Providing Supportive and Palliative Care Using Telemedicine for Patients with Advanced Cancer During the COVID-19 Pandemic in Mexico

被引：52

作者：

Chavarri-Guerra, Yanin ^{[1
]}

Alicia Ramos-Lopez, Wendy ^{[2
]}

Covarrubias-Gomez, Alfredo ^{[2
]}

Sanchez-Roman, Sofia ^{[3
]}

Quiroz-Friedman, Paulina ^{[3
]}

Alcocer-Castillejos, Natasha ^{[3
]}

Del Pilar Milke-Garcia, Maria ^{[4
]}

Carrillo-Soto, Monica ^{[5
]}

Morales-Alfaro, Andrea ^{[6
]}

Medina-Palma, Mildred ^{[6
]}

Carlos Aguilar-Velazco, Jose ^{[6
]}

Morales-Barba, Karen ^{[4
]}

Razcon-Echegaray, Andrea ^{[4
]}

Maldonado, Jenny ^{[4
]}

Soto-Perez-de-Celis, Enrique ^{[6
]}

机构：

[1] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Hematol & Oncol, Mexico City, DF, Mexico

[2] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Pain & Palliat Care Med, Mexico City, DF, Mexico

[3] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Neurol & Psychiat, Mexico City, DF, Mexico

[4] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Nutr, Mexico City, DF, Mexico

[5] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Phys Therapy Serv, Mexico City, DF, Mexico

[6] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Geriatr, Vasco de Quiroga 15,Secc 14, Mexico City 14080, DF, Mexico

来源：

ONCOLOGIST | 2021年 / 26卷 / 03期

关键词：

D O I：

10.1002/onco.13568

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

COVID-19 has overwhelmed the capacity of health care systems, limiting access to supportive and palliative care for patients with advanced cancer. Telemedicine has emerged as a tool to provide care continuity to patients while limiting the risk of contagion. However, implementing telemedicine in resource-limited settings is challenging. We report the results of a multidisciplinary patient-navigator-led telemedicine supportive care program in Mexico City. One-hundred sixty-three telemedicine interventions were provided to 45 patients (median age 68, 57% female). A quarter of the patients had less than or equal to elementary school education, and 15% lived in a rural area. The most common interventions were psychological care (33%), pain and symptom control (25%), and nutritional counseling (13%). Half of the interventions were provided by video conferencing. The most common patient-reported barrier was limited experience using communication technology. Our results demonstrate the feasibility of providing supportive and palliative care interventions using telemedicine in resource-limited settings.

引用

页码：E512 / E515

页数：4

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