Utilizing telemedicine in oncology settings: Patient favourability rates and perceptions of use analysis using Chi-Square and neural networks

Raffenaud, Amanda; Gurupur, Varadraj P.; Fernandes, Steven Lawrence; Yeung, Tina

doi:10.3233/thc-181293

Cited by 12 publications

(6 citation statements)

References 19 publications

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“…The telemedicine platform provides virtual communication, bridging health services and medical care disparities among select patient populations. The use of telemedicine has expanded in the practice of family medicine [1,2] and primary care [3] and has been accredited with favorable results concerning patients' preferences [4][5][6] and costeffectiveness [7,8]. Among health care centers worldwide, telemedicine may refer to telephone, computer-based audio encounters, mobile phone video applications, and remote symptom and vitals reporting transmitting health care information to the treating physician.…”

Section: Introductionmentioning

confidence: 99%

Rapid Implementation of Telemedicine During the COVID-19 Pandemic: Perspectives and Preferences of Patients with Cancer

et al. 2021

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Introduction The use of telemedicine in oncology practice is rapidly expanding and is considered safe and cost effective. However, the implications of telemedicine on patient‐physician interaction, patient satisfaction, and absence of the personal touch have not been studied to date. Following the spread of COVID‐19, telemedicine services were rapidly incorporated at the Oncology Division of Tel Aviv Medical Center. We aimed to evaluate patients' perspectives and preferences regarding telemedicine and to assess whether this virtual communication platform affects the patient‐physician relationship. Methods Between March 2020 and May 2020, adult cancer patients who conducted at least one successful telemedicine meeting were interviewed by trained medical personnel. The interview was based on validated patient satisfaction questionnaires and focused on patient‐physician interaction in relation to the last in‐patient visit. Results Of 236 patients, 172 (74%) patients agreed to participate. The study population comprised mainly patients with gastrointestinal malignancies ( n = 79, 46%) with a median age of 63 years (range 21–88). The majority of patients were male ( n = 93, 54%). Eighty‐nine (51.7%) patients were receiving active oncologic treatment, and 58 (33.7%) were under routine surveillance following completion of active therapy. Almost all had a sense of secured privacy ( n = 171, 96%), the majority of patients affirmed that their concerns were met ( n = 166, 93%) and perceived that eye contact with the treating physician was perceived ( n = 156, 87%). Only a minority felt that the absence of physical clinic visits harmed their treatment ( n = 36, 20%). Most patients ( n = 146, 84.9%) wished to continue telemedicine services. A multivariate analysis revealed that higher satisfaction and visits for routine surveillance were both predictors of willingness to continue future telemedicine meetings over physical encounters (odds ratio [OR] = 2.41, p = .01; OR = 3.34, p = .03, respectively). Conclusion Telemedicine is perceived as safe and effective, and patients did not feel that it compromised medical care or the patient‐physician relationship. Integration of telemedicine is ideal for patients under surveillance after completion of active oncologic treatment. Physician communication skills workshops are warranted with implementing this platform. Implications for Practice During the COVID‐19 pandemic, telemedicine was rapidly implemented worldwide to facilitate continuity of quality care and treatment. Despite many potential setbacks, telemedicine has become a useful and safe tool for oncology practitioners to care for their pa...

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Section: Introductionmentioning

confidence: 99%

Rapid Implementation of Telemedicine During the COVID-19 Pandemic: Perspectives and Preferences of Patients with Cancer

et al. 2021

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“…Raffenaud et al (11) used the Theory of Planned Behavior to measure the usability of telemedicine use for a study sample from a rural setting. This study indicated that the following factors improved the favorability of telemedicine use: (I) perceived benefits: savings in travel cost to the healthcare provider, and reduced wait times at the healthcare facility; (II) perceived motivation: improved clinical feedback from the clinicians, and quicker response time; (III) perceived compatibility and advantage: increased accessibility to healthcare service, and clinicians.…”

Section: Discussion On Challenges With Implementation Of Telehealth I...mentioning

confidence: 99%

A brief analysis of challenges in implementing telehealth in a rural setting

Gurupur¹,

Miao²

2022

mHealth

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Basic concepts and definitionsGrigsby and Goetz (1) define telehealth as, "the use of telecommunications and computer technologies to make a broad spectrum of health-related services and information available to populations with limited access". Moreover, Institute of Medicine defined telemedicine in 1996 as (2), "the use of electronic information and communications technologies to provide and support health care when distance separates participants". In this work the authors consider telemedicine as a part of telehealth and discuss the issues related to the implementation of telehealth in a rural setting. Generally, telemedicine is a subset of telehealth. Grigsby and Goetz (1) indicate that telehealth may include several categories of care such as: teleradiology, mental health, ER/triage, and chronic disease management. Here it can be conceived that telemedicine is a subset of telehealth. Now that we have explored the definitions of telemedicine and telehealth it is important to investigate into what constitutes as a rural area in the United States. It is important to mention that the US Census Bureau defines rural as something that is not urban. In other words, any

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“…Chi-square test of bivariate analysis has been applied in many studies to identify perceptions and favorability with respect to household characteristics such as age, education and income levels (Gary 2005;Amanda et al 2019). In this study, Chi-square analysis is used to study the potential influencing factors including the perceptions and household characteristics on water consumption behavior, future consumption of tap water, and the preference billing methods through IBM SPSS software.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of water quality, and current and future water consumption of residents in the central business district of Yangon city Myanmar

Sakai

2021

Water Supply

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Public water supply services in Yangon started since 1842, however the practice of drinking tap water is uncommon until this moment. Currently, Yangon city development committee is upgrading the tap water system in accordance with greater Yangon water supply improvement project. It is important to know the perceptual driving factors affecting the decision for drinking in order to effectively improve the public acceptance of tap water. In this study, household water management practices and their influencing factors of Yangon city residents are revealed through questionnaires. Residence time in Yangon city is significantly associated with the water consumption behaviour. Decision for drinking comes from perception on organoleptic rather than parameters of high importance for safety. The future consumption of tap water is influenced by income and perception on overall quality. Preference billing method is associated with education, family size, income and willingness to spend more for better quality water.

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Utilizing telemedicine in oncology settings: Patient favourability rates and perceptions of use analysis using Chi-Square and neural networks

Cited by 12 publications

References 19 publications

Rapid Implementation of Telemedicine During the COVID-19 Pandemic: Perspectives and Preferences of Patients with Cancer

Rapid Implementation of Telemedicine During the COVID-19 Pandemic: Perspectives and Preferences of Patients with Cancer

A brief analysis of challenges in implementing telehealth in a rural setting

Perceptions of water quality, and current and future water consumption of residents in the central business district of Yangon city Myanmar

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