- Title
- Optimising implementation of telehealth in oncology: A systematic review examining barriers and enablers using the RE-AIM planning and evaluation framework
- Creator
- Bu, Stella; Smith, Allan 'Ben'; Sansom-Daly, Ursula M.; Janssen, Anna; Donnelly, Candice; Dadich, Ann; Mackenzie, Lisa J.; Smith, Andrea L.; Young, Alison L.; Wu, Verena S.; Smith, Sarah J.
- Relation
- Critical Reviews in Oncology/Hematology Vol. 180, Issue December 2022, no. 103869
- Publisher Link
- http://dx.doi.org/10.1016/j.critrevonc.2022.103869
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2022
- Description
- Telehealth facilitates access to cancer care for patients unable to attend in-person consultations, as in COVID-19. This systematic review used the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to evaluate telehealth implementation and examine enablers and barriers to optimal implementation in oncology. MEDLINE, PubMed, CINAHL, and the Cochrane Database of Systematic Reviews were searched between January 2011-June 2022. Eighty-two articles representing 73 studies were included. One study explicitly used the RE-AIM framework to guide study design, conduct, or reporting. Reach (44%) and implementation (38%) were most commonly reported, maintenance (5%) least commonly. Key telehealth implementation enablers included professional-led delivery, patient-centred approaches, and positive patient perceptions. Key barriers included patient discomfort with technology, limited supporting clinic infrastructure, and poor access to reliable internet connection and videoconferencing. While a patient-centred and professional-supported approach enables telehealth implementation, technology and infrastructure constraints need surmounting for sustained implementation beyond the COVID-19 pandemic.
- Subject
- implementation evaluation; health care; systematic review; telehealth; oncology; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1492425
- Identifier
- uon:53335
- Identifier
- ISSN:1040-8428
- Language
- eng
- Reviewed
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