Telehealth Research and Innovation for Veterans with Cancer: the THRIVE Center.

Autor:	Zullig LL; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA.; Department of Population Health Sciences, Duke University, Durham, NC, USA., Makarov D; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Becker D; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Dardashti N; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Guzman I; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA., Kelley MJ; Department of Veterans Affairs, National Oncology Program, Washington, DC, USA.; Division of Medical Oncology, Duke University Medical Center, Durham, NC, USA.; Division of Hematology-Oncology, Durham Veterans Affairs Healthcare System, Durham, NC, USA., Melnic I; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Juarez Padilla J; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Rojas S; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Thomas J; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA., Tumminello C; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA., Sherman SE; VA New York Harbor Healthcare System, New York, NY, USA.; Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Journal of the National Cancer Institute. Monographs [J Natl Cancer Inst Monogr] 2024 Jun 26; Vol. 2024 (64), pp. 70-75.
DOI:	10.1093/jncimonographs/lgae019
Abstrakt:	Background: In recent years the US health-care system has witnessed a substantial increase in telehealth use. Telehealth enhances health-care access and quality and may reduce costs. However, there is a concern that the shift from in-person to telehealth care delivery may differentially improve cancer care access and quality in certain clinical settings and for specific patient populations while potentially exacerbating disparities in care for others. Our National Cancer Institute-funded center, called Telehealth Research and Innovation for Veterans with Cancer (THRIVE), is focused on health equity for telehealth-delivered cancer care. We seek to understand how social determinants of telehealth-particularly race and ethnicity, poverty, and rurality-affect the use of telehealth. Methods: THRIVE draws from the Health Disparities Research Framework and the Consolidated Framework for Implementation Research. THRIVE consists of multiple cores that work synergistically to assess and understand health equity for telehealth-delivered cancer care. These include the Administrative Core, Research and Methods Core, Clinical Practice Network, and Pragmatic Trial. Results: As of October 2023, we identified and trained 5 THRIVE scholars, who are junior faculty beginning a research career. We have reviewed 20 potential pilot studies, funding 6. Additionally, in communication with our funders and advisory boards, we have adjusted our study design and analytic approach, ensuring feasibility while addressing our operational partners' needs. Conclusions: THRIVE has several key strengths. First, the Veterans Health Administration's health-care system is large and diverse regarding health-care setting type and patient population. Second, we have access to longitudinal data, predating the COVID-19 pandemic, about telehealth use. Finally, equitable access to high-quality care for all veterans is a major tenet of the Veterans Health Administration health-care mission. As a result of these advantages, THRIVE can focus on isolating and evaluating the impact of social determinants of telehealth on equity in cancer care. (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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