Teleoncology, the use of telemedicine technology to provide cancer care services, helps patients in any geographical location to receive quality treatment from top oncologists and specialists, without the need to travel or wait for appointments despite anticipated deficiencies. Have been experienced. Telogenetics, the closure of cancer-related communications, remote monitoring of chemotherapy, symptom management, patient care, increased relief, and efforts to increase access to clinical cancer trials are some of the applications of teleoncology.

Telemedicine is defined in many ways, but the definitions used by the WHO , the European Commission, and the American Medical Association Center for "Using Telecommunications to Promote Health" define teleoncology as: The use of telemedicine Distance in oncology includes diagnosis (laboratory, radiology, pathology), treatment (surgery, radiological oncology, medical oncology) and supportive care (rehabilitation and palliative care). Therefore, teleoncology includes any telemedicine program used to promote cancer care.

Access to quality cancer care is often not available not only in low- and middle-income countries but also in rural or remote areas of high-income countries. Teleoncology (applications of medical communication oncology, including pathology, radiology, and other related disciplines) has the potential to enhance both access to and quality of clinical cancer care, as well as education. Its implementation in the developing world requires an approach tailored to the priorities, resources and needs. We believe that long-term, consistent and consistent programming can achieve our proposed goals. Here we examine the remote initiative that has the potential to reduce inequality in cancer care between poor source and resource-rich institutions, and provide guidelines for developing teleology programs in low- and middle-income countries.

Many oncology centers around the world provide services to patients living in rural and remote areas through teleoncology in the fields of health, nursing, radiography and medical oncology, palliative care and hematology. Integrated models are also used in other aspects of cancer care, including care coordination and multidisciplinary sessions.

Teleoncology models of oncology

There are a number of models for providing telemedicine services over the phone:

Video conference for counseling and monitoring of patient symptoms

Video conference for counseling and monitoring of oral chemotherapy

Video conferencing for remote planning in radiology oncology

Video conference to advise and monitor the administration of intravenous chemotherapy

Many oncology centers adopt the first three models to complement face-to-face access services. In these models, patients usually attend the first medical consultation and at least the first dose of oral chemotherapy in the main centers. Subsequent care is provided by video conferencing.

The basic requirements of teleoncology clinics are the same for all cancer centers. However, the needs of the staff at the rural sites, the governance for the type of advice provided, the technology used, and the nature of the coordination between the sites depend on the resources available on each site.

Employee requirements at procurement and reception sites are determined by the complexity of the services provided. For example, while a simple examination may require only one patient and their families at the reception, monitoring of complex medical treatments, such as chemotherapy prescribed to physicians and nurses at the reception, is required. While many reception centers require a medical professional, the Kansas model allows nurses to perform physical examinations as proxies.

The basic requirements of teleoncology clinics are the same for all cancer centers. However, the needs of the staff at the rural sites, the governance for the type of advice provided, the technology used, and the nature of the coordination between the sites depend on the resources available on each site.

Employee requirements at procurement and reception sites are determined by the complexity of the services provided. For example, while a simple examination may require only one patient and their families at the reception, monitoring of complex medical treatments, such as chemotherapy prescribed to physicians and nurses at the reception, is required. While many reception centers require a medical professional, the Kansas model allows nurses to perform physical examinations as proxies.

Physicians should consider distance as an option for patients who have to travel long distances for counseling.

Studies show that patients can have a direct relationship with their doctor during technology-based counseling, and they can establish close relationships with specialists, regardless of ethnicity. Patients feel the same way about face-to-face visits during face-to-face counseling. Therefore, most communication skills used for face-to-face counseling are useful for remote use.

One of the concerns of many people about remote care models is the inability of providers to physically examine patients. This concern is addressed in the teleoncology model by explaining to patients why physical examination is not always necessary. When sufficient explanation was given, patients accepted this reason.

Source: wiki.cancer , ncbi