Patient and Healthcare Provider Perspectives on the Implementation of a Web-Based Clinical Communication System for Cancer: A Qualitative Study

Petrović, Bojana; O’Brien, Mary Ann; Liddy, Clare; Afkham, Amir; McGee, Sharon F.; Morgan, Scott C.; Segal, Roanne; Bender, Jacqueline L.; Sussman, Jonathan; Urquhart, Robin; Fitch, Margaret I.; Schneider, Nancy; Grunfeld, Eva

doi:10.3390/curroncol29110662

Cited by 2 publications

(3 citation statements)

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“…In response to two survey items, PCPs emphasized the need to integrate eOncoNote with their EMRs to avoid having to log into a separate system each time. This is consistent with data from our qualitative interviews [ 18 ], suggesting that EMR integration may be a major factor in successfully incorporating eOncoNote into the clinical workflow. Other studies have also reported similar barriers to adopting internet-based physician communication tools, including slow service, difficulty with accessing information and a time-consuming process [ 26 ].…”

Section: Discussionsupporting

confidence: 90%

“…In our qualitative interviews, healthcare providers noted that communication was generally one-directional with cancer specialists sending reports to PCPs by fax. Healthcare providers reported that PCPs were more likely to contact cancer specialists by telephone or fax after the patient completed treatment, in instances where a patient had more complex needs, or if the patient lived far away from the cancer center [ 18 ]. Results from the pRCT demonstrated that patients randomized to the intervention group had an average of three comorbid conditions in the treatment phase, and an average of two comorbid conditions in the survivorship phase [ 17 ], so there may have been less of a need for communication regarding patients who did not have as many illnesses.…”

Section: Discussionmentioning

confidence: 99%

“…The implementation aim was addressed through qualitative interviews, analysis of eOncoNote system usage metrics, and data abstracted from the hospital EMR. Results from the pRCT [ 17 ] and qualitative interviews [ 18 ] have been reported separately. This paper focuses on the findings from the PCP survey and eOncoNote system usage data.…”

Section: Methodsmentioning

confidence: 99%

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Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists

et al. 2023

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Healthcare providers have reported challenges with coordinating care for patients with cancer. Digital technology tools have brought new possibilities for improving care coordination. A web- and text-based asynchronous system (eOncoNote) was implemented in Ottawa, Canada for cancer specialists and primary care providers (PCPs). This study aimed to examine PCPs’ experiences of implementing eOncoNote and how access to the system influenced communication between PCPs and cancer specialists. As part of a larger study, we collected and analyzed system usage data and administered an end-of-discussion survey to understand the perceived value of using eOncoNote. eOncoNote data were analyzed for 76 shared patients (33 patients receiving treatment and 43 patients in the survivorship phase). Thirty-nine percent of the PCPs responded to the cancer specialist’s initial eOncoNote message and nearly all of those sent only one message. Forty-five percent of the PCPs completed the survey. Most PCPs reported no additional benefits of using eOncoNote and emphasized the need for electronic medical record (EMR) integration. Over half of the PCPs indicated that eOncoNote could be a helpful service if they had questions about a patient. Future research should examine opportunities for EMR integration and whether additional interventions could support communication between PCPs and cancer specialists.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists

et al. 2023

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Support for patients and the role of eHealth in rehabilitation after radical prostatectomy

Wennerberg

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Background: Patients undergoing radical prostatectomy for prostate cancer often experience urinary incontinence and sexual dysfunction posttreatment. Active self-care can reduce this burden. However, support maybe needed to maintain motivation during the long rehabilitation. eHealth has the potential to provide such support. Aim: To investigate the effects of eHealth support and describe patients'experiences of support in self-care during the rehabilitation after radical prostatectomy. Method: The Medical Research Council’s framework for complex interventions governed the overall design of this thesis. In Study I, patients’ experiences of the usability of a new eHealth support, the electronic Patient Activation in Treatment at Home (ePATH), was described using individual interviews and deductive content analysis. The effects of ePATH on symptoms and activation were evaluated through a multicenter longitudinal randomized controlled trial (II, III). Patients planned for radical prostatectomy at three sites were eligible for inclusion. The intervention group had access to ePATH during one year after surgery. Questionnaires at five timepoints were analyzed with linear mixed models and generalized estimation equations. Study IV described patients’ experiences of support for managing self-care through individual interviews and inductive content analysis. Results: Study I covered the usability of ePATH as to managing the technology, turning input into output, and how the eHealth support assisted in task performance. The randomized controlled trial showed no significant differences between groups regarding urinary incontinence, sexual function, physical activity, pelvic floor exercises (II), or patient activation (III). In the intervention group, 64% used ePATH. Initial patient activation and depression significantly influenced patient activation over the course of the rehabilitation year. In Study IV, patients described a progression in self-care management, where their abilities grew through interconnected phases. Conclusion: The needs for support differ during a patient's journey through prostate cancer rehabilitation. This places demands on the support and underscores the need for accessibility, individual adaptation, and continuity. Future research should focus on adjustable aids for patients in long-term rehabilitation, integrating multiple aspects, to enable tailoring of the support.

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Patient and Healthcare Provider Perspectives on the Implementation of a Web-Based Clinical Communication System for Cancer: A Qualitative Study

Cited by 2 publications

References 31 publications

Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists

Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists

Support for patients and the role of eHealth in rehabilitation after radical prostatectomy

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