Providing Supportive and Palliative Care Using Telemedicine for Patients with Advanced Cancer During the COVID‐19 Pandemic in Mexico.

Autor:	Chávarri‐Guerra, Yanin, Ramos‐López, Wendy Alicia, Covarrubias‐Gómez, Alfredo, Sánchez‐Román, Sofía, Quiroz‐Friedman, Paulina, Alcocer‐Castillejos, Natasha, Milke‐García, María, Carrillo‐Soto, Mónica, Morales‐Alfaro, Andrea, Medina‐Palma, Mildred, Aguilar‐Velazco, José Carlos, Morales‐Barba, Karen, Razcon‐Echegaray, Andrea, Maldonado, Jenny, Soto‐Perez‐de‐Celis, Enrique
Předmět:	SOCIAL support HEALTH services accessibility EVALUATION of human services programs RURAL conditions PATIENT-centered care NUTRITION counseling VIDEOCONFERENCING CANCER patients CONTINUUM of care HEALTH care teams DESCRIPTIVE statistics INTEGRATED health care delivery PALLIATIVE treatment TELEMEDICINE COVID-19 pandemic EDUCATIONAL attainment
Zdroj:	Oncologist; Mar2021, Vol. 26 Issue 3, pe512-e515, 4p, 1 Chart, 1 Graph
Abstrakt:	COVID‐19 has overwhelmed the capacity of health care systems, limiting access to supportive and palliative care for patients with advanced cancer. Telemedicine has emerged as a tool to provide care continuity to patients while limiting the risk of contagion. However, implementing telemedicine in resource‐limited settings is challenging. We report the results of a multidisciplinary patient‐navigator‐led telemedicine supportive care program in Mexico City. One‐hundred sixty‐three telemedicine interventions were provided to 45 patients (median age 68, 57% female). A quarter of the patients had less than or equal to elementary school education, and 15% lived in a rural area. The most common interventions were psychological care (33%), pain and symptom control (25%), and nutritional counseling (13%). Half of the interventions were provided by video conferencing. The most common patient‐reported barrier was limited experience using communication technology. Our results demonstrate the feasibility of providing supportive and palliative care interventions using telemedicine in resource‐limited settings. This article reports the results of a multidisciplinary patient‐navigator‐led telemedicine supportive care program in Mexico City, describing how a supportive and palliative care program was transformed into a telemedicine intervention for patients with advanced cancer to maintain care during the COVID‐19 pandemic. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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