Telehealth Preferences Among Patients With Advanced Cancer in the Post COVID-19 Vaccine Era.
J Pain Symptom Manage
; 67(6): 525-534.e1, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38467349
ABSTRACT
BACKGROUND:
Few studies have examined patient preferences for telehealth in palliative care after the availability of COVID-19 vaccines. We examined patient preferences for video versus in-person visits and factors contributing to preferences in the postvaccine era.METHODS:
This is a cross-sectional survey of patients who were seen at our palliative care clinic between April 2021 and March 2022. Patients were surveyed directly their preference for either video or in-person visits for outpatient palliative care (primary outcome). We also surveyed preferences including convenience, cost, wait time, and perceptions of COVID-19 safety regarding their palliative virtual-video visit. We examined clinical factors associated with preferences with multivariate logistic regression.RESULTS:
About 200 patients completed the survey. 132 (67%, 95% confidence interval [CI] 60%, 74%) preferred virtual-video, while 16 (8%) preferred in-person visits during the COVID-19 pandemic. About 120 (61%, 95%CI 54%, 68%) preferred virtual-video after the pandemic. Patients perceived virtual-video favorably regarding travel and related costs (179 [91%]), convenience (175 [88%]), and wait time (136 [69%]). Multivariable analysis showed concerns for catching COVID-19 from healthcare providers (odds ratio [OR] 4.20; 95%CI 1.24-14.25; P = 0.02) and feeling comfortable with computers or mobile devices (OR 4.59; 95%CI 1.02, 20.60; P = 0.047) were significantly associated with preferring virtual-video. Patients who were of Hispanic or Latino ethnicity (OR 0.25; 95%CI 0.09, 0.71) and had increased dypsnea (OR 0.74; 95%CI 0.59, 0.93) were less likely to prefer video over in-person.CONCLUSION:
Patients expressed strong preference for video over in-person visits in the outpatient palliative care setting.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_medicamentos_vacinas_tecnologias
Assunto principal:
Cuidados Paliativos
/
Telemedicina
/
Preferência do Paciente
/
COVID-19
/
Neoplasias
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Pain Symptom Manage
Assunto da revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
/
TERAPEUTICA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos