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with relevant follow up for positive tests. Prior to the test, attenders were given a questionnaire about their doubt and arguments in relation to the participation decision, including different willingness-to-pay (WTP) questions. Non-attenders were mailed a similar questionnaire. RESULTS: 70% responded to the questionnaire, which lead to a study sample of 1,053 attenders and 435 non-attenders. Among attenders, 5% had doubt about participation and the most frequent argument was that they did not want to know about the test result. Among non-attenders, 46% would reconsider attendance after further information, the main argument for doubt being the same as for attenders. Further arguments were selfperceived low risk and the trouble and costs associated with attending. Attenders valued the programme significantly higher than non-attenders but this was sensitive to exclusion of bidders who did not pass a simple test for internal consistency of the reported WTP. Doubt about participation was associated with significantly lower WTP among attenders whereas the opposite was the case for non-attenders. Amongst those in doubt, the WTP was the same for attenders and non-attenders. CONCLUSIONS: Up to half of the non-attenders appeared to have doubt about their decision, which presents a potential for increasing the participation rate. Nonattenders in doubt about their participation decision value the programme at a similar level as attenders in doubt, suggesting that non-attenders in doubt do not differ significantly in their base-line valuations from those of the individuals in doubt who choose to attend.

possibility, 4 did not feel confident and 3 did not have the correct equipment. The remaining patients cited numerous reasons for not taking up this service. In the satisfaction analysis of 17 initial telemedicine consultations 5/6 patients (81%) were very satisfied with telemedicine follow up. 4 patients (66%) found the platform extremely easy and 2 (34%) easy to use. Conclusion: On treatment monitoring of oral TKI therapy could be effectively carried out using video consultation platform reducing the number of hospital visits. The consultations provided necessary information and allowed for adequate clinical assessment. However the initial take up rate is low mostly due to patient reluctance rather than unavailable technology. The overall feedback from participants was very positive and accepting of the service. The iKonsult video consultation is being introduced into other oncology settings.Background: 50+% of cancer-related toxicities are under-reported. A real-time Remote (i.e., at-home) Symptom Reporting (RSR) system could help patients seek help when symptoms exceed thresholds, mitigating unplanned clinic/emergency room visits. A RSR system for solid-tumor patients undergoing chemotherapy is associated with improved health-related quality of life and survival (Basch et al, 2017). Adapting RSR into the thoracic cancer clinic environment requires assessments of potential implementation barriers, and tailoring of the RSR-system. Method: Over a five month period, we performed an environmental scan to determine readiness of RSR implementation in our comprehensive thoracic oncology outpatient clinic. A qualitative assessment of potential RSR integration into the telephone triage environment was performed through one-on-one interviews and focus groups, followed by thematic analysis. Discussions were held with multiple stakeholders; key implementation champions were identified. We utilized the Canadian Institutes of Health Research Knowledge-to-Action Framework, Steps 2-4 as our guide. Result: In the environmental scan, 125 telephone triage calls were logged over randomlychosen days in a 6-week period. The mean ± SEM call duration was 5.4 ± 0.62 minutes. Mean time until response was 44.4 ± 3.8 minutes. Nurses spent on average 2.7 ± 0.2 minutes documenting into the electronic-patient-record. The mean duration from initial contact to completion was 24.1 ± 4.5 minutes. Resolution of the triage calls involved telephone advice alone (87%; n¼109), unplanned clinic visits (6%; n¼8), and emergency visits (6%; n¼7). In the qualitative analyses, top stakeholder-identified issues were: lack of assessment standardization; wasted time transcribing paper triage notes to electronic records; and a high patient/family burden in terms on understanding when to seek help. There was universal interest in adopting a RSR system from administrative assistants, nursing administration, clinic nurses, physicians and trainees. Perceived benefits of RSR were: standardized, focused telephone assessments; tailored symptom assessments in the tho...

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