2023
DOI: 10.1001/jamanetworkopen.2022.50211
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Estimated Indirect Cost Savings of Using Telehealth Among Nonelderly Patients With Cancer

Abstract: ImportancePatients with cancer typically have greater financial hardships and time costs than individuals without cancer. The COVID-19 pandemic has exacerbated this, while posing substantial challenges to delivering cancer care and resulting in important changes in care-delivery models, including the rapid adoption of telehealth.ObjectiveTo estimate patient travel, time, and cost savings associated with telehealth for cancer care delivery.Design, Setting, and ParticipantsAn economic evaluation of cost savings … Show more

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Cited by 82 publications
(34 citation statements)
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“…Our findings suggest positive experiences with telehealth for preanesthesia and postoperative visits among patients and caregivers of various cancer types (e.g., gastrointestinal, genitourinary, and gynecologic). Common benefits of telehealth included time and cost savings associated with travel, which have been previously documented in the literature in cancer care 13,16,19,20,22,27–31 . Since surgical recovery can involve fatigue, one surgery‐specific benefit was allowing surgical patients to avoid having to travel while fatigued and in recovery.…”
Section: Discussionmentioning
confidence: 97%
See 1 more Smart Citation
“…Our findings suggest positive experiences with telehealth for preanesthesia and postoperative visits among patients and caregivers of various cancer types (e.g., gastrointestinal, genitourinary, and gynecologic). Common benefits of telehealth included time and cost savings associated with travel, which have been previously documented in the literature in cancer care 13,16,19,20,22,27–31 . Since surgical recovery can involve fatigue, one surgery‐specific benefit was allowing surgical patients to avoid having to travel while fatigued and in recovery.…”
Section: Discussionmentioning
confidence: 97%
“…Common benefits of telehealth included time and cost savings associated with travel, which have been previously documented in the literature in cancer care. 13,16,19,20,22,[27][28][29][30][31] Since surgical recovery can involve fatigue, one surgery-specific benefit was allowing surgical patients to avoid having to travel while fatigued and in recovery. Similar sentiments were expressed in another study on postoperative visits among patients with cancer.…”
Section: Discussionmentioning
confidence: 99%
“…19 Increased telehealth visits at one NCICC resulted in significant cost-savings and reduction of financial toxicity for patients seeking cancer care. 20 As these approaches to care delivery become a more routine part of cancer care, it will be important to evaluate the impact on access to guideline-based care or clinical trials for populations that have been less likely to access care at NCICCs (e.g., racial and ethnic minorities, those living further away from NCICCs). Additionally, Medicare and Medicaid patients were more likely to be non-analytic cases compared to patients with private/managed insurance, possibly reflecting delays in insurance approvals of referrals.…”
Section: Discussionmentioning
confidence: 99%
“…Some data suggests that satellite clinics can increase healthcare access for different racial/ethnic groups including Native Americans and Asians, although less of a benefit was seen for Hispanic and Black patients 19 . Increased telehealth visits at one NCICC resulted in significant cost‐savings and reduction of financial toxicity for patients seeking cancer care 20 . As these approaches to care delivery become a more routine part of cancer care, it will be important to evaluate the impact on access to guideline‐based care or clinical trials for populations that have been less likely to access care at NCICCs (e.g., racial and ethnic minorities, those living further away from NCICCs).…”
Section: Discussionmentioning
confidence: 99%
“…Emerging data suggest that telehealth may reduce financial and transportation barriers for patients undergoing cancer treatment and can offer opportunities for clinicians to provide reassurance and emotional support for cancer survivors. [7][8][9] However, barriers to telehealth use and racial differences in access among patients with cancer have not been well described in the literature to date.…”
Section: Introductionmentioning
confidence: 99%