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Developing the Native People for Cancer Control Telehealth Network
Ardith Z Doorenbos1, George Demiris, Cara Towle
1Biobehavioral Nursing & Health Systems, School of Nursing, University of Washington, Seattle, Washington 98195, USA. doorenbo@uw.edu
Summary
A telehealth network successfully delivered cancer care and education to American Indian and Alaska Native patients, overcoming rural health challenges. Community involvement was key to this successful implementation of telehealth services.
Area of Science:
- Rural Health
- Telehealth
- Oncology
- Health Disparities
Background:
- American Indian and Alaska Native populations face significant barriers to accessing postdiagnosis cancer care.
- Underserved rural communities require innovative healthcare delivery models.
- Telehealth offers a potential solution for expanding cancer care services.
Purpose of the Study:
- To develop and implement a telehealth network for postdiagnosis cancer care for American Indian and Alaska Native patients.
- To identify challenges and opportunities in implementing telehealth for this population.
- To provide clinical services and education via telehealth.
Main Methods:
- A participatory formative evaluation approach was used, engaging all stakeholders.
- Technical, infrastructural, and experiential barriers were addressed.
- Political, legal, and historical challenges were considered during implementation.
Main Results:
- The network involved nine tribal clinics in Washington and 26 sites in Alaska between 2006 and 2009.
- Activities included 27 cancer education presentations, 44 case conferences, and 513 patient encounters.
- Success factors included community acceptance, tribal collaboration, and cultural liaisons.
Conclusions:
- The telehealth network surpassed participation and patient service expectations.
- A participatory approach and community involvement were critical to the network's success.
- This model demonstrates the effectiveness of community-engaged telehealth for cancer care.
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