澳大利亚癌症患者使用远程医疗服务的经验、偏好和有效性感知。
Consumers' experiences, preferences, and perceptions of effectiveness in using telehealth for cancer care in Australia.
发表日期:2023 Sep 15
作者:
Annie Banbury, Monica Taylor, Liam Caffery, Carolyn Der Vartanian, Helen Haydon, Roshni Mendis, Kawai Ng, Anthony Smith
来源:
Disease Models & Mechanisms
摘要:
COVID-19加速了远程医疗(视频和电话)在癌症护理中的应用,以减少疾病暴露和传播。为了持续推动远程医疗活动并开展新的护理模式,我们需要了解消费者的健康服务需求。我们探索了消费者在癌症护理中使用远程医疗的经验,并了解他们对改进和维持未来远程医疗应用的看法。采用了混合方法研究的探索性设计,使用了MAST(远程医疗评估模型)框架。癌症患者完成了在线调查和半结构化访谈。定量数据使用描述性统计和卡方检验进行分析。MAST消费者领域的定性数据进行了主题分析。共有1162名调查受访者和18名访谈参与者。癌症护理中使用了视频和电话,并涉及多个提供者。电话的使用频率较高。大多数受访者(85%)拥有可靠的互联网连接以进行视频咨询,然而,36%的受访者没有获得视频咨询的机会。与电话用户相比,视频用户更有可能对自己的治疗质量满意,并认为他们的咨询与面对面咨询一样有效。与视频用户相比,电话用户中有51%的人认为如果他们亲自去看诊时,会更容易被医生理解他们的问题。定性数据中出现了五个主题。消费者希望能够选择咨询方式,视频方式相对电话方式提供了更好的体验,咨询方式偏好是可变的,咨询安排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。消费者希望能够根据自己的需求和咨询目的选择咨询方式。© 2023 作者。由约翰·威立·爱思出版的《亚太临床肿瘤学杂志》发表。
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.© 2023 The Authors. Asia-Pacific Journal of Clinical Oncology published by John Wiley & Sons Australia, Ltd.