J Telemed Telecare - A tele-oncology model replacing face-to-face specialist cancer care: perspectives of patients in North Queensland.

Tópicos

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Resumo

We explored the experiences of patients using the Townsville Tele-oncology clinic, where most patients are no longer seen face-to-face. All medical oncology patients who received services via telehealth at the Townsville Cancer Centre in 2012 were invited to participate in an interview. None refused. Thirty two patients were interviewed by telephone and three via videoconference at their local health service facility. Data analysis identified five major themes (quality of the consultation; communication and relationships; familiarity with technology and initial fears; local services and support; and lack of coordination of services between the local rural hospital and the major regional hospital) and each major theme included a number of sub-themes. Most patients interviewed (69%) had not seen their oncology specialist face-to-face, but 86% of them found the video-consultation to be of high quality and were extremely satisfied with the interaction. The acceptance of teleconsultation appeared to be linked to the patients' trust with their local health system and staff. Overall, the tele-oncology model that replaced face-to-face care in North Queensland was accepted and welcomed by patients.

Resumo Limpo

explor experi patient use townsvill teleoncolog clinic patient longer seen facetofac medic oncolog patient receiv servic via telehealth townsvill cancer centr invit particip interview none refus thirti two patient interview telephon three via videoconfer local health servic facil data analysi identifi five major theme qualiti consult communic relationship familiar technolog initi fear local servic support lack coordin servic local rural hospit major region hospit major theme includ number subthem patient interview seen oncolog specialist facetofac found videoconsult high qualiti extrem satisfi interact accept teleconsult appear link patient trust local health system staff overal teleoncolog model replac facetofac care north queensland accept welcom patient

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