Demand-oriented design of telemedical services in gynecologic oncology

BMC Health Serv Res. 2023 Oct 27;23(1):1168. doi: 10.1186/s12913-023-10176-5.

Abstract

Background: The medical field is in the midst of a massive expansion in telemedical services. However, it is not possible to say to what extent telemedical offerings can be designed to meet needs in the German healthcare system. This study provides insights into demand-oriented care using telemedical services for gynecological patients.

Methods: A total of 262 patients who received systemic therapy for gynecological oncology were surveyed anonymously using a questionnaire regarding their acceptance of telemedicine from February 2021 to April 2021.

Results: Insufficient computer skills were associated with less acceptance of telemedicine treatment by gynecological oncology patients and presented a barrier. However, the patient's level of education was not related to the level of acceptance. Long travel distances from medical facilities and some types of patient occupations significantly increased the acceptance of telemedicine services. A high level of education, on the other hand, was not associated with the approval of telemedical approaches. Long journeys and work commitments increased the acceptance of telemedical visits.

Conclusions: The results of this study show that the factors investigated have an influence on the acceptance of telemedical offerings by patients. Barriers such as insufficient computer skills must be taken into account when implementing telemedicine services. Telemedicine can provide physical and economic relief for patients if telemedical planning is tailored to their needs.

Keywords: Gynecology; Oncology; Patient compliance; Supportive care; Telemedicine.

MeSH terms

  • Delivery of Health Care
  • Female
  • Genital Neoplasms, Female* / therapy
  • Humans
  • Surveys and Questionnaires
  • Telemedicine* / methods