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Predictors of Telehealth Use Among Cancer Survivors: Retrospective Study
Jasskiran Kaur1, Jeffrey Zhong1, Carley Mitchell1
1University Hospitals Seidman Cancer Center, 11100 Euclid Avenue, Cleveland, OH, 44106, United States, 1 216-286-6505.
JMIR Cancer
|July 3, 2026
Summary
Telehealth use is growing among cancer survivors, but older age and employment status are barriers. Improving access requires addressing patient preferences and telehealth availability for equitable survivorship care.
Area of Science:
- Oncology
- Health Services Research
- Digital Health
Background:
- Optimizing long-term care for the growing cancer survivor population is crucial.
- Telehealth offers potential for improved healthcare access but has limited evaluation in this group.
- Concerns about digital equity and literacy persist among cancer survivors.
Purpose of the Study:
- To investigate demographic factors and patient attitudes influencing telehealth use in cancer survivors.
- To compare telehealth utilization between cancer survivors and the general population.
Main Methods:
- Utilized the Health Information National Trends Survey 6 (HINTS 6) nationally representative database.
- Employed multivariable logistic regression to identify predictors of telehealth use among cancer survivors.
- Used chi-squared tests to compare reasons for non-telehealth use between cancer survivors and the general population.
Main Results:
- Older age (≥65) was linked to lower telehealth use (aOR 0.11).
- Higher education and a history of heart disease correlated with increased telehealth use.
- Employed and retired cancer survivors showed lower telehealth utilization compared to unemployed individuals.
Conclusions:
- Telehealth use is higher among cancer survivors, yet older age remains a barrier.
- Future efforts must enhance access for older survivors, considering employment, attitudes, and service availability.
- Addressing age and employment disparities, patient preferences, and telehealth availability is key for equitable cancer survivorship care.
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