Teleoncology for Indigenous patients: the responses of patients and health workers

Mooi, Jennifer K., Whop, Lisa J., Valery, Patricia C., and Sabesan, Sabe S. (2012) Teleoncology for Indigenous patients: the responses of patients and health workers. Australian Journal of Rural Health, 20 (5). pp. 265-269.

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Problem: Townsville Cancer Centre provides video-consultation (VC) services to patients in rural/remote regions of North Queensland in order to improve access to specialist cancer care. The experience and responses of indigenous patients using this service have not been studied. Our objective is to assess the level of satisfaction and the responses of Indigenous patients, their families and health workers (HWs) to VC and such teleoncology service.

Design: Descriptive study, using semistructured interviews.

Setting: Tertiary referral centre (Townsville Cancer Centre) and various rural and remote towns in Queensland.

Key measures for improvement: Satisfaction levels of Indigenous patients, their family members and Indigenous HWs with various aspects of the teleoncology service.

Lessons learnt: Our evaluation suggests that teleoncology is an acceptable model of care for Indigenous patients, with high levels of satisfaction expressed from patients, families and HWs. Health professionals involved with providing this service need to be adaptive to the needs of individual patients and local communities in order to provide culturally appropriate care. Formal skills training for staff, effective communication between specialist and local HWs, and informed consent procedures are essential to maintain safety of practices. Strategies for change are:

• Mandatory informed consent procedure for all patients offered with VC.

• Formalised competency training for staff in skills essential to maintain safe practices in teleoncology.

• Clear clinical documentation to facilitate improved communication in patient management between medical staff at main centre and distant sites.

• Further efforts in promotion, education and support for staff to participate in telemedicine.

Item ID: 25115
Item Type: Article (Research - C1)
ISSN: 1440-1584
Keywords: cancer care; health services access; Indigenous health; rural/remote service; telehealth/telemedicine
Funders: Australian Research Council (ARC)
Date Deposited: 24 Feb 2013 23:32
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 50%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920102 Cancer and Related Disorders @ 50%
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