How can eHealth enhance adherence to cancer therapy and supportive care?

Bateman, Emma; Keef, Dorothy M K

doi:10.2298/sarh1602116b

Cited by 8 publications

(8 citation statements)

References 40 publications

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“…We also found that approximately 89% of the participants would like to revisit the Department of Guangdong Online Hospital. The number of participants who reported complete adherence to physician’s advice was almost equal to that of those reporting partial compliance and no compliance, which was consistent with Bateman’s research [28]. The findings of our study indicated that telemedicine was popular but did not have a good compliance.…”

Section: Discussionsupporting

confidence: 90%

Using an Internet-Based Hospital to Address Maldistribution of Health Care Resources in Rural Areas of Guangdong Province, China: Retrospective and Descriptive Study

He¹,

Zhou²,

Chen³

et al. 2018

JMIR Med Inform

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BackgroundHealth care maldistribution is a long-term problem in China. Telemedicine is an efficient way to deliver medical resources to remote areas; however, there are few studies on the effectiveness and challenges in providing health care from rural to urban areas in China.ObjectiveThe objective was to describe the effectiveness and challenges of telemedicine for providing health care from Guangzhou to rural areas in Guangdong Province.MethodsWe designed surveys and conducted them immediately after the consultation and 2-4 weeks later. Data were collected from June 2015 to May 2016 including patients’ demographic features, patient satisfaction, medicine effect, patient compliance, acceptability of prescription expenses, patients’ desire to revisit the department, the top 10 diseases, and self-reported difficulties in telemedicine experience. The monthly average prescription expense was described using a line chart. The monthly consultation and prescription, as well as monthly prescriptions of Western medicines and herbs, were described using a bar chart.ResultsWomen comprised majority (45,386/67,740, 67.00%) of participants and men comprised the minority (22,354/67,740, 33.00%). The top 3 diseases were upper respiratory diseases (12,371/36,311, 34.07%), laryngopharyngitis (4938/36,311, 13.60%), and menstrual disorders (4669/36,311, 12.86%). The monthly prescription for Western medicine was much more than that for Chinese herbs. The annual average medicine expense per prescription was 62.9 ¥. The participants’ perception of expense was acceptable (8775/12,450, 70.48%), mostly acceptable (2497/12,450, 20.01%), accepted but somewhat expensive (980/12,450, 7.9%), and unacceptable because of high cost (198/12,450, 1.6%). The surveys on patient satisfaction demonstrated very satisfied (55,687/67,740, 82.21%), satisfied (5891/67,740, 8.70%), basic satisfaction (3561/67,740, 5.26%), dissatisfaction (1454/67,740, 2.15%), and no comment (1147/67,740, 1.69%). Participants reported their treatment outcome as follows: full recovery (5008/12,450, 40.22%), recovering (4873/12,450, 39.14%), no effect (2153/12,450, 17.29%), or worsening (416/12,450, 3.3%). Approximately 89.01% (20,240/22,740) of participants will revisit the department, whereas 10.99% (2500/22,740) will not. Most patients complied with the doctors’ advice completely (5430/10,290, 52.77%), whereas the rest reported partial compliance (3684/10,290, 35.80%) or no compliance at all (1176/10,290, 11.43%). The participants reported poor computer skills (4980/22,740, 21.90%), transportation inconvenience (4670/22,740, 20.50%), unstable internet connection (3820/22,740, 16.80%), language barriers (3708/22,740, 16.30%), medication and medical hardware shortage (2459/22,740, 10.82%), tiring commute (2068/22,740, 9.08%), family care burdens (679/22,740, 3.0%), and other unclassified difficulties (356/22,740, 1.6%) as difficulties in using telemedicine.ConclusionsTelemedicine has a wide disease spectrum, similar to ordinary medicine in China. It saves costs, has high patie...

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Section: Discussionsupporting

confidence: 90%

Using an Internet-Based Hospital to Address Maldistribution of Health Care Resources in Rural Areas of Guangdong Province, China: Retrospective and Descriptive Study

He¹,

Zhou²,

Chen³

et al. 2018

JMIR Med Inform

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show abstract

“…These challenges include demographic changes with more elderly patients living with chronic conditions and long distances to hospitals [11,13-16]. In cancer care, the use of telehealth has, as mentioned above, shown beneficial aspects not only as support interventions for relatives but also as a positive addition to promote adherence in treatment and care, improving patient outcomes [17,18]. In spite of these experiences using telehealth, numerous barriers must be considered if the implementation is to succeed [14].…”

Section: Introductionmentioning

confidence: 99%

Patient Rounds With Video-Consulted Relatives: Qualitative Study on Possibilities and Barriers From the Perspective of Healthcare Providers

