从肿瘤学家和患者的角度确定远程肿瘤学服务的优先级、障碍和促进因素:一项混合方法研究。

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Sareh Keshvardoost, Kambiz Bahaadinbeigy, Soodabeh Shahidsales, Farhad Fatehi, Sharareh Rostam Niakan Kalhori
{"title":"从肿瘤学家和患者的角度确定远程肿瘤学服务的优先级、障碍和促进因素:一项混合方法研究。","authors":"Sareh Keshvardoost, Kambiz Bahaadinbeigy, Soodabeh Shahidsales, Farhad Fatehi, Sharareh Rostam Niakan Kalhori","doi":"10.1186/s12911-025-03042-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cancer is the second leading cause of death worldwide. Unlike the potential of telemedicine in the follow-up of chronic patients, many patients are still being examined in-person traditionally. This study aimed to prioritize teleoncology services and identify implementation barriers, and facilitators from oncologists' and patients' perspectives.</p><p><strong>Method: </strong>The research employed a mixed-methods approach, combining open-ended questions and interviews with both patients and oncologists. A total of 63 patients and 13 oncologists participated in the study. The data analysis utilized chi-square tests and descriptive statistics. Additionally, a qualitative content analysis was performed using MAXQDA 20 to analyze the data obtained from the open-ended questions and interviews.</p><p><strong>Result: </strong>According to oncologists, the prioritization of teleoncology was described as follows based on several factors such as screening protocols, prevalence rates and complexity of diagnosis: (1) breast/gastrointestinal, (2) respiratory/cervical/prostate/skin, (3) neurology/head and neck, (4) gynecological and genitourinary, (5) endocrine and neuroendocrine, musculoskeletal system, and (6) eye. Ten out of 13 (77%) oncologists identified remote consultation between physicians as their highest priority, while 11 of them (85%) considered follow-up as the second most important. Moreover, 12 oncologists (92%) ranked remote diagnosis as their third priority. The majority of patients (66.7%) expressed a preference for in-person visits. Three key factors influencing the choice of in-person visits for patients were: feeling inadequate care during telemedicine visits, lack of digital knowledge, and being in the active treatment period. For patients, education level and preference of treatment method (in-person versus telemedicine) showed statistically significant association (Value < 0.05).</p><p><strong>Conclusion: </strong>Telemedicine was most favorable for teleconsultation between treating physicians and consultants. Lack of insurance cover, limited internet coverage, lack of local guidance, and insufficient continuous education were expressed as the main challenges for teleoncology. Addressing these challenges and prioritizing the needs of specialists are key factors in the promotion of telemedicine.</p>","PeriodicalId":9340,"journal":{"name":"BMC Medical Informatics and Decision Making","volume":"25 1","pages":"224"},"PeriodicalIF":3.3000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211455/pdf/","citationCount":"0","resultStr":"{\"title\":\"Priority setting of teleoncology services, and their barriers, and facilitators from oncologists and patients perspectives: a mixed-methods study.\",\"authors\":\"Sareh Keshvardoost, Kambiz Bahaadinbeigy, Soodabeh Shahidsales, Farhad Fatehi, Sharareh Rostam Niakan Kalhori\",\"doi\":\"10.1186/s12911-025-03042-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Cancer is the second leading cause of death worldwide. Unlike the potential of telemedicine in the follow-up of chronic patients, many patients are still being examined in-person traditionally. This study aimed to prioritize teleoncology services and identify implementation barriers, and facilitators from oncologists' and patients' perspectives.</p><p><strong>Method: </strong>The research employed a mixed-methods approach, combining open-ended questions and interviews with both patients and oncologists. A total of 63 patients and 13 oncologists participated in the study. The data analysis utilized chi-square tests and descriptive statistics. Additionally, a qualitative content analysis was performed using MAXQDA 20 to analyze the data obtained from the open-ended questions and interviews.</p><p><strong>Result: </strong>According to oncologists, the prioritization of teleoncology was described as follows based on several factors such as screening protocols, prevalence rates and complexity of diagnosis: (1) breast/gastrointestinal, (2) respiratory/cervical/prostate/skin, (3) neurology/head and neck, (4) gynecological and genitourinary, (5) endocrine and neuroendocrine, musculoskeletal system, and (6) eye. Ten out of 13 (77%) oncologists identified remote consultation between physicians as their highest priority, while 11 of them (85%) considered follow-up as the second most important. Moreover, 12 oncologists (92%) ranked remote diagnosis as their third priority. The majority of patients (66.7%) expressed a preference for in-person visits. Three key factors influencing the choice of in-person visits for patients were: feeling inadequate care during telemedicine visits, lack of digital knowledge, and being in the active treatment period. For patients, education level and preference of treatment method (in-person versus telemedicine) showed statistically significant association (Value < 0.05).</p><p><strong>Conclusion: </strong>Telemedicine was most favorable for teleconsultation between treating physicians and consultants. Lack of insurance cover, limited internet coverage, lack of local guidance, and insufficient continuous education were expressed as the main challenges for teleoncology. Addressing these challenges and prioritizing the needs of specialists are key factors in the promotion of telemedicine.</p>\",\"PeriodicalId\":9340,\"journal\":{\"name\":\"BMC Medical Informatics and Decision Making\",\"volume\":\"25 1\",\"pages\":\"224\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211455/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Medical Informatics and Decision Making\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12911-025-03042-3\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICAL INFORMATICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Medical Informatics and Decision Making","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12911-025-03042-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICAL INFORMATICS","Score":null,"Total":0}
引用次数: 0

