Bridging the distance: a prospective tele-oncology study in Northern Norway

Purpose The University Hospital of North Norway (UNN) is a tertiary-level hospital and has the main responsibility of providing specialized cancer health care in the remote area of Northern Norway. Weekly videoconferences (VCs) have been established to enable clinicians at a local hospital and prima...

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Veröffentlicht in:Supportive care in cancer 2012-09, Vol.20 (9), p.2097-2103
Hauptverfasser: Donnem, Tom, Ervik, Bente, Magnussen, Kathrine, Andersen, Sigve, Pastow, Doris, Andreassen, Sissel, Nørstad, Tone, Helbekkmo, Nina, Bremnes, Roy M, Nordoy, Tone
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container_end_page 2103
container_issue 9
container_start_page 2097
container_title Supportive care in cancer
container_volume 20
creator Donnem, Tom
Ervik, Bente
Magnussen, Kathrine
Andersen, Sigve
Pastow, Doris
Andreassen, Sissel
Nørstad, Tone
Helbekkmo, Nina
Bremnes, Roy M
Nordoy, Tone
description Purpose The University Hospital of North Norway (UNN) is a tertiary-level hospital and has the main responsibility of providing specialized cancer health care in the remote area of Northern Norway. Weekly videoconferences (VCs) have been established to enable clinicians at a local hospital and primary cancer health care providers in five different communities to discuss cases with specialist cancer care services at UNN. In this study, we aimed to evaluate the feasibility of these VCs. Methods This is a prospective registration study. Descriptive data were collected at UNN, and for each patient discussed at the VC, a survey was completed by the local health care provider responsible for the patient. Results During an 18-month period, 167 cases were discussed (101 patients). A median of 7 health care providers participated in each VC. According to the local physicians and nurses, the VCs contributed in 96% of cases to give “quite a bit” or “very much” confidence in adequate patient care. They reported that patient care in 85% of cases would be improved “quite a bit” or “very much” due to the VC. The mean number of days waiting for VC were 2.0 days (range, 0–7; SD, 2.0) and was significantly shorter ( P  
doi_str_mv 10.1007/s00520-011-1319-1
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Weekly videoconferences (VCs) have been established to enable clinicians at a local hospital and primary cancer health care providers in five different communities to discuss cases with specialist cancer care services at UNN. In this study, we aimed to evaluate the feasibility of these VCs. Methods This is a prospective registration study. Descriptive data were collected at UNN, and for each patient discussed at the VC, a survey was completed by the local health care provider responsible for the patient. Results During an 18-month period, 167 cases were discussed (101 patients). A median of 7 health care providers participated in each VC. According to the local physicians and nurses, the VCs contributed in 96% of cases to give “quite a bit” or “very much” confidence in adequate patient care. They reported that patient care in 85% of cases would be improved “quite a bit” or “very much” due to the VC. The mean number of days waiting for VC were 2.0 days (range, 0–7; SD, 2.0) and was significantly shorter ( P  &lt; 0.001) than the estimated time waiting if alternative consultations were to be used (mean, 10.2 days (range, 0–30; SD, 5.8)). Conclusion VC may be a useful supplemental tool to support primary health care providers at local hospitals and remote communities in their effort to offer efficient and high-quality cancer care.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-011-1319-1</identifier><identifier>PMID: 22076621</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cancer ; Feasibility Studies ; Female ; Hospitals, University ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasms - therapy ; Norway ; Nursing ; Nursing Research ; Oncology ; Oncology Service, Hospital ; Original Article ; Pain Medicine ; Palliative Care ; Prospective Studies ; Rehabilitation Medicine ; Remote Consultation - methods ; Rural health care ; Surveys and Questionnaires ; Telemedicine ; Video teleconferencing ; Videoconferencing ; Young Adult</subject><ispartof>Supportive care in cancer, 2012-09, Vol.20 (9), p.2097-2103</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ae7ff780d0bc4141f901c84a1c57fd2fd7d60d4ea5f916851359636eadb4d32b3</citedby><cites>FETCH-LOGICAL-c372t-ae7ff780d0bc4141f901c84a1c57fd2fd7d60d4ea5f916851359636eadb4d32b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-011-1319-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-011-1319-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22076621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Donnem, Tom</creatorcontrib><creatorcontrib>Ervik, Bente</creatorcontrib><creatorcontrib>Magnussen, Kathrine</creatorcontrib><creatorcontrib>Andersen, Sigve</creatorcontrib><creatorcontrib>Pastow, Doris</creatorcontrib><creatorcontrib>Andreassen, Sissel</creatorcontrib><creatorcontrib>Nørstad, Tone</creatorcontrib><creatorcontrib>Helbekkmo, Nina</creatorcontrib><creatorcontrib>Bremnes, Roy M</creatorcontrib><creatorcontrib>Nordoy, Tone</creatorcontrib><title>Bridging the distance: a prospective tele-oncology study in Northern Norway</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose The University Hospital of North Norway (UNN) is a tertiary-level hospital and has the main responsibility of providing specialized cancer health care in the remote area of Northern Norway. Weekly videoconferences (VCs) have been established to enable clinicians at a local hospital and primary cancer health care providers in five different communities to discuss cases with specialist cancer care services at UNN. In this study, we aimed to evaluate the feasibility of these VCs. Methods This is a prospective registration study. Descriptive data were collected at UNN, and for each patient discussed at the VC, a survey was completed by the local health care provider responsible for the patient. Results During an 18-month period, 167 cases were discussed (101 patients). A median of 7 health care providers participated in each VC. According to the local physicians and nurses, the VCs contributed in 96% of cases to give “quite a bit” or “very much” confidence in adequate patient care. They reported that patient care in 85% of cases would be improved “quite a bit” or “very much” due to the VC. The mean number of days waiting for VC were 2.0 days (range, 0–7; SD, 2.0) and was significantly shorter ( P  &lt; 0.001) than the estimated time waiting if alternative consultations were to be used (mean, 10.2 days (range, 0–30; SD, 5.8)). 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Weekly videoconferences (VCs) have been established to enable clinicians at a local hospital and primary cancer health care providers in five different communities to discuss cases with specialist cancer care services at UNN. In this study, we aimed to evaluate the feasibility of these VCs. Methods This is a prospective registration study. Descriptive data were collected at UNN, and for each patient discussed at the VC, a survey was completed by the local health care provider responsible for the patient. Results During an 18-month period, 167 cases were discussed (101 patients). A median of 7 health care providers participated in each VC. According to the local physicians and nurses, the VCs contributed in 96% of cases to give “quite a bit” or “very much” confidence in adequate patient care. They reported that patient care in 85% of cases would be improved “quite a bit” or “very much” due to the VC. The mean number of days waiting for VC were 2.0 days (range, 0–7; SD, 2.0) and was significantly shorter ( P  &lt; 0.001) than the estimated time waiting if alternative consultations were to be used (mean, 10.2 days (range, 0–30; SD, 5.8)). Conclusion VC may be a useful supplemental tool to support primary health care providers at local hospitals and remote communities in their effort to offer efficient and high-quality cancer care.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22076621</pmid><doi>10.1007/s00520-011-1319-1</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 0941-4355
ispartof Supportive care in cancer, 2012-09, Vol.20 (9), p.2097-2103
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1433-7339
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source MEDLINE; SpringerLink Journals
subjects Adult
Aged
Aged, 80 and over
Cancer
Feasibility Studies
Female
Hospitals, University
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - therapy
Norway
Nursing
Nursing Research
Oncology
Oncology Service, Hospital
Original Article
Pain Medicine
Palliative Care
Prospective Studies
Rehabilitation Medicine
Remote Consultation - methods
Rural health care
Surveys and Questionnaires
Telemedicine
Video teleconferencing
Videoconferencing
Young Adult
title Bridging the distance: a prospective tele-oncology study in Northern Norway
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