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Full Project 2: The Intersection of Telehealth and Health Disparities in At-Risk Older Patients with Cancer

完整项目 2：远程医疗与高危老年癌症患者健康差异的交叉点

基本信息

批准号：
10762274
负责人：
Juan Francisco Javier-DesLoges
金额：
$ 18.03万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-15 至 2026-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10762274
关键词：
Address Adverse event COVID-19 pandemic California Cancer Patient Caring Catchment Area Cohort Studies Communication Complement County Data Data Set Databases Development Disparity Elderly Emergency department visit Environment Equity Ethnic Origin Future Health Services Accessibility Health system Healthcare Healthcare Systems Hospitalization Hospitals Household Improve Access Income Individual Inequality Inequity Internet Intervention Knowledge Language Link Logistic Regressions Low income Malignant Neoplasms Medicare Medicare claim Medicare/Medicaid Methods Modeling Oncology Outcome Patient Care Patient-Focused Outcomes Patients Perception Persons Policies Policy Maker Population Populations at Risk Positioning Attribute Provider Quality of Care Race Research Risk Safety Secondary to Socioeconomic Status Surveys Technology Telecommunications Testing Visit Vulnerable Populations access disparities adverse outcome anticancer research beneficiary cancer care cancer education cancer health disparity cancer risk care delivery care outcomes disparity reduction ethnic minority experience health disparity health equity improved interest marginalized population neoplasm registry older patient pandemic disease patient population patient-level barriers population based post-COVID-19 provider-level barriers racial minority response telehealth

项目摘要

PROJECT SUMMARY/ ABSTRACT – PROJECT 2 Telehealth utilization increased rapidly across the US healthcare system in response to the COVID-19 pandemic. As we emerge from the pandemic, telehealth has become a new option for communication between patients and providers. Cancer care delivery appears well positioned to incorporate telehealth into the standard workflow of patient care. Furthermore, equitable implementation of telehealth could potentially increase access to care among vulnerable patients. However, emerging data suggest disparities with telehealth utilization access among non-White, low income, and non-English speaking individuals. Inequitable implementation of telehealth could inadvertently create barriers among our most vulnerable patients, which could paradoxically increase cancer health disparities. Large-scale rigorous research evaluating disparities in telehealth utilization within the post-COVID-19 cancer care environment is lacking. Furthermore, research has not addressed how telehealth utilization influences safety and quality of care compared to conventional in-person visits, particularly among our at-risk populations with higher baseline risks of poor outcomes and adverse events. Finally, a comprehensive understanding of telehealth disparities requires an understanding of patient perceptions and provider biases towards telehealth, which represent important unaddressed questions. To fill these critical knowledge gaps, we propose a comprehensive population-based cohort study among Medicare beneficiaries with cancer, incorporating linkages to secondary datasets providing data on providers, hospitals, and regional factors. We will assess the impact of telehealth on vulnerable cancer populations through the following aims: 1) identify and characterize disparities in telehealth during and after the COVID-19 pandemic; 2) assess the impact of telehealth on efficacy and safety of cancer delivery among at-risk populations; and 3) define actionable patient-level barriers and provider biases with telehealth utilization. This proposed study will help define the national landscape of telehealth among cancer patients, and will provide a framework for the development of future interventions to optimize telehealth among at-risk patients. This timely project will deliver actionable information to providers, healthcare systems, and policymakers. Overall, equitable, safe, and effective telehealth delivery stands to increase access to care and reduce cancer health disparities among our most vulnerable cancer patients.

项目摘要/摘要-项目2