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Standardizing care in medical oncology: are Web-based systems the answer?
Isla M Hains1, Joanne M Fuller, Robyn L Ward
1University of New South Wales Cancer Research Centre, University of New South Wales, Sydney, Australia.
Cancer
|August 28, 2009
Summary
Web-based protocol systems are crucial for standardizing medical oncology care. However, successful adoption depends on clinician factors, hospital environment, and adequate infrastructure, not just the system itself.
Area of Science:
- Health Informatics
- Medical Oncology
- Information Technology in Healthcare
Background:
- Medical oncology increasingly uses IT for standardized care and improved patient outcomes.
- Web-based protocol systems are utilized internationally in medical oncology.
Purpose of the Study:
- To determine factors influencing the adoption and utilization of a Web-based protocol system for medical oncology in Australia.
Main Methods:
- Conducted 50 interviews with medical oncology physicians, nurses, and pharmacists.
- Observed healthcare professionals in their treatment settings across 6 geographically diverse hospitals.
Main Results:
- Web-based system use varied by hospital location, clinician roles, and experience.
- Clinician autonomy, time constraints, hospital policies, system endorsement, and infrastructure impacted system use.
- Adequate education on the system was integral to its ongoing utilization.
Conclusions:
- High-quality evidence-based resources alone do not guarantee system uptake.
- Understanding end-users, their environment, and infrastructure is critical for implementation.
- Sustained use requires ongoing education and endorsement to maximize system potential.
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