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A Qualitative Retrospective Chart Review of Remote Communication for Rural Older Cancer Survivors
Allie Hzerron1, Laura Berger1, Kennedy Franklin1
1The Rural Medical Education, The University of Illinois College of Medicine Rockford, Rockford, Illinois, USA.
Summary
Rural older cancer survivors actively use patient portals for ongoing care and support. Tailored portal designs can enhance engagement for this vulnerable population.
Area of Science:
- Oncology
- Geriatrics
- Health Informatics
Background:
- Limited evidence exists on patient portal utilization among rural older cancer survivors.
- Patient portals, like MyChart, offer a digital platform for patient-provider communication and health management.
- Understanding the specific needs and usage patterns of this demographic is crucial for improving digital health equity.
Purpose of the Study:
- To investigate the patient portal (MyChart) messaging patterns of rural older cancer survivors.
- To identify key themes and insights into how this population engages with digital health tools.
- To inform the development of patient portal features tailored to the needs of rural older adults with cancer.
Main Methods:
- Retrospective qualitative chart review of MyChart messages.
- Analysis of messages from cancer patients aged 65 and older residing in rural ZIP codes receiving care at an urban facility.
- Data collected between March 1, 2020, and May 25, 2023.
Main Results:
- A sample of 860 coded messages from 411 patients was analyzed.
- Nine distinct themes emerged from the 1,295 coded message occurrences.
- The most frequent themes were 'Ongoing Clinical Care Concerns' (n=464) and 'Supportive Care' (n=128). 'Requesting telehealth' was the least frequent theme (n=35).
Conclusions:
- Rural older cancer survivors exhibit significant engagement with MyChart messaging.
- Findings highlight the potential for patient portals to support this population's healthcare needs.
- Implications suggest the need for patient portal designs specifically addressing the unique vulnerabilities of rural older cancer survivors.
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