Do teleoncology models of care enable safe delivery of chemotherapy in rural towns?

Chan, Bryan; Larkins, Sarah; Evans, Rebecca; Watt, Kerrianne; Sabesan, Sabe

doi:10.5694/mja15.00190

Cited by 37 publications

(38 citation statements)

References 17 publications

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“…More than two thirds of the studies were carried out more than ten years ago, pointing to the small amount of current research on this topic. This represents a limitation in our understanding of patient needs and experiences under more recent care delivery models, which might have tried to reduce the need to travel for specialist care and offer at least some parts of treatment closer to the patient's home (31,32).…”

Section: Discussionmentioning

confidence: 99%

On the road and away from home: a systematic review of the travel experiences of cancer patients and their families

Vindrola‐Padros

Brage

Chambers

2018

Support Care Cancer

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Section: Discussionmentioning

confidence: 99%

On the road and away from home: a systematic review of the travel experiences of cancer patients and their families

Vindrola‐Padros

Brage

Chambers

2018

Support Care Cancer

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“…Telehealth refers to the use of technology to provide remote personalized health care to patients [12,13] which allows exchange of data and communication between patients and health care professionals (HCPs) [14]. Examples of initiatives in active development include the UK-based eRAPID remote symptom reporting system [15], a Web-based exercise program in the Netherlands [16] and rural chemotherapy administration under guidance from centrally-based oncologists in Australia [17]. …”

Section: Introductionmentioning

confidence: 99%

Cancer Survivors’ Experience With Telehealth: A Systematic Review and Thematic Synthesis

Cox¹,

Lucas²,

Marcu³

et al. 2017

J Med Internet Res

263

261

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BackgroundNet survival rates of cancer are increasing worldwide, placing a strain on health service provision. There is a drive to transfer the care of cancer survivors—individuals living with and beyond cancer—to the community and encourage them to play an active role in their own care. Telehealth, the use of technology in remote exchange of data and communication between patients and health care professionals (HCPs), is an important contributor to this evolving model of care. Telehealth interventions are “complex,” and understanding patient experiences of them is important in evaluating their impact. However, a wider view of patient experience is lacking as qualitative studies detailing cancer survivor engagement with telehealth are yet to be synthesized.ObjectiveTo systematically identify, appraise, and synthesize qualitative research evidence on the experiences of adult cancer survivors participating in telehealth interventions, to characterize the patient experience of telehealth interventions for this group.MethodsMedline (PubMed), PsychINFO, Cumulative Index for Nursing and Allied Health Professionals (CINAHL), Embase, and Cochrane Central Register of Controlled Trials were searched on August 14, 2015, and March 8, 2016, for English-language papers published between 2006 and 2016. Inclusion criteria were as follows: adult cancer survivors aged 18 years and over, cancer diagnosis, experience of participating in a telehealth intervention (defined as remote communication or remote monitoring with an HCP delivered by telephone, Internet, or hand-held or mobile technology), and reporting qualitative data including verbatim quotes. An adapted Critical Appraisal Skill Programme (CASP) checklist for qualitative research was used to assess paper quality. The results section of each included article was coded line by line, and all papers underwent inductive analysis, involving comparison, reexamination, and grouping of codes to develop descriptive themes. Analytical themes were developed through an iterative process of reflection on, and interpretation of, the descriptive themes within and across studies.ResultsAcross the 22 included papers, 3 analytical themes emerged, each with 3 descriptive subthemes: (1) influence of telehealth on the disrupted lives of cancer survivors (convenience, independence, and burden); (2) personalized care across physical distance (time, space, and the human factor); and (3) remote reassurance—a safety net of health care professional connection (active connection, passive connection, and slipping through the net). Telehealth interventions represent a convenient approach, which can potentially minimize treatment burden and disruption to cancer survivors’ lives. Telehealth interventions can facilitate an experience of personalized care and reassurance for those living with and beyond cancer; however, it is important to consider individual factors when tailoring interventions to ensure engagement promotes benefit rather than burden.ConclusionsTelehealth interventions can provide cancer sur...

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“…Several telechemotherapy models of care have been in operation including the Queensland Remote Chemotherapy Supervision (QReCS) model to provide chemotherapy services locally in small rural centres . Literature on telehealth models of care report on positive patient and health professional acceptance and satisfaction, safety of chemotherapy delivery and cost effectiveness . In addition, through peer support and additional training, rural capabilities have been enhanced to provide specialist care closer to home for rural and regional patients .…”

Section: An Introduction To the Australasian Teletrial Modelmentioning

confidence: 99%

Implementation of the Australasian Teletrial Model: Lessons from practice

Sabesan¹,

Zalcberg²,

Underhill³

et al. 2019

Asia-Pac J Clncl Oncology

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Do teleoncology models of care enable safe delivery of chemotherapy in rural towns?

Abstract: It appears safe to administer chemotherapy in rural towns under the supervision of medical oncologists from larger centres via teleoncology, provided that rural health care resources and governance arrangements are adequate.

Cited by 37 publications

References 17 publications

On the road and away from home: a systematic review of the travel experiences of cancer patients and their families

On the road and away from home: a systematic review of the travel experiences of cancer patients and their families

Cancer Survivors’ Experience With Telehealth: A Systematic Review and Thematic Synthesis

Implementation of the Australasian Teletrial Model: Lessons from practice

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