Telemedicine for rural cancer care in North Queensland: Bringing cancer care home
Telemedicine for rural cancer care in North Queensland: Bringing cancer care home
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DOI：
10.1111/j.1440-1584.2012.01299.x
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发表时间：
2012-10-01
影响因子：
1.8
通讯作者：
Young, Michael
中科院分区：
文献类型：
--
作者：
Sabesan, Sabe;Larkins, Sarah;Young, Michael
目的：描述远程医疗在北昆士兰州农村患者癌症护理（远程肿瘤学护理模式）中的应用。设计：这是一项描述性研究。从汤斯维尔医院远程肿瘤学数据库中检索人口统计学和临床因素数据，并审查2007年5月至2011年5月期间的病历。环境和参与者：自2007年以来，北昆士兰州的一个区域癌症中心汤斯维尔癌症中心的医学肿瘤学家一直通过视频会议向汤斯维尔和伊萨山地区的农村医院提供服务。干预：通过汤斯维尔远程肿瘤学模型向农村地区提供癌症护理。主要结局指标：远程肿瘤学模式向农村城镇提供以下服务的能力：（一）专家咨询;（二）紧急专家医疗护理;（三）土著病人护理;（四）远程监督化疗管理。结果：2007年5月至2011年5月，来自18个乡镇的158名患者共接受了745次咨询。对其中10名病人进行了紧急会诊，并在当地启动了治疗计划，避免了医院间的转院。18名土著病人接受了咨询服务，有4至6名以上的家庭成员陪同。83名患者在伊萨山接受了一系列静脉和口服化疗方案，并在其他城镇接受了口服药物，由来自汤斯维尔的医学肿瘤学家进行远程监督。结论：远程肿瘤学护理模式允许农村和土著癌症患者在家附近接受专家咨询和化疗，从而最大限度地减少农村地区面临的就诊困难。
Objective: To describe the use of telemedicine in cancer care (teleoncology model of care) for rural patients in North Queensland. Design: This is a descriptive study. Data on demographical and clinical factors were retrieved from the teleoncology database of Townsville Hospital and review of medical records for the period between May 2007 and May 2011. Setting and Participants: The medical oncologists at the Townsville Cancer Centre, a regional cancer centre in North Queensland, have been providing their services to rural hospitals in Townsville and Mt Isa districts via videoconferencing since 2007. Intervention: Cancer care delivery to rural sites via Townsville teleoncology model. Main Outcome Measures: The ability of the teleoncology model to provide the following services to rural towns: (i) specialist consultations; (ii) urgent specialist medical care; (iii) care for Indigenous patients; and (iv) remote supervision of chemotherapy administration. Results: Between May 2007 and May 2011, 158 patients from 18 rural towns received a total of 745 consultations. Ten of these patients were consulted urgently and treatment plans initiated locally, avoiding interhospital transfers. Eighteen Indigenous patients received consultative services, being accompanied by more than four to six family members. Eighty-three patients received a range of intravenous and oral chemotherapy regimens in Mt Isa and oral agents in other towns through remote supervision by medical oncologists from Townsville. Conclusion: Teleoncology model of care allows rural and Indigenous cancer patients to receive specialist consultations and chemotherapy treatments closer to home, thus minimising the access difficulties faced by the rural sector.