Telemedicine Utilization in the Ambulatory Palliative Care Setting: Are There Disparities in Access for Patients with Cancer?

Frydman, Julia L.; Berkalieva, Asem; Liu, Bian; Scarborough, Beth; Mazumdar, Madhu; Smith, Cardinale B.

doi:10.1016/j.jpainsymman.2022.02.048

Cited by 1 publication

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, telemedicine can have an impact on interpersonal relationships, making it difficult for medical staff to build trust with patients and more strained relationships with family members (Calton et al, 2020; Rosa et al, 2022). Patients who choose telemedicine have the following characteristics and are less likely to be used by patients who speak other languages, patients who are uninsured and patients who are inactivated (Frydman et al, 2022). In another study, younger patients, white patients and English‐speaking patients were more likely to use telemedicine (Calton et al, 2020), demonstrating that telemedicine can exacerbate health care disparities.…”

Section: Resultsmentioning

confidence: 99%

“…• These findings are important for medical institutions and governments to ensure the quality of palliative care for cancer patients in the face of public health emergencies, and provide experience and lessons for this purpose. et al, 2022;Biswas, Adhikari, Gupta, et al, 2020;Calton et al, 2020;Caraceni et al, 2022;Cardoso et al, 2021;Frydman et al, 2022;Ghoshal et al, 2022;Jacobson et al, 2021;Palma et al, 2021;Rosa et al, 2022;Wujcik et al, 2022). However, Palliative care was not systematically reviewed during the COVID-19 epidemic, and most articles addressed only one aspect.…”

Section: What Does This Paper Contribute To the Wider Global Clinical...mentioning

confidence: 99%

“…In another study, younger patients, white patients and English-speaking patients were more likely to use telemedicine (Calton et al, 2020), demonstrating that telemedicine can exacerbate health care disparities. Telemedicine requires technical assistance to bridge the digital divide, mitigate disparities and address language issues (Frydman et al, 2022).…”

Section: Update On Palliative Care Techniques For Cancer Patientsmentioning

confidence: 99%

“…The use of telemedicine during COVID-19 is advantageous in that it facilitates timely treatment of patients with functional impairments (Frydman et al, 2022), can help patients monitor symptoms and provide medications in real time (Biswas, Adhikari, Gupta, et al, 2020) and is easy to use, more time-saving and convenient and more comforting (Calton et al, 2020). In addition, one study shows that reimbursement rates for telemedicine are on the rise (Onesti et al, 2021).…”

Section: Update On Palliative Care Techniques For Cancer Patientsmentioning

confidence: 99%

“…This situation has made it difficult for institutions to provide and manage palliative care services, and staff have suffered as a result (de Azeredo Siqueira et al, 2021; Dhavale et al, 2020; Franchini et al, 2021; Mishra et al, 2022; Moriyama et al, 2021; Nyblom et al, 2022; Penel et al, 2021; Rahnea‐Nita et al, 2021; Santin et al, 2022; Varani et al, 2021). Many options for improving palliative care during the COVID‐19 epidemic have also been proposed in the literature, including modification of treatment protocols, enhanced caregiver training, use of electronic patient symptom management programs, and use of telemedicine (Adhikari et al, 2021; Almouaalamy et al, 2022; Biswas, Adhikari, Gupta, et al, 2020; Calton et al, 2020; Caraceni et al, 2022; Cardoso et al, 2021; Frydman et al, 2022; Ghoshal et al, 2022; Jacobson et al, 2021; Palma et al, 2021; Rosa et al, 2022; Wujcik et al, 2022). However, Palliative care was not systematically reviewed during the COVID‐19 epidemic, and most articles addressed only one aspect.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

Zhao

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

BackgroundDuring the COVID‐19 epidemic, palliative care has become even more indispensable for cancer patients.AimTo identify the changes in palliative care for cancer patients and improvements in palliative care quality during the COVID‐19 pandemic.DesignA systematic review and narrative synthesis was conducted in PubMed, Embase and Web of Science. An evaluation tool using mixed methods was used to assess the quality of the study. The main relevant themes identified were used to group qualitative and quantitative findings.ResultsA total of 36 studies were identified, primarily from different countries, with a total of 14,427 patients, 238 caregivers and 354 health care providers. Cancer palliative care has been experiencing several difficulties following the COVID‐19 pandemic, including increased mortality and infection rates as well as delays in patient treatment that have resulted in poorer prognoses. Treatment providers are seeking solutions such as electronic management of patients and integration of resources to care for the mental health of patients and staff. Telemedicine plays an important role in many ways but cannot completely replace traditional treatment. Clinicians strive to meet patients' palliative care needs during special times and improve their quality of life.ConclusionsPalliative care faces unique challenges during the COVID‐19 epidemic. With adequate support to alleviate care‐related challenges, patients in the home versus hospital setting will be able to receive better palliative care. In addition, this review highlights the importance of multiparty collaboration to achieve personal and societal benefits of palliative care.Patient or Public ContributionNo Patient or Public Contribution.

show abstract