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A Sustainable Virtual Model for Comprehensive Childhood Cancer Survivorship Care
Kelly Anderson1, Laura Dorneman2, Jessice Busse2
1Division of Pediatric Hematology and Oncology, School of Medicine, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, OR, USA.
A virtual interdisciplinary clinic model successfully provided education, screening, and psychosocial support to childhood cancer survivors (CCSs). This accessible, flexible approach maintained patient volume and was preferred by many families.
Area of Science:
- Oncology
- Healthcare Management
- Telemedicine
Background:
- Childhood cancer survivorship care necessitates interdisciplinary teams.
- The COVID-19 pandemic disrupted traditional in-person care models for survivors.
- Virtual care models emerged as a necessity to maintain essential services.
Purpose of the Study:
- To report on a virtually based interdisciplinary clinic model for childhood cancer survivors (CCSs).
- To assess the feasibility, sustainability, and family preference of virtual survivorship care.
- To provide a framework for implementing virtual interdisciplinary care.
Main Methods:
- Initiated a virtual interdisciplinary clinic with up to seven specialists in separate locations.
- Patients participated in successive virtual encounters as a continuous visit.
- Data collected on patient volume, provider acceptance, and family-reported preferences.
Main Results:
- Maintained patient volume comparable to traditional in-person survivorship visits.
- Completed 593 interdisciplinary virtual survivorship visits between 2020 and 2023.
- Providers reported high acceptance; virtual visits remain offered post-pandemic.
Conclusions:
- The virtual interdisciplinary clinic model is feasible and sustainable for childhood cancer survivors.
- Families preferred virtual care for its flexibility, reduced travel, and comfort.
- This model offers a more accessible and flexible option for survivorship care.
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