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The New Normal? Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care.
Johnson, Bryan A; Lindgren, Bruce R; Blaes, Anne H; Parsons, Helen M; LaRocca, Christopher J; Farah, Ronda; Hui, Jane Yuet Ching.
  • Johnson BA; University of Minnesota Medical School, Minneapolis, MN, USA.
  • Lindgren BR; Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA.
  • Blaes AH; Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
  • Parsons HM; Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
  • LaRocca CJ; Division of Surgical Oncology, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
  • Farah R; Department of Dermatology, University of Minnesota, Minneapolis, MN, USA.
  • Hui JYC; Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA. jhui@umn.edu.
Ann Surg Oncol ; 28(10): 5668-5676, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1394518
ABSTRACT

BACKGROUND:

Telemedicine was adopted to minimize exposure risks for patients and staff during the coronavirus disease 2019 pandemic. This study measured patient satisfaction and telemedicine usability in breast cancer care.

METHODS:

Adult breast cancer patients who had a telemedicine visit at a single academic institution (with surgical, radiation, or medical oncology) from 15 June 2020 to 4 September 2020 were surveyed anonymously. Patient and cancer characteristics were collected, and patient satisfaction and telemedicine usability were assessed using a modified Telehealth Usability Questionnaire with a 7-point Likert scale. Associations of satisfaction and usability with patient characteristics were analyzed using Wilcoxon rank-sum and Kruskal-Wallis tests.

RESULTS:

Of 203 patients who agreed to be contacted, 78 responded, yielding a response rate of 38%. The median age of the respondents was 63 years (range 25-83 years). The majority lived in an urban area (61%), were white (92%), and saw a medical oncologist (62%). The median patient satisfaction score was 5.5 (interquartile range [IQR] 4.25-6.25). The median telemedicine usability score was 5.6 (IQR 4.4-6.2). A strong positive correlation was seen between satisfaction and usability, with a Spearman correlation coefficient (ρ) of 0.80 (p < 0.001). Satisfaction and usability scores did not vary significantly according to patient age, race, location of residence, insurance status, previous visit commute time, oncology specialty seen, prior telemedicine visits, or whether patients were actively receiving cancer treatment.

CONCLUSIONS:

Breast cancer patients were satisfied with telemedicine and found it usable. Patient satisfaction and telemedicine usability should not limit the use of telemedicine in future post-pandemic breast cancer care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Telemedicine Type of study: Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Middle aged Language: English Journal: Ann Surg Oncol Journal subject: Neoplasms Year: 2021 Document Type: Article Affiliation country: S10434-021-10448-6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Telemedicine Type of study: Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Middle aged Language: English Journal: Ann Surg Oncol Journal subject: Neoplasms Year: 2021 Document Type: Article Affiliation country: S10434-021-10448-6