Østervang¹,

Vestergaard²,

Dieperink³

et al. 2019

J Med Internet Res

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Background In cancer settings, relatives are often seen as a resource as they are able to support the patient and remember information during hospitalization. However, geographic distance to hospitals, work, and family obligations are reasons that may cause difficulties for relatives’ physical participation during hospitalization. This provided inspiration to uncover the possibility of telehealth care in connection with enabling participation by relatives during patient rounds. Telehealth is used advantageously in health care systems but is also at risk of failing during the implementation process because of, for instance, health care professionals’ resistance to change. Research on the implications for health care professionals in involving relatives’ participation through virtual presence during patient rounds is limited. Objective This study aimed to investigate health care professionals’ experiences in using and implementing technology to involve relatives during video-consulted patient rounds. Methods The design was a qualitative approach. Methods used were focus group interviews, short open interviews, and field observations of health care professionals working at a cancer department. The text material was analyzed using interpretative phenomenological analysis. Results Field observational studies were conducted for 15 days, yielding 75 hours of observation. A total of 14 sessions of video-consulted patient rounds were observed and 15 pages of field notes written, along with 8 short open interviews with physicians, nurses, and staff from management. Moreover, 2 focus group interviews with 9 health care professionals were conducted. Health care professionals experienced the use of technology as a way to facilitate involvement of the patient’s relatives, without them being physically present. Moreover, it raised questions about whether this way of conducting patient rounds could address the needs of both the patients and the relatives. Time, culture, and change of work routines were found to be the major barriers when implementing new technology involving relatives. Conclusions This study identified a double change by introducing both new technology and virtual participation by relatives at the same time. The change had consequences on health care professionals’ work routines with regard to work load, culture, and organization because of the complexity in health care systems.

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“…Studies have shown that patients’ engagement with e-monitoring leads to good adherence of instructions 5,6. A mobile application (app) for healthcare is a tool that can improve patients’ engagement in self-care, and can be helpful for behavioral adherence 7,8. The versatility of mobile apps makes users more participatory, thus empowering them in making an informed choice for themselves 9.…”

Section: Introductionmentioning

confidence: 99%

“…Mobile apps is one of the healthcare services that has promotes patients’ health and has positive effects on their behavioral adherence. Mobile apps are used to support patients’ behavioral adherence, such as in the cases of chronic kidney disease, chronic obstructive pulmonary disease, heart failure, diabetes, cancer, and post-operative management 7,10,11,17–19. However, whether patients continue to use an app service depends on their satisfaction with the service 22,23.…”

Section: Introductionmentioning

confidence: 99%

<p>Does “hospital loyalty” matter? Factors related to the intention of using a mobile app</p>

Lin

Guo

Hsu³

et al. 2019

PPA

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Purpose This study aimed to explore the association between hospital loyalty, perceived usefulness of a mobile app, perceived ease of use of that mobile app, and satisfaction with the app’s use as well as predicting patients’ intended use of the app. Patients and methods Purposive sampling was adopted in a cross-sectional survey. The participants were outpatients at the traditional Chinese medicine departments of three hospitals in northern Taiwan (n=125). The self-report questionnaire comprised information about sociodemographics and scales related to hospital loyalty, perceived usefulness of the mobile app, its perceived ease of use, satisfaction with its use, and its usage intention. The data were analyzed using structural equation modeling. Results The four factors explained 70% variance in usage intention. The perceived usefulness of the mobile app directly and indirectly affects their usage intention, but its perceived ease of use had only indirect effects on the usage intention. Perceived usefulness and perceived ease of use influence the usage intention through satisfaction. The women’s hospital loyalty does not directly affect the usage intention of the mobile app, but indirectly affects it through perceived usefulness and perceived ease of use of the mobile app. Conclusion Intended use of the app by women is mainly related to their experience of which is usefulness, ease of use and satisfaction of service are the most important factors contributing to continuous use. Hospital loyalty does not directly affect intention to use as expected. The influence of loyalty must be related to the patients’ perception of the product, in terms of usefulness, ease to use, and satisfaction. The finding is helpful to understand patients’ preference and support their behavioral adherence.

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How can eHealth enhance adherence to cancer therapy and supportive care?

Cited by 8 publications

References 40 publications

Using an Internet-Based Hospital to Address Maldistribution of Health Care Resources in Rural Areas of Guangdong Province, China: Retrospective and Descriptive Study

Using an Internet-Based Hospital to Address Maldistribution of Health Care Resources in Rural Areas of Guangdong Province, China: Retrospective and Descriptive Study

Patient Rounds With Video-Consulted Relatives: Qualitative Study on Possibilities and Barriers From the Perspective of Healthcare Providers

<p>Does “hospital loyalty” matter? Factors related to the intention of using a mobile app</p>

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