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Supportive Care in Cancer

, Volume 20, Issue 9, pp 2097–2103 | Cite as

Bridging the distance: a prospective tele-oncology study in Northern Norway

  • Tom Donnem
  • Bente Ervik
  • Kathrine Magnussen
  • Sigve Andersen
  • Doris Pastow
  • Sissel Andreassen
  • Tone Nørstad
  • Nina Helbekkmo
  • Roy M Bremnes
  • Tone Nordoy
Original Article

Abstract

Purpose

The University Hospital of North Norway (UNN) is a tertiary-level hospital and has the main responsibility of providing specialized cancer health care in the remote area of Northern Norway. Weekly videoconferences (VCs) have been established to enable clinicians at a local hospital and primary cancer health care providers in five different communities to discuss cases with specialist cancer care services at UNN. In this study, we aimed to evaluate the feasibility of these VCs.

Methods

This is a prospective registration study. Descriptive data were collected at UNN, and for each patient discussed at the VC, a survey was completed by the local health care provider responsible for the patient.

Results

During an 18-month period, 167 cases were discussed (101 patients). A median of 7 health care providers participated in each VC. According to the local physicians and nurses, the VCs contributed in 96% of cases to give “quite a bit” or “very much” confidence in adequate patient care. They reported that patient care in 85% of cases would be improved “quite a bit” or “very much” due to the VC. The mean number of days waiting for VC were 2.0 days (range, 0–7; SD, 2.0) and was significantly shorter (P < 0.001) than the estimated time waiting if alternative consultations were to be used (mean, 10.2 days (range, 0–30; SD, 5.8)).

Conclusion

VC may be a useful supplemental tool to support primary health care providers at local hospitals and remote communities in their effort to offer efficient and high-quality cancer care.

Keywords

Telemedicine Tele-oncology Videoconferencing Cancer patients Palliative care Remote areas 

Notes

Acknowledgments

We thank all the study participants who took the time to complete the questionnaires and provided valuable feedback.

Conflict of interest

None declared.

References

  1. 1.
    Cancer Registry of Norway (2009) Cancer in Norway 2008–cancer incidence, mortality, survival and prevalence in Norway. OsloGoogle Scholar
  2. 2.
    Godden DJ (2005) Rural health care in the U.K.: a rapidly changing scene. J Agric Saf Health 11:205–210PubMedGoogle Scholar
  3. 3.
    Maserat E (2008) Information communication technology: new approach for rural cancer care improvement. Asian Pac J Cancer Prev 9:811–814PubMedGoogle Scholar
  4. 4.
    Coelho JJ, Arnold A, Nayler J, Tischkowitz M, MacKay J (2005) An assessment of the efficacy of cancer genetic counselling using real-time videoconferencing technology (telemedicine) compared to face-to-face consultations. Eur J Cancer 41:2257–2261PubMedCrossRefGoogle Scholar
  5. 5.
    Doorenbos AZ, Kundu A, Eaton LH, et al (2011) Enhancing access to cancer education for rural healthcare providers via Telehealth. J Cancer Educ (in press)Google Scholar
  6. 6.
    Kitamura C, Zurawel-Balaura L, Wong RK (2010) How effective is video consultation in clinical oncology? A systematic review. Curr Oncol 17:17–27PubMedGoogle Scholar
  7. 7.
    Doolittle GC, Allen A (1997) Practising oncology via telemedicine. J Telemed Telecare 3:63–70PubMedCrossRefGoogle Scholar
  8. 8.
    Allen A, Hayes J (1994) Patient satisfaction with telemedicine in a rural clinic. Am J Public Health 84:1693PubMedCrossRefGoogle Scholar
  9. 9.
    Brigden M, Minty A, Pilatzke S, Della VL, Sherrington L, McPhail K (2008) A survey of recipient client physician satisfaction with teleoncology services originating from Thunder Bay Regional Health Sciences Centre. Telemed J E Health 14:250–254PubMedCrossRefGoogle Scholar
  10. 10.
    Gagliardi A, Smith A, Goel V, DePetrillo D (2003) Feasibility study of multidisciplinary oncology rounds by videoconference for surgeons in remote locales. BMC Med Inf Decis Mak 3:7CrossRefGoogle Scholar
  11. 11.
    Kidd L, Cayless S, Johnston B, Wengstrom Y (2010) Telehealth in palliative care in the UK: a review of the evidence. J Telemed Telecare 16:394–402PubMedCrossRefGoogle Scholar
  12. 12.
    Weinerman B, den DJ, Hughes A, Robertson S (2005) Can subspecialty cancer consultations be delivered to communities using modern technology?–A pilot study. Telemed J E Health 11:608–615PubMedCrossRefGoogle Scholar
  13. 13.
    Kunkler IH, Rafferty P, Hill DM, Henry M, Foreman D (1997) Telemedicine. Proved acceptable in pilot study in oncology in Scotland. BMJ 314:521PubMedGoogle Scholar
  14. 14.
    Olver IN, Selva-Nayagam S (2000) Evaluation of a telemedicine link between Darwin and Adelaide to facilitate cancer management. Telemed J 6:213–218PubMedCrossRefGoogle Scholar
  15. 15.
    Norum J, Pedersen S, Stormer J et al (2007) Prioritisation of telemedicine services for large scale implementation in Norway. J Telemed Telecare 13:185–192PubMedCrossRefGoogle Scholar
  16. 16.
    Norum J, Grev A, Moen MA, Balteskard L, Holthe K (2003) Information and communication technology (ICT) in oncology. Patients’ and relatives’ experiences and suggestions. Support Care Cancer 11:286–293PubMedGoogle Scholar
  17. 17.
    Norum J, Bruland OS, Spanne O et al (2005) Telemedicine in radiotherapy: a study exploring remote treatment planning, supervision and economics. J Telemed Telecare 11:245–250PubMedCrossRefGoogle Scholar
  18. 18.
    Norum J, Jordhoy MS (2006) A university oncology department and a remote palliative care unit linked together by email and videoconferencing. J Telemed Telecare 12:92–96PubMedCrossRefGoogle Scholar
  19. 19.
    Statistics Norway (2011) Estimated population per 1 January 2011 and estimated population growth in 2010. Counties and municipalities. http://www.ssb.no/folkber_en/. Accessed 16 Dec 2010
  20. 20.
    Andrusyszyn MA, Cragg B, Humbert J (2001) Nurse practitioner preferences for distance education methods related to learning style, course content and achievement. J Nurs Educ 40:163–170PubMedGoogle Scholar
  21. 21.
    Donnem T, Nordoy T, Ervik B, Jordhoy MS (2006) Centralized inpatient palliative care units in remote areas: an obstacle to future home care? Palliat Med 20:116–117PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Tom Donnem
    • 1
    • 2
  • Bente Ervik
    • 1
  • Kathrine Magnussen
    • 1
  • Sigve Andersen
    • 1
    • 2
  • Doris Pastow
    • 3
  • Sissel Andreassen
    • 4
  • Tone Nørstad
    • 5
  • Nina Helbekkmo
    • 1
    • 6
  • Roy M Bremnes
    • 1
    • 2
  • Tone Nordoy
    • 1
    • 2
  1. 1.Department of OncologyUniversity Hospital of North NorwayTromsoNorway
  2. 2.Institute of Clinical MedicineUniversity of TromsoTromsoNorway
  3. 3.Department of SurgeryHelgeland HospitalMo i RanaNorway
  4. 4.Community Health Care ServiceVadsoNorway
  5. 5.Community Health Care ServiceNordkappNorway
  6. 6.Department of PulmonologyUniversity Hospital of North NorwayTromsoNorway

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