Skip to main content
Top
Published in: The Patient - Patient-Centered Outcomes Research 2/2015

01-04-2015 | Original Research Article

Technology-Based Patient Consultations: Research Findings from Haematology Patients in Regional, Rural and Remote Queensland

Author: Pam McGrath

Published in: The Patient - Patient-Centered Outcomes Research | Issue 2/2015

Login to get access

Abstract

Background

Many haematology patients living outside the metropolitan centres are stressed by the demands of travel for treatment and are seeking alternatives.

Objective

This article provides the findings on the use of technology-based patient consultations for haematology patients in Queensland, Australia, from the perspective of the patients receiving the service.

Method

The research was based on a descriptive qualitative approach involving open-ended interviews with a purposive sample of 45 haematology patients living in Queensland.

Results

The findings indicate that the use of technology for patient consultations is still in its infancy, involving few haematologists and limited to landline and mobile telephone, texting and Skype. These strategies are described as being used for follow-up and review rather than active treatment.

Conclusion

The strategies are not replacing face-to-face contact between the haematologist and patient, but rather extending the length of time between such contacts. Whilst patients have expressed enthusiasm for technology-assisted patient consultations, there are still obstacles to overcome as many who would like access to such a service delivery do not presently have these options available.
Literature
3.
go back to reference McGrath P, Holewa H, Munro A. Government funded travel and accommodation assistance: learning from inter-country research. J Rural Trop Pub Health. 2011;10:87–94. McGrath P, Holewa H, Munro A. Government funded travel and accommodation assistance: learning from inter-country research. J Rural Trop Pub Health. 2011;10:87–94.
4.
go back to reference McGrath P. Relocation for treatment for leukaemia: a description of need. Aust Health Rev. 1998;21(4):143–54.CrossRefPubMed McGrath P. Relocation for treatment for leukaemia: a description of need. Aust Health Rev. 1998;21(4):143–54.CrossRefPubMed
5.
go back to reference McGrath P. Accommodation for patients and carers during relocation for treatment for leukaemia: a descriptive profile. Sup Care Can. 1999;7(1):6–10.CrossRef McGrath P. Accommodation for patients and carers during relocation for treatment for leukaemia: a descriptive profile. Sup Care Can. 1999;7(1):6–10.CrossRef
6.
go back to reference McGrath P. ‘It’s horrendous, but really, what can you do? Preliminary findings on the financial impact of relocation for specialist treatment. Aust Health Rev. 2001;23(3):94–103.CrossRef McGrath P. ‘It’s horrendous, but really, what can you do? Preliminary findings on the financial impact of relocation for specialist treatment. Aust Health Rev. 2001;23(3):94–103.CrossRef
8.
go back to reference Rafiq A, Merrell R. Telemedicine for access to quality care on medical practice and continuing medical education in a global arena. J Contain Educ Health Prof. 2005;25(1):34–42.CrossRef Rafiq