Access to telehealth services for colorectal cancer patients in the United States during the COVID-19 pandemic.

Autor: Marks VA; Yale School of Medicine, 333 Cedar St New Haven, CT, 06520, USA. Electronic address: victoria.marks@yale.edu., Hsiang WR; Yale School of Medicine, 333 Cedar St New Haven, CT, 06520, USA; University of California San Francisco, 505 Parnassus Ave, San Francisco, CA, 94143, USA. Electronic address: walter.hsiang@ucsf.edu., Umer W; The College of New Jersey, 2000 Pennington Rd, Ewing Township, NJ, 08618, USA. Electronic address: waezumer@gmail.com., Haleem A; The College of New Jersey, 2000 Pennington Rd, Ewing Township, NJ, 08618, USA. Electronic address: afashhaleem@gmail.com., Kim D; Yale School of Medicine, 333 Cedar St New Haven, CT, 06520, USA. Electronic address: dana.kim@yale.edu., Kunstman JW; Yale School of Medicine, 333 Cedar St New Haven, CT, 06520, USA; VA Connecticut Medical Center, 950 Campbell St, West Haven, CT, 06516, USA. Electronic address: john.kunstman@yale.edu., Leapman MS; Yale School of Medicine, 333 Cedar St New Haven, CT, 06520, USA; Yale Cancer Outcomes, Public Policy, and Effectiveness Research Center, 367 Cedar St, New Haven, CT, 06520, USA. Electronic address: michael.leapman@yale.edu., Schuster KM; Yale School of Medicine, 333 Cedar St New Haven, CT, 06520, USA. Electronic address: kevin.schuster@yale.edu.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2022 Nov; Vol. 224 (5), pp. 1267-1273. Date of Electronic Publication: 2022 Jun 08.
DOI: 10.1016/j.amjsurg.2022.06.005
Abstrakt: Background: The COVID-19 pandemic yielded rapid telehealth deployment to improve healthcare access, including for surgical patients.
Methods: We conducted a secret shopper study to assess telehealth availability for new patient and follow-up colorectal cancer care visits in a random national sample of Commission on Cancer accredited hospitals and investigated predictive facility-level factors.
Results: Of 397 hospitals, 302 (76%) offered telehealth for colorectal cancer patients (75% for follow-up, 42% for new patients). For new patients, NCI-designated Cancer Programs offered telehealth more frequently than Integrated Network (OR: 0.20, p = 0.01), Academic Comprehensive (OR: 0.18, p = 0.001), Comprehensive Community (OR: 0.10, p < 0.001), and Community (OR: 0.11, p < 0.001) Cancer Programs. For follow-up, above average timeliness of care hospitals offered telehealth more frequently than average hospitals (OR: 2.87, p = 0.04).
Conclusions: We identified access disparities and predictive factors for telehealth availability for colorectal cancer care during the COVID-19 pandemic. These factors should be considered when constructing telehealth policies.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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