Clinicians’ perceptions of the benefits and challenges of teleoncology as experienced through the COVID-19 pandemic: A qualitative study (Preprint)

Abstract

COVID-19 thrust both patients and clinicians to use telemedicine in place of traditional in person visits. Pre-pandemic, limited research had examined clinician-patient communication in telemedicine visits. The shift to telemedicine in oncology, or teleoncology, has placed attention on how the technology can be utilized to provide care for patients with cancer.

Our objective was to describe oncology clinicians’ experiences with teleoncology and to uncover its benefits and challenges during the first 10 months of the COVID-19 pandemic.

In-depth, semi-structured qualitative interviews were conducted with oncology clinicians. Using an inductive, thematic approach, the most prevalent themes were identified.

Twenty-one interviews with oncology clinicians revealed the following themes: Benefits of teleoncology, such as 1) reducing patients’ travel time and expenses, 2) limiting COVID-19 exposure, and 3) enabling clinicians to “see” a patients’ lifestyle and environment. Challenges included, 1) technological connection difficulties, 2) inability to physically examine patients and 3) patients’ frustration related to clinicians being late to teleoncology appointments.

Teleoncology has many benefits and is well-suited for specific types of appointments. Challenges could be addressed through improved communication when scheduling appointments to make patients aware about what to expect. Ensuring patients have the proper technology to participate in teleoncology and an understanding about how it functions is necessary.