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Web-Based Asynchronous Tool to Facilitate Communication Between Primary Care Providers and Cancer Specialists:
Bojana Petrovic1,2, Jim A Julian3, Clare Liddy4,5
1Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Journal of Medical Internet Research
|January 18, 2023
Summary
A web-based system (eOncoNote) did not improve patient-reported continuity of care between primary care providers and cancer specialists. However, the system showed potential in reducing patient anxiety during cancer treatment and survivorship.
Area of Science:
- Oncology
- Health Services Research
- Digital Health
Background:
- Cancer survivors require complex, multidisciplinary care.
- Communication gaps between primary care providers (PCPs) and cancer specialists hinder care coordination.
- Previous studies highlight issues in PCP-specialist communication.
Purpose of the Study:
- To evaluate if a web- and text-based system (eOncoNote) improves patient-reported continuity of care.
- To assess the system's impact on communication between PCPs and oncologists/nurses.
- To examine effects on patients in treatment and survivorship phases.
Main Methods:
- Pragmatic randomized controlled trial with 173 patients.
- Intervention group used eOncoNote alongside usual communication; control group used usual communication only.
- Primary outcome: patient-reported continuity of care. Secondary outcomes: anxiety, depression, patient experience.
Main Results:
- No significant improvement in patient-reported continuity of care or patient experience.
- No significant effect on depression scores.
- Significant reduction in patient anxiety (GAD-7 scores) in both treatment and survivorship phases.
Conclusions:
- eOncoNote access did not significantly improve patient-reported continuity of care.
- The eOncoNote intervention may help reduce patient anxiety.
- Further research may explore optimizing digital tools for cancer care communication.
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