Oncologist Perspectives on Telemedicine for Patients With Cancer: A National Comprehensive Cancer Network Survey

被引：41

作者：

Tevaarwerk, Amye J. ^{[1
,2
]}

Chandereng, Thevaa ^{[3
]}

Osterman, Travis ^{[4
]}

Arafat, Waddah ^{[5
]}

Smerage, Jeffrey ^{[6
]}

Polubriaginof, Fernanda C. G. ^{[7
]}

Heinrichs, Tricia ^{[8
]}

Sugalski, Jessica ^{[8
]}

Martin, Daniel B. ^{[9
]}

机构：

[1] Univ Wisconsin, Madison, WI USA

[2] Carbone Canc Ctr, Madison, WI USA

[3] Columbia Univ, New York, NY USA

[4] Vanderbilt Ingram Canc Ctr, Nashville, TN USA

[5] Univ Texas Southwestern Med Ctr Dallas, Simmons Comprehens Canc Ctr, Dallas, TX 75390 USA

[6] Univ Michigan, Rogel Comprehens Canc Ctr, Ann Arbor, MI 48109 USA

[7] Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USA

[8] Natl Comprehens Canc Network, 3025 Chem Rd,Suite 100, Plymouth Meeting, PA 19462 USA

[9] Univ Washington, Med Ctr, Seattle, WA 98195 USA

来源：

JCO ONCOLOGY PRACTICE | 2021年 / 17卷 / 09期

关键词：

COVID-19; OUTCOMES;

D O I：

10.1200/OP.21.00195

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

PURPOSE The use of telemedicine expanded dramatically in March 2020 following the COVID-19 pandemic. We sought to assess oncologist perspectives on telemedicine's present and future roles (both phone and video) for patients with cancer. METHODS The National Comprehensive Cancer Network (NCCN) Electronic Health Record (EHR) Oncology Advisory Group formed a Workgroup to assess the state of oncology telemedicine and created a 20-question survey. NCCN EHR Oncology Advisory Group members e-mailed the survey to providers (surgical, hematology, gynecologic, medical, and radiation oncology physicians and clinicians) at their home institution. RESULTS Providers (N = 1,038) from 26 institutions responded in Summer 2020. Telemedicine (phone and video) was compared with in-person visits across clinical scenarios (n = 766). For reviewing benign follow-up data, 88% reported video and 80% reported telephone were the same as or better than office visits. For establishing a personal connection with patients, 24% and 7% indicated video and telephone, respectively, were the same as or better than office visits. Ninety-three percent reported adverse outcomes attributable to telemedicine visits never or rarely occurred, whereas 6% indicated they occasionally occurred (n = 801). Respondents (n = 796) estimated 46% of postpandemic visits could be virtual, but challenges included (1) lack of patient access to technology, (2) inadequate clinical workflows to support telemedicine, and (3) insurance coverage uncertainty postpandemic. CONCLUSION Telemedicine appears effective across a variety of clinical scenarios. Based on provider assessment, a substantial fraction of visits for patients with cancer could be effectively and safely conducted using telemedicine. These findings should influence regulatory and infrastructural decisions regarding telemedicine postpandemic for patients with cancer. (C) 2021 by American Society of Clinical Oncology

引用

页码：572 / +

页数：10

共 21 条

[1] Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer [J].