Journal
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
Volume 180, Issue -, Pages -Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.critrevonc.2022.103869
Keywords
Implementation evaluation; Health care; Systematic review; Telehealth; Oncology
Categories
Funding
- Cancer Institute NSW Grant [2019/IMP0001]
- Career Development Fellowship from the Cancer Institute NSW [2021/CDF1138]
- Early Career Fellowship from the Cancer Institute of New South Wales [2020/ECF1163]
- Early Career Fellowship from the National Health and Medical Research Council of Australia [APP1111800]
- Kids with Cancer Foundation
- Kids Cancer Alliance
- Cancer Council New South Wales Program Grant [PG16-02]
- Australian National Breast Cancer Foundation [PF-16-011]
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This systematic review evaluated telehealth implementation in oncology using the RE-AIM framework. The study found that reach and implementation were commonly reported, while maintenance was less commonly reported. Key enablers for implementation included professional-led delivery, patient-centered approaches, and positive patient perceptions. Barriers included patient discomfort with technology, limited clinic infrastructure, and poor internet connection and videoconferencing access.
Telehealth facilitates access to cancer care for patients unable to attend in-person consultations, as in COVID-19. This systematic review used the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to evaluate telehealth implementation and examine enablers and barriers to optimal implementation in oncology. MEDLINE, PubMed, CINAHL, and the Cochrane Database of Systematic Reviews were searched between January 2011-June 2022. Eighty-two articles representing 73 studies were included. One study explicitly used the RE-AIM framework to guide study design, conduct, or reporting. Reach (44%) and implementation (38%) were most commonly reported, maintenance (5%) least commonly. Key telehealth implementation enablers included professional-led delivery, patient-centred approaches, and positive patient perceptions. Key barriers included patient discomfort with technology, limited supporting clinic infrastructure, and poor access to reliable internet connection and videoconferencing. While a patient-centred and professionalsupported approach enables telehealth implementation, technology and infrastructure constraints need surmounting for sustained implementation beyond the COVID-19 pandemic.
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