The veterans affairs health care system national teleoncology service: veteran and provider perspectives and experiences
| Autor: | Leah L. Zullig, Colleen Blue, Michael J. Kelley, Julie Miller, Hollis J. Weidenbacher, Gina C. McWhirter, Heather A. King |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Cancer Survivorship Research & Care, Vol 2, Iss 1 (2024) |
| Druh dokumentu: | article |
| ISSN: | 28352610 2835-2610 |
| DOI: | 10.1080/28352610.2024.2329363 |
| Popis: | Purpose The National TeleOncology Service (NTO) is a clinical service that enables VA oncologists, from across the country, to provide services via telehealth to Veterans with cancer. We sought to understand the early experiences of medical oncologists, Veterans, and clinical staff to inform the national NTO scale–out.Materials and methods We recruited clinicians who provided and/or Veterans who received care from three early adopting NTO sites. We purposively sampled Veteran participants who were: (1) diagnosed and/or treated December 2016 – March 2021 with prostate, non-small cell lung, non-Hodgkin's lymphoma, or colorectal cancer as confirmed by ICD–10 codes, and (2) obtained NTO-delivered care in October 2016 through July 2022 at one of the included NTO sites. We used rapid qualitative analysis.Results We conducted 3 provider focus groups and interviewed 15 Veterans. Participants noted the relative advantage of NTO over in-person care. A primary advantage of NTO is that it facilitates access to oncology specialists for Veterans who travel long distances. Clinicians and Veteran participants agreed that NTO service facilitates access to specialists for Veterans living far from VA medical facilities and community care and in areas lacking specialty oncologists. Although clinicians and Veteran participants agreed that NTO largely meets patient needs, some noted that NTO may not be personable.Conclusion There was consensus among clinicians that the NTO service, with its focus on specialized and individualized oncology care and increased access to care for patients through the virtual platform, is working well to meet the needs of Veterans with cancer. |
| Databáze: | Directory of Open Access Journals |
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