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Development of a consensus-derived comprehensive virtual care evaluation framework in oncology
Melanie Powis1,2, Lisa Barbera3, Matthew Cheung4
1Cancer Quality Lab (CQuaL), Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Journal of Telemedicine and Telecare
|August 10, 2026
Summary
This study developed a virtual cancer care evaluation framework. The framework standardizes measures to assess virtual oncology services, improving quality and guiding policy.
Area of Science:
- Oncology
- Health Services Research
- Digital Health
Background:
- Virtual care is increasingly used in oncology, but its impact on care quality is unclear due to varied evaluation methods.
- A standardized framework is needed to guide the assessment of virtual care in routine cancer treatment.
Purpose of the Study:
- To develop a comprehensive evaluation framework for virtual care in oncology.
- To guide and standardize the assessment of virtual cancer care's impact on quality.
Main Methods:
- Nominal consensus groups with diverse stakeholders (patients, clinicians, policymakers) were used to identify and prioritize measures.
- A health equity perspective was incorporated through expert patient and caregiver consultation.
- A systematic literature review and iterative consensus discussions refined construct definitions.
Main Results:
- Measurement priorities differed across stakeholder groups, emphasizing the need for a multi-perspective approach.
- A final framework with 17 constructs across five domains (implementation, service, client outcomes, equity, cost) was developed.
- Definitions and operationalization considerations were provided for each construct.
Conclusions:
- Considering multiple stakeholder perspectives is crucial for evaluating virtual cancer care.
- The developed framework can standardize evaluations, enhance comparability, inform policy, and optimize virtual oncology practices.
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