RSM are well-known, but health care team members' perceptions are less clear.
Health care team members from the University of Alabama at Birmingham and the University of South Alabama Health Mitchell Cancer Institute participated in semi-structured qualitative interviews to explore their experiences and perspectives on RSM benefits and limitations. Interviews were audio-recorded, transcribed, and analyzed inductively using NVivo software to identify recurring themes and exemplary quotes.
Thirty oncology health care team members, including physicians (n = 9), nurse practitioners (n = 2), nurses (n = 8), nonclinical navigators (n = 7), and administrators (n = 4), were interviewed. Findings were organized into five major themes: three benefits (, and ) and two limitations ( and ). Health care team members perceived that RSM improved their ability to support patients and the quality of care delivered to patients by promoting proactive management, strengthening the patient-health care team relationship, and engaging patients in symptom reporting. Despite positive perceptions, health care team members also voiced drawbacks of RSM related to the lack of patient buy-in or awareness and increased workload and disrupted workflow.
Although health care team members recognized the benefits of RSM as a standard of care, future work is necessary to address identified limitations to support wide-scale implementation of RSM in oncology practices.
使用电子患者报告结局（ePROS）进行远程症状监测（RSM）可在预约就诊期间连接患者与医疗团队。患者对RSM的感知利弊已为人熟知，但医疗团队成员的看法尚不清楚。
来自阿拉巴马大学伯明翰分校和南阿拉巴马大学健康米切尔癌症研究所的医疗团队成员参与了半结构化定性访谈，以探讨他们对RSM的益处和局限性的经历与看法。访谈进行了录音、转录，并使用NVivo软件进行归纳分析，以确定反复出现的主题和典型引述。
采访了30名肿瘤医疗团队成员，包括医生（n = 9）、执业护士（n = 2）、护士（n = 8）、非临床导航员（n = 7）和管理人员（n = 4）。研究结果归纳为五个主要主题：三个益处（此处原文缺失具体内容）和两个局限性（此处原文缺失具体内容）。医疗团队成员认为，RSM通过促进主动管理、加强患者与医疗团队的关系以及让患者参与症状报告，提高了他们支持患者的能力和提供给患者的护理质量。尽管有积极的看法，但医疗团队成员也指出了RSM的缺点，包括患者参与度或认知度不足以及工作量增加和工作流程中断。
尽管医疗团队成员认识到RSM作为一种护理标准的益处，但未来仍需开展工作来解决已确定的局限性，以支持RSM在肿瘤学实践中的广泛实施。