摘要

背景:癌症是全球第二大死因。与远程医疗在慢性病患者随访方面的潜力不同,许多患者仍在接受传统的面对面检查。本研究旨在确定远程肿瘤学服务的优先级,并从肿瘤学家和患者的角度确定实施障碍和促进因素。方法:该研究采用混合方法,结合开放式问题和对患者和肿瘤学家的访谈。共有63名患者和13名肿瘤学家参与了这项研究。数据分析采用卡方检验和描述性统计。此外,使用MAXQDA 20进行定性内容分析,对开放式问题和访谈数据进行分析。结果:肿瘤学家根据筛查方案、患病率和诊断复杂性等因素,将远程肿瘤学的优先级描述为:(1)乳腺/胃肠道,(2)呼吸/颈部/前列腺/皮肤,(3)神经病学/头颈部,(4)妇科和泌尿生殖系统,(5)内分泌和神经内分泌,肌肉骨骼系统,(6)眼睛。13位肿瘤学家中有10位(77%)认为医生之间的远程会诊是他们的首要任务,而11位(85%)认为随访是第二重要的。此外,12名肿瘤学家(92%)将远程诊断列为他们的第三优先事项。大多数患者(66.7%)表示更倾向于亲自就诊。影响患者选择上门就诊的三个关键因素是:远程医疗就诊时感到护理不足、缺乏数字知识和处于积极治疗期。对于患者而言,教育程度和治疗方式的偏好(面对面与远程医疗)具有统计学意义(价值结论:远程医疗最有利于治疗医师与会诊医师之间的远程会诊)。缺乏保险覆盖、有限的互联网覆盖、缺乏当地指导和持续教育不足被认为是远程肿瘤学面临的主要挑战。解决这些挑战并优先考虑专家的需求是促进远程医疗的关键因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Priority setting of teleoncology services, and their barriers, and facilitators from oncologists and patients perspectives: a mixed-methods study.

Background: Cancer is the second leading cause of death worldwide. Unlike the potential of telemedicine in the follow-up of chronic patients, many patients are still being examined in-person traditionally. This study aimed to prioritize teleoncology services and identify implementation barriers, and facilitators from oncologists' and patients' perspectives.

Method: The research employed a mixed-methods approach, combining open-ended questions and interviews with both patients and oncologists. A total of 63 patients and 13 oncologists participated in the study. The data analysis utilized chi-square tests and descriptive statistics. Additionally, a qualitative content analysis was performed using MAXQDA 20 to analyze the data obtained from the open-ended questions and interviews.

Result: According to oncologists, the prioritization of teleoncology was described as follows based on several factors such as screening protocols, prevalence rates and complexity of diagnosis: (1) breast/gastrointestinal, (2) respiratory/cervical/prostate/skin, (3) neurology/head and neck, (4) gynecological and genitourinary, (5) endocrine and neuroendocrine, musculoskeletal system, and (6) eye. Ten out of 13 (77%) oncologists identified remote consultation between physicians as their highest priority, while 11 of them (85%) considered follow-up as the second most important. Moreover, 12 oncologists (92%) ranked remote diagnosis as their third priority. The majority of patients (66.7%) expressed a preference for in-person visits. Three key factors influencing the choice of in-person visits for patients were: feeling inadequate care during telemedicine visits, lack of digital knowledge, and being in the active treatment period. For patients, education level and preference of treatment method (in-person versus telemedicine) showed statistically significant association (Value < 0.05).

Conclusion: Telemedicine was most favorable for teleconsultation between treating physicians and consultants. Lack of insurance cover, limited internet coverage, lack of local guidance, and insufficient continuous education were expressed as the main challenges for teleoncology. Addressing these challenges and prioritizing the needs of specialists are key factors in the promotion of telemedicine.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信