JAMA Netw Open: Where is the future of telemedicme?

Telemedic services is an emerging model of care provision that improves patient access to care, reduces costs, improves patient and health professional experience, and provides effective care.
component of telemedicme is video consultation, where audio-visual technology is used to connect patients and health professionals rather than face-to-face contact.
video access allows doctors to evaluate patients and provide treatment recommendations regardless of geographic distance.
although the ability of doctors to perform physical examinations during video visits is somewhat limited, many screening techniques are still feasible, and telemedicies and traditional face-to-face visits have similar characteristics.
randomized controlled trial showed that video and in-person follow-up after a cured prostatectomy showed the same efficiency, similar satisfaction and significantly lower costs.
addition, several studies have shown that tele-care can improve access to cancer care for patients in rural areas, while at the same time providing patients with the same or better satisfaction and cost savings than in-person visits.
Despite its many advantages, the use of telemedicology is highly variable, and across the country, telemedicology applications are limited (until recently surged due to the 2019 coronavirus pandemic).
, health professionals do not have a good understanding of the effectiveness of tele-care in cancer care.
, a new study published on JAMA Network Open explores the views of oncologists on the use of telemedicaning in patient care prior to the COVID-19 pandemic.
qualitative study used interviews with oncologists at Thomas Jefferson University Hospital from October 30, 2019 to March 5, 2020.
Jefferson University Hospital is an urban academic health system with cancer centers in the United States.
all oncologists, physician assistants and nurse practitioners at the hospital are eligible to participate.
29 oncologists, including 20 doctors and 9 senior practitioners, participated in semi-structured interviews.
results of this study are the views of oncologists on the barriers and benefits of telemedicanic video access for patients undergoing cancer treatment.
of the 29 participants, 15 (52 per cent) were women and 22 (76 per cent) were white, with an average age of 48.5 years (12.0 years).
respondents' views were organized using the four areas of the National Quality Forum framework: clinical outcomes, patient experience, access to care and financial impact.
did not agree with the clinical effects and potential limitations of virtual physical examinations, as well as the economic impact on patients.
also generally recognized that telemedicme provides convenient and better medical care for patients.
, however, many reports are concerned about the relationship between health professionals and patients and their limited ability to comfort patients in virtual environments.
Medical professionals' perceptions of clinical effectiveness Medical professionals' perceptions of patient experience Medical professionals' perceptions of the financial impact or cost of access to health care Medical professionals generally have conflicting views on the barriers and benefits of telemedicaning in terms of clinical effectiveness, patient experience, access to and economic impact of medical services.
understanding of oncologists' views on tele-health and articulates potential obstacles that require further research or improvement to expand and continue to use tele-health care; In view of the rapid expansion of telemedicme during the COVID-19 pandemic, further research is under way to assess the current perceptions of health professionals and patients.
: Heyer A, Granberg RE, Rising KL, Binder AF, Gentsch AT, Handley NR. Medical Oncology Professionals’ Perceptions of Telehealth Video Visits. JAMA Netw Open. 2021; 4(1):e2033967. doi:10.1001/jamanetworkopen.2020.33967MedSci Original Source: MedSci Original Copyright Notice: All noted on this website "Source: Mets Medicine" or "Source: MedSci Original" text, images and audio and video materials, copyrights are owned by Metz Medical, without authorization, no media, website or individual may reproduce, authorized to reproduce with the words "Source: Mets Medicine".
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