Bridging the distance: a prospective tele-oncology study in Northern Norway

Dønnem, Tom; Ervik, Bente; Magnussen, Kathrine; Andersen, Sigve; Pastow, Doris; Andreassen, Sissel; Nørstad, Tone; Helbekkmo, Nina; Bremnes, Roy M.; Nordøy, Tone

doi:10.1007/s00520-011-1319-1

Cited by 28 publications

(48 citation statements)

References 16 publications

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“…According to the EAPC white paper, however, a palliative care specialist team situated at QIH could be justified on the basis of Greenland's population size (Radbruch & Payne, 2009). The geographical challenges mean that telehealth services could be appropriate to provide cancer care in remote places, as described in several studies conducted in rural and remote areas (Donnem et al, 2012;Hebert, 2007;Laila, Rialle, Nicolas, Duguay, & Franco, 2008). Finally, clinical implementation of systematic symptom management seems to be highly warranted in the Greenlandic population of patients with advanced cancer (Augustussen et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Development of health-related quality of life and symptoms in patients with advanced cancer in Greenland

et al. 2018

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A prospective national cohort study assessed the development of health‐related quality of life (HRQoL) and symptoms in adult patients undergoing treatment and care for advanced cancer in Greenland. HRQol was examined by EORTC QLQ‐C30 version 3.0 questionnaire monthly for 4 months. Changes over time and between‐group comparisons were examined. Of 58 patients included in the study, 47% completed the questionnaire four times. Functioning was generally high, and improved social functioning was observed after 1 and 2 months. The highest symptom score was for fatigue followed by pain and nausea/vomiting. A high score for financial problems remained unchanged during the entire period. Patients with higher income had reduced pain intensity (p = .03) and diarrhoea (p = .05) than patients with income below the poverty line. After 1 month, reduction in pain intensity was observed for Nuuk citizens compared with non‐Nuuk citizens (p = .05). After 2 months, non‐Nuuk citizens reported improved social functioning compared with Nuuk citizens (p = .05). After 3 months, Global Health in Nuuk citizens was improved compared with non‐Nuuk citizens (p = .05). An important clinical finding was that patients’ needs for support are related to social status, and geographical factors should be taken into account when planning palliative care.

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Section: Discussionmentioning

confidence: 99%

Development of health-related quality of life and symptoms in patients with advanced cancer in Greenland

et al. 2018

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“…Nilsen [26] looks at the exchange of knowledge between the GPs and the specialists in videoconferences and how collaborative work might close knowledge gaps in daily medical practice; however, patients were not present. This is also the case for other studies [27], while it was the GP who was not involved in other studies [28,29], the exception being a study [30][31][32] where GPs had received special training to perform endoscopic otolaryngological examinations, which were conducted during a synchronous consultation with a specialist. Patient reported being satisfied with this type of consultation, and it offered the patient new ways of taking part in the consultation.…”

Section: Related Workmentioning

confidence: 93%

Service innovation from the edges: enhanced by telemedicine decision support

Osmundsen

Jaatun

Heggem

et al. 2015

Pers Ubiquit Comput

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Increased prevalence of diabetes creates a need for improved care. Diabetes, as a chronic disease in which the patient is a central asset for effective care, is relevant as an illustrative example for also other chronic diseases that are on the rise globally. Such diseases demand localised co-produced healthcare services that respond to the need for integrated health care. The aim of the current paper was to investigate how telemedicine may facilitate patient consultations that improve quality, efficiency and patient involvement. Patient consultations facilitated by telemedicine were evaluated by the means of qualitative questionnaires to specialist, general practitioner and patients. The questionnaires revealed that the patient consultations improved quality of health care and saved time and cost. Findings suggest that such tripartite consultations may lead to outcomes where patients are empowered to take a more active role, the general practitioner increases his knowledge and competence, and the specialist is able to have a more holistic approach grounded in an understanding of patient history and local context. The support of telemedicine strengthens the consultations in terms of synchronous communication with visual clues and reduces time spent on the consultation by the specialist and travel time and cost for the patient. The contribution of this paper is to demonstrate how telemedicine can provide improved patient consultations by altering the established system of healthcare delivery.

