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Learning from Crisis: a Multicentre Study of Oncology Telemedicine Clinics Introduced During COVID-19
Journal of Cancer Education ( IF 1.4 ) Pub Date : 2021-07-02 , DOI: 10.1007/s13187-021-02053-8
Michael Grant 1, 2, 3 , Helen Hockings 2 , Maria Lapuente 1, 2 , Philip Adeniran 1, 2 , Rabiah Abbas Saud 1, 2 , Anjali Sivajothi 1, 2 , Jubel Amin 1, 2 , Shanthini M Crusz 2 , Sukaina Rashid 2 , Bernadette Szabados 1, 2 , Paula Wells 2 , Ekaterini Boleti 3 , Thomas B Powles 1, 2
Affiliation  

The COVID-19 pandemic has necessitated adaptation of cancer patient care. Oncology patients who contract COVID-19 have poor outcomes. Telemedicine clinics (teleclinics) have been introduced for cancer patients to reduce the risk of horizontal transmission at St. Bartholomew’s Hospital and The Royal Free Hospital in London. Teleclinics have become routine in many specialities; however, inclusion in oncology care was not standard prior to the pandemic. A mixed-methods survey was designed and delivered to cancer patients (n = 106) at St. Bartholomew’s Hospital and The Royal Free Hospital who had transitioned to teleclinics in March 2020. The survey explored patients’ perceptions of this format. In total, 96 (90.5%) patients consented to take part, across a range of tumour types. Overall, respondents reacted favourably to the format of the teleclinics, with 90.6% of respondents (87/96) stating they would utilise teleclinics beyond the pandemic. Additionally, a survey was distributed to clinicians delivering these teleclinics (n = 16) to explore previous training in, perceptions of, and lessons learned from the introduction of telemedicine. Results suggest patients are accepting of teleclinic use for most clinical purposes. Teleclinic implementation affords benefits to cancer patient care both during and after COVID-19, but there is an urgent need for telemedicine education in oncology specialty training.



中文翻译:

从危机中学习:在 COVID-19 期间引入的肿瘤远程医疗诊所的多中心研究

COVID-19 大流行需要调整癌症患者护理。感染 COVID-19 的肿瘤患者预后不佳。伦敦圣巴塞洛缪医院和皇家自由医院为癌症患者引入了远程医疗诊所 (teleclinics),以降低横向传播的风险。远程诊所已成为许多专业的常规服务;然而,在大流行之前,纳入肿瘤治疗并不是标准做法。设计了一项混合方法调查,并将其交付给圣巴塞洛缪医院和皇家自由医院的癌症患者 (n = 106),这些患者已于 2020 年 3 月过渡到远程诊所。该调查探讨了患者对这种形式的看法。总共有 96 名 (90.5%) 患者同意参加,涉及多种肿瘤类型。总体而言,受访者对远程诊所的形式反应良好,90.6% 的受访者 (87/96) 表示他们会在大流行病结束后使用远程诊所。此外,还向提供这些远程诊所的临床医生 (n = 16) 分发了一项调查,以探索以前在引入远程医疗方面的培训、看法和经验教训。结果表明,出于大多数临床目的,患者正在接受远程诊所的使用。远程诊所的实施为 COVID-19 期间和之后的癌症患者护理带来了好处,但迫切需要在肿瘤学专业培训中进行远程医疗教育。结果表明,出于大多数临床目的,患者正在接受远程诊所的使用。远程诊所的实施为 COVID-19 期间和之后的癌症患者护理带来了好处,但迫切需要在肿瘤学专业培训中进行远程医疗教育。结果表明,出于大多数临床目的,患者正在接受远程诊所的使用。远程诊所的实施为 COVID-19 期间和之后的癌症患者护理带来了好处,但迫切需要在肿瘤学专业培训中进行远程医疗教育。

更新日期:2021-07-02
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