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Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic

The purpose of this study was to evaluate the use of telemedicine amid the SARS-CoV-2 pandemic in patients with cancer and assess barriers to its implementation. PATIENTS AND METHODS: Telehealth video visits, using the Houston Methodist MyChart platform, were offered to patients with cancer as an al...

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Autores principales: Darcourt, Jorge G., Aparicio, Kalia, Dorsey, Phillip M., Ensor, Joe E., Zsigmond, Eva M., Wong, Stephen T., Ezeana, Chika F., Puppala, Mamta, Heyne, Kirk E., Geyer, Charles E., Phillips, Robert A., Schwartz, Roberta L., Chang, Jenny C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society of Clinical Oncology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202056/
https://www.ncbi.nlm.nih.gov/pubmed/33026951
http://dx.doi.org/10.1200/OP.20.00572
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author Darcourt, Jorge G.
Aparicio, Kalia
Dorsey, Phillip M.
Ensor, Joe E.
Zsigmond, Eva M.
Wong, Stephen T.
Ezeana, Chika F.
Puppala, Mamta
Heyne, Kirk E.
Geyer, Charles E.
Phillips, Robert A.
Schwartz, Roberta L.
Chang, Jenny C.
author_facet Darcourt, Jorge G.
Aparicio, Kalia
Dorsey, Phillip M.
Ensor, Joe E.
Zsigmond, Eva M.
Wong, Stephen T.
Ezeana, Chika F.
Puppala, Mamta
Heyne, Kirk E.
Geyer, Charles E.
Phillips, Robert A.
Schwartz, Roberta L.
Chang, Jenny C.
author_sort Darcourt, Jorge G.
collection PubMed
description The purpose of this study was to evaluate the use of telemedicine amid the SARS-CoV-2 pandemic in patients with cancer and assess barriers to its implementation. PATIENTS AND METHODS: Telehealth video visits, using the Houston Methodist MyChart platform, were offered to patients with cancer as an alternative to in-person visits. Reasons given by patients who declined to use video visits were documented, and demographic information was collected from all patients. Surveys were used to assess the levels of satisfaction of treating physicians and patients who agreed to video visits. RESULTS: Of 1,762 patients with cancer who were offered telehealth video visits, 1,477 (83.8%) participated. The patients who declined participation were older (67.7 v 60.2 years; P < .0001), lived in significantly lower-income areas (P = .0021), and were less likely to have commercial insurance (P < .0001) than patients who participated. Most participating patients (92.6%) were satisfied with telehealth video visits. A majority of physicians (65.2%) were also satisfied with its use, and 74% indicated that they would likely use telemedicine in the future. Primary concerns that physicians had in using this technology were inadequate patient interactions and acquisition of medical data, increased potential for missing significant clinical findings, decreased quality of care, and potential medical liability. CONCLUSION: Oncology/hematology patients and their physicians expressed high levels of satisfaction with the use of telehealth video visits. Despite recent advances in technology, there are still opportunities to improve the equal implementation of telemedicine for the medical care of vulnerable older, low-income, and underinsured patient populations.
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spelling pubmed-82020562022-01-01 Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic Darcourt, Jorge G. Aparicio, Kalia Dorsey, Phillip M. Ensor, Joe E. Zsigmond, Eva M. Wong, Stephen T. Ezeana, Chika F. Puppala, Mamta Heyne, Kirk E. Geyer, Charles E. Phillips, Robert A. Schwartz, Roberta L. Chang, Jenny C. JCO Oncol Pract ORIGINAL CONTRIBUTIONS The purpose of this study was to evaluate the use of telemedicine amid the SARS-CoV-2 pandemic in patients with cancer and assess barriers to its implementation. PATIENTS AND METHODS: Telehealth video visits, using the Houston Methodist MyChart platform, were offered to patients with cancer as an alternative to in-person visits. Reasons given by patients who declined to use video visits were documented, and demographic information was collected from all patients. Surveys were used to assess the levels of satisfaction of treating physicians and patients who agreed to video visits. RESULTS: Of 1,762 patients with cancer who were offered telehealth video visits, 1,477 (83.8%) participated. The patients who declined participation were older (67.7 v 60.2 years; P < .0001), lived in significantly lower-income areas (P = .0021), and were less likely to have commercial insurance (P < .0001) than patients who participated. Most participating patients (92.6%) were satisfied with telehealth video visits. A majority of physicians (65.2%) were also satisfied with its use, and 74% indicated that they would likely use telemedicine in the future. Primary concerns that physicians had in using this technology were inadequate patient interactions and acquisition of medical data, increased potential for missing significant clinical findings, decreased quality of care, and potential medical liability. CONCLUSION: Oncology/hematology patients and their physicians expressed high levels of satisfaction with the use of telehealth video visits. Despite recent advances in technology, there are still opportunities to improve the equal implementation of telemedicine for the medical care of vulnerable older, low-income, and underinsured patient populations. American Society of Clinical Oncology 2021-01 2020-10-07 /pmc/articles/PMC8202056/ /pubmed/33026951 http://dx.doi.org/10.1200/OP.20.00572 Text en © 2020 by American Society of Clinical Oncology https://creativecommons.org/licenses/by/4.0/Licensed under the Creative Commons Attribution 4.0 License: https://creativecommons.org/licenses/by/4.0/
spellingShingle ORIGINAL CONTRIBUTIONS
Darcourt, Jorge G.
Aparicio, Kalia
Dorsey, Phillip M.
Ensor, Joe E.
Zsigmond, Eva M.
Wong, Stephen T.
Ezeana, Chika F.
Puppala, Mamta
Heyne, Kirk E.
Geyer, Charles E.
Phillips, Robert A.
Schwartz, Roberta L.
Chang, Jenny C.
Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic
title Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic
title_full Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic
title_fullStr Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic
title_full_unstemmed Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic
title_short Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic
title_sort analysis of the implementation of telehealth visits for care of patients with cancer in houston during the covid-19 pandemic
topic ORIGINAL CONTRIBUTIONS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202056/
https://www.ncbi.nlm.nih.gov/pubmed/33026951
http://dx.doi.org/10.1200/OP.20.00572
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