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“…En anden mulig indsats til at understøtte dette kunne vaere telemedicinske ydelser i den palliative indsats i fjerntliggende områder (21)(22)(23). En teknologi som i stigende omfang anvendes inden for andre områder i sundhedsvaesenet i Grønland (24).…”

Section: Kritisk Fortolkningunclassified

Palliation til kræftpatienter i Grønland– set fra sundhedsprofessionelles perspektiv

Augustussen

Timm²,

Hounsgaard

2018

NSF

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Dette studie saetter fokus på de sundhedsprofessionelles perspektiver på, hvad der kendetegner den nuvaerende palliative indsats med henblik på at identificere barrierer og muligheder, som grundlag for udvikling af palliativ indsats i Grønland. Formålet var at undersøge de sundhedsprofessionelles perspektiver på organisering af palliativ indsats i Grønland. Studiet er en eksplorativ interviewundersøgelse inden for en faenomenologisk-hermeneutisk forskningstilgang. Der er foretaget interviews med i alt 21 sundhedsprofessionelle, der arbejder i bygder, på sygeplejestationer, det landsdaekkende Dronning Ingrids Hospital i Nuuk samt Det Grønlandske Patienthjem i Danmark. Alle deltagende faggrupper har enten direkte patientkontakt eller administrative opgaver i forhold til patienter med fremskreden cancer. Data blev fortolket med inspiration fra den franske filosof Paul Ricoeurs metode til at forstå og fortolke fortaellinger ved hjaelp af tre analytiske faser: naiv laesning, strukturanalyse og kritisk fortolkning.Gaeldende palliativ indsats er, at den ikke er systematiseret, men er afhaengig af de lokale sundhedsprofessionelles relationelle, faglige og personlige kompetencer. Geografien og logistikken i Grønland har stor betydning for patienters behandling og kontakt med sundhedsvaesenet. Der er for nuvaerende meget Årgang 8, nr. 3-2018, s. 230-245 få retningslinjer der støtter de sundhedsprofessionelle i at yde en palliativ indsats. Der er behov for at videreudvikle koordinerede indsatser inden for palliativ omsorg, pleje og behandling. Dette fordrer uddannelsesinitiativer for sundhedsprofessionelle på alle niveauer. Central palliativ rådgivning evt. via telemedicin vil kunne supervisere patienter, pårørende og professionelle i byer og bygder. Kliniske retningslinjer samt tydelige ansvars-og rollefordelinger vil kunne medvirke til at systematisere indsatsen. Øget kvalitet i den palliative indsats fordrer desuden et optimeret kommunalt samarbejde.Nøgleord palliativ indsats, cancer, organisering, fjerntliggende områder, grønlandsk ABSTRACT In this study the focus is on the health professionals' perspectives on conditions, opportunities, and barriers meeting cancer patients in Greenland and Denmark. The purpose of the study was to investigate the healthcare professional's perspectives on how the palliative care in the Greenlandic healthcare system is organized. The study is an exploratory interview study with a phenomenological-hermeneutical research approach. Interviews were conducted with a total of 21 health professionals working in local health nursing stations, the nationwide Queen Ingrid Hospital in Nuuk and the Greenlandic Patient Home in Denmark. Interpretation of data was within a phenomenological-hermeneutic framework in accordance with Ricoeur-inspired text interpretation theory with three analytical levels: naive reading, structural analysis, and critical interpretation.Current palliative care is not systematized but relies on the local health professional´s relational and personal skills. Geography and lo...

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Bridging the distance: a prospective tele-oncology study in Northern Norway

Abstract: VC may be a useful supplemental tool to support primary health care providers at local hospitals and remote communities in their effort to offer efficient and high-quality cancer care.

Cited by 28 publications

References 16 publications

Development of health-related quality of life and symptoms in patients with advanced cancer in Greenland

Development of health-related quality of life and symptoms in patients with advanced cancer in Greenland

Service innovation from the edges: enhanced by telemedicine decision support

Palliation til kræftpatienter i Grønland– set fra sundhedsprofessionelles perspektiv

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