{"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}
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.
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.