Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
Abstract
:1. Introduction
2. Methods
2.1. Study Population
2.2. Questionnaire
2.3. Model of Care
2.3.1. Information Technology (IT) Infrastructure
2.3.2. Operational Phases: The Hybrid Model of Care
2.4. Statistical Analysis
3. Results
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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1 | Telehealth improves my access to healthcare services. |
2 | Telehealth saves me time traveling to a hospital or specialist clinic. |
3 | Telehealth provides for my healthcare need. |
4 | It was simple to use this system. |
5 | It was easy to learn to use the system. |
6 | I believe I could become productive quickly using this system. |
7 | The way I interact with this system is pleasant. |
8 | I like using the system. |
9 | The system is simple and easy to understand. |
10 | This system is able to do everything I would want it to be able to do. |
11 | I can easily talk to the clinician using the telehealth system. |
12 | I can hear the clinician clearly using the telehealth system. |
13 | I felt I was able to express myself effectively. |
14 | Using the telehealth system, I can see the clinician as well as if we met in person. |
15 | I think the visits provided over the telehealth system are the same as in-person visits. |
16 | Whenever I made a mistake using the system, I could recover easily and quickly. |
17 | The system gave error messages that clearly told me how to fix problems. |
18 | I believe that my privacy is protected. |
19 | I believe that telemedicine allows for more frequent monitoring of my health conditions. |
20 | I feel actively involved in any healthcare decision. |
21 | I am satisfied with the doctor–patient communication. |
22 | I can easily express the features of my pain through telemedicine. |
Dropout | ||||
---|---|---|---|---|
Variable | Overall, N = 92 † | No, N = 84 † | Yes, N = 8 † | p-Value ‡ |
Age | 0.2 | |||
Mean (SD) | 64 (12) | 64 (12) | 57 (16) | |
Median (IQR) | 66 (55, 73) | 66 (57, 73) | 52 (44, 72) | |
Gender | 0.15 | |||
F | 48 (100%) | 46 (96%) | 2 (4.2%) | |
M | 44 (100%) | 38 (86%) | 6 (14%) | |
Neoplasm | 0.6 | |||
Other cancers | 40 (100%) | 36 (90%) | 4 (10%) | |
Colon | 26 (100%) | 23 (88%) | 3 (12%) | |
Breast | 15 (100%) | 15 (100%) | 0 (0%) | |
Lung | 11 (100%) | 10 (91%) | 1 (9.1%) | |
Metastatic status | 0.15 | |||
No | 48 (100%) | 46 (96%) | 2 (4.2%) | |
Yes | 44 (100%) | 38 (86%) | 6 (14%) | |
ECOG-PS | >0.9 | |||
ECOG < 3 | 49 (100%) | 45 (92%) | 4 (8.2%) | |
ECOG = 3 | 43 (100%) | 39 (91%) | 4 (9.3%) | |
Televisits (n) | 0.032 | |||
n | 92 | 84 | 8 | |
Mean (SD) | 2.4 (2) | 2.2 (1.9) | 4.1 (2.9) | |
MED | >0.9 | |||
≤60 | 40 (100%) | 37 (92%) | 3 (7.5%) | |
>60 | 52 (100%) | 47 (90%) | 5 (9.6%) | |
IV-Morphine | 0.4 | |||
No | 87 (100%) | 80 (92%) | 7 (8.0%) | |
Yes | 5 (100%) | 4 (80%) | 1 (20%) | |
NP Drugs | 0.074 | |||
No | 52 (57%) | 50 (60%) | 2 (25%) | |
Yes | 40 (43%) | 34 (40%) | 6 (75%) |
Characteristic | OR | 95% CI | p-Value |
---|---|---|---|
Age | 0.94 | 0.87, 1.01 | 0.10 |
Gender | |||
F | - | - | |
M | 6.36 | 0.99, 60.9 | 0.068 |
Metastatic status | |||
No | - | - | |
Yes | 4.92 | 0.81, 51.1 | 0.12 |
NP Drugs | |||
No | - | - | |
Yes | 7.68 | 1.25, 75.5 | 0.043 |
Televisits (n) | 1.33 | 0.98, 1.84 | 0.062 |
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Share and Cite
Cascella, M.; Coluccia, S.; Grizzuti, M.; Romano, M.C.; Esposito, G.; Crispo, A.; Cuomo, A. Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study. Curr. Oncol. 2022, 29, 5566-5578. https://doi.org/10.3390/curroncol29080439
Cascella M, Coluccia S, Grizzuti M, Romano MC, Esposito G, Crispo A, Cuomo A. Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study. Current Oncology. 2022; 29(8):5566-5578. https://doi.org/10.3390/curroncol29080439
Chicago/Turabian StyleCascella, Marco, Sergio Coluccia, Mariacinzia Grizzuti, Maria Cristina Romano, Gennaro Esposito, Anna Crispo, and Arturo Cuomo. 2022. "Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study" Current Oncology 29, no. 8: 5566-5578. https://doi.org/10.3390/curroncol29080439