从瘤学家和患者的角度来看,对远程瘤学服务的优先设定及其障碍,以及促进者:一种混合方法研究
Sareh Keshvardoost1, Kambiz Bahaadinbeigy2, Soodabeh Shahidsales1
1Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC medical informatics and decision making
|July 2, 2025
概括
远程瘤学服务最受医生咨询的青,但患者更喜欢面对面的访问,以及保险和互联网接入等实施障碍阻碍了广泛采用. 应对这些挑战是推动远程医疗在癌症治疗中的关键.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症仍然是全球主要的死亡原因,需要创新的护理模式.
- 传统的面对面检查仍然存在,尽管远程医疗在慢性疾病管理中的潜力.
- 本研究探讨了瘤学家和患者在优先考虑远程瘤学服务和确定实施障碍和促进者的观点.
研究的目的:
- 根据瘤学家的临床判断和患者的偏好,优先考虑远程瘤学服务.
- 确定为成功实施远程瘤学的关键障碍和促进因素.
- 为促进远程医疗在癌症治疗中的战略提供信息.
主要方法:
- 一种混合方法的方法,结合了开放式问题和对63名患者和13名瘤学家的采访.
- 使用千平方测试和描述性统计学进行定量分析.
- 使用MAXQDA 20进行定性内容分析,以进行深入的数据解释.
主要成果:
- 瘤学家优先考虑电脑瘤服务,乳腺/胃肠道癌最多,其次是远程医生咨询,随访和远程诊断.
- 大多数患者 (66.7%) 喜欢亲自访问,因为他们担心护理的充分性,数字素养和积极治疗状态.
- 患者的教育水平和治疗偏好方法显示,与远程医疗接受率有统计学意义的关联 (p < 0.05).
结论:
- 远程医疗最有利于在瘤学中进行医生间的远程咨询.
- 实现远程瘤学的重大障碍包括缺乏保险覆盖,有限的互联网接入,当地指导不足和持续教育不足.
- 应对这些挑战并与专家需求保持一致对于促进远程医疗在癌症治疗中至关重要.
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