%0期刊文章%@ 1438-8871 %I JMIR出版物%V 24%卡塔尔世界杯8强波胆分析 N 1% P e29635 %T医疗保健提供者和专业人员在COVID-19大流行期间实施远程医疗肿瘤学的经验:定性研究%特纳,Kea % Bobonis Babilonia,玛格丽塔% Naso,克里斯蒂娜%阮,奥利弗%冈萨雷斯,布莱恩·奥斯瓦尔德D %劳拉·罗宾逊B % Edmondo %一个Elston Lafata,詹妮弗%弗格森,罗伯特J % Alishahi大不里士,阿米尔% Patel, Krupal B % Hallanger-Johnson,朱莉% Aldawoodi,纳斯林%香港,年轻的岩石%吉姆,希瑟·S L %这位菲利普·E % +健康状况和行为,莫菲特癌症中心,12902年普遍服务基金木兰开车,MRC-CANCONT,佛罗里达州坦帕市33612 - 9416年,美国,1 (813) 745 5213, kea.turner@moffitt.org %K远程医疗%K远程医疗%K远程肿瘤学%K数字健康%K远程监测%K癌症%K肿瘤%K冠状病毒疾病%K COVID-19 %D 2022 %7 19.1.2022 %9原始论文%J J医学互联网Res %G英语%X背景:在COVID-19期间快速实施远程医疗用于癌症护理需要肿瘤医疗保健提供者和专业人员(HPPs)的创新和适应性解决方案。目的:本定性研究的目的是探讨肿瘤学HPPs在COVID-19大流行期间远程医疗实施的经验。方法:本研究在NCI(国家癌症研究所)指定的综合癌症中心莫菲特癌症中心(Moffitt)进行。在2019冠状病毒病之前，莫菲特在有限的基础上试点了远程医疗访问。在2019冠状病毒病之后，莫菲特迅速扩大了远程医疗访问。远程医疗访问包括护理人员与患者之间的实时视频会议和虚拟签到(即仅通过电话与护理人员进行简短交流)。我们对40名在COVID-19期间实施远程医疗的肿瘤学hpp进行了半结构化访谈。使用Dedoose软件(4.12版)对访谈进行记录、逐字转录和主题分析。 Results: Approximately half of the 40 participants were physicians (n=22, 55%), and one-quarter of the participants were advanced practice providers (n=10, 25%). Other participants included social workers (n=3, 8%), psychologists (n=2, 5%), dieticians (n=2, 5%), and a pharmacist (n=1, 3%). Five key themes were identified: (1) establishing and maintaining patient-HPP relationships, (2) coordinating care with other HPPs and informal caregivers, (3) adapting in-person assessments for telehealth, (4) developing workflows and allocating resources, and (5) future recommendations. Participants described innovative strategies for implementing telehealth, such as coordinating interdisciplinary visits with multiple HPPs and inviting informal caregivers (eg, spouse) to participate in telehealth visits. Health care workers discussed key challenges, such as workflow integration, lack of physical exam and biometric data, and overcoming the digital divide (eg, telehealth accessibility among patients with communication-related disabilities). Participants recommended policy advocacy to support telehealth (eg, medical licensure policies) and monitoring how telehealth affects patient outcomes and health care delivery. Conclusions: To support telehealth growth, implementation strategies are needed to ensure that HPPs and patients have the tools necessary to effectively engage in telehealth. At the same time, cancer care organizations will need to engage in advocacy to ensure that policies are supportive of oncology telehealth and develop systems to monitor the impact of telehealth on patient outcomes, health care quality, costs, and equity. %M 34907900 %R 10.2196/29635 %U //www.mybigtv.com/2022/1/e29635 %U https://doi.org/10.2196/29635 %U http://www.ncbi.nlm.nih.gov/pubmed/34907900