The Perceived Usability of Virtual Visits Among Black Adults' Receiving Oncology Care: A Qualitative Analysis.

Autor:	Tam S; Department of Public Health Sciences, Henry Ford Health, Detroit, MI, USA.; Department of Otolaryngology, Henry Ford Health, Detroit, MI, USA.; Department of Surgery, College of Human Medicine, Michigan State University, East Lansing, MI, USA., Neslund-Dudas C; Department of Public Health Sciences, Henry Ford Health, Detroit, MI, USA.; Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA., Barrett AM; University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA., Barrow LCJ; University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA.; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Fridman I; University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA., Kinlaw AC; University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA.; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Puviindran P; University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA., Royce TJ; Department of Radiation, Wake Forest School of Medicine, Winston-Salem, NC, USA., Smith AB; University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.; Department of Urology, University of North Carolina School of Medicine, Chapel Hill, NC, USA., Stein JN; Department of Urology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.; Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA., Wood WA; Department of Urology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.; Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA., Elston Lafata J; University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA.; University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Jazyk:	angličtina
Zdroj:	The oncologist [Oncologist] 2024 Feb 02; Vol. 29 (2), pp. e237-e247.
DOI:	10.1093/oncolo/oyad260
Abstrakt:	Background: With the COVID-19 pandemic came rapid uptake in virtual oncology care. During this, sociodemographic inequities in access to virtual visits (VVs) have become apparent. To better understand these issues, we conducted a qualitative study to describe the perceived usability and acceptability of VVs among Black adults diagnosed with cancer. Methods: Adults who self-identified as Black and had a diagnosis of prostate, multiple myeloma, or head and neck cancer were recruited from 2 academic medical centers, and their community affiliates to participate in a semi-structured interview, regardless of prior VV experience. A patient and family advisory board was formed to inform all components of the study. Interviews were conducted between September 2, 2021 and February 23, 2022. Transcripts were organized topically, and themes and subthemes were determined through iterative and interpretive immersion/crystallization cycles. Results: Of the 49 adults interviewed, 29 (59%) had participated in at least one VV. Three overarching themes were derived: (1) VVs felt comfortable and convenient in the right contexts; (2) the technology required for VVs with video presented new challenges, which were often resolved by an audio-only telephone call; and (3) participants reported preferring in-person visits, citing concerns regarding gaps in nonverbal communication, trusting providers, and distractions during VV. Conclusion: While VVs were reported to be acceptable in specific circumstances, Black adults reported preferring in-person care, in part due to a perceived lack of interpersonal connectedness. Nonetheless, retaining reimbursement for audio-only options for VVs is essential to ensure equitable access for those with less technology savvy and/or limited device/internet capabilities. (© The Author(s) 2023. Published by Oxford University Press.)
Databáze:	MEDLINE
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