Experiences and Satisfaction With Telehealth During the COVID-19 Pandemic: The Perspectives of Patients With Cancer in Australia.

IF 3.2 Q2 ONCOLOGY JCO Global Oncology Pub Date : 2024-08-01 DOI:10.1200/GO.24.00081
Arnav Nanda, Lyn Ley Lam, Jodi Lynch, Hussein Soudy
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Abstract

Purpose: There has been a significant rise in telehealth consultations across Australia since COVID-19 was declared a worldwide pandemic. We aimed to obtain patient feedback on telehealth, identify key strengths and weaknesses, and assess the feasibility of telehealth beyond the pandemic.

Methods: A survey was developed to obtain patient feedback on telehealth. Patients attending medical oncology clinics at St George Hospital and Sutherland Hospital from April 1, 2020, to May 31, 2020, were identified. Patients who were reviewed via phone or videoconference were included in this study. Eligible patients were texted or emailed a survey link within a week of their telehealth consultation. Surveys were anonymous and completion of the survey implied informed consent. Patients who did not have a mobile number or e-mail were excluded from this study.

Results: One thousand fifty-nine patients were reviewed during the study period, of whom 644 (60%) were reviewed via telehealth. The survey response rate was 36.3% (230 patients responded of 634 surveys sent). Ten telehealth patients did not have a mobile number or email and were excluded. Sixty-seven percent of telehealth consults were for active surveillance, 31% for prechemotherapy/treatment reviews, 1.6% for best supportive care, and 0.5% for new consults. Seventy percent of patients were satisfied that their medical needs were met via telehealth. Ninety percent wanted another telehealth consult, and 73% wanted telehealth to continue post resolution of the pandemic. Minimizing risk of exposure to COVID-19 and patient convenience were identified as key strengths of telehealth while absence of physical examination was the main disadvantage.

Conclusion: Majority of the patients surveyed were satisfied that telehealth safely met their medical needs. There is a considerable demand for telehealth to continue beyond the pandemic.

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在 COVID-19 大流行期间对远程保健的体验和满意度:澳大利亚癌症患者的观点。
目的:自从 COVID-19 被宣布为世界性流行病以来,澳大利亚各地的远程医疗咨询量显著增加。我们的目的是获取患者对远程医疗的反馈意见,确定关键的优势和劣势,并评估大流行过后远程医疗的可行性:方法:我们制定了一项调查,以获取患者对远程医疗的反馈意见。调查对象为 2020 年 4 月 1 日至 2020 年 5 月 31 日期间在圣乔治医院和萨瑟兰医院肿瘤内科门诊就诊的患者。通过电话或视频会议接受审查的患者被纳入本研究。符合条件的患者会在接受远程医疗会诊后一周内收到短信或电子邮件中的调查链接。调查是匿名的,完成调查即表示知情同意。没有手机号码或电子邮件的患者被排除在本研究之外:研究期间对 159 名患者进行了复查,其中 644 人(60%)通过远程医疗进行了复查。调查回复率为 36.3%(在发出的 634 份调查问卷中,有 230 名患者做出了回复)。有 10 名远程医疗患者没有手机号码或电子邮件,因此被排除在外。67%的远程医疗咨询用于主动监测,31%用于化疗前/治疗复查,1.6%用于最佳支持治疗,0.5%用于新咨询。70%的患者对通过远程医疗满足其医疗需求表示满意。90%的患者希望再次接受远程医疗咨询,73%的患者希望在大流行结束后继续使用远程医疗。最大限度地降低接触 COVID-19 的风险和为患者提供方便被认为是远程医疗的主要优势,而无法进行体检则是其主要劣势:大多数接受调查的患者对远程保健安全地满足了他们的医疗需求表示满意。大流行过后,远程医疗仍有很大的发展空间。
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来源期刊
JCO Global Oncology
JCO Global Oncology Medicine-Oncology
CiteScore
6.70
自引率
6.70%
发文量
310
审稿时长
7 weeks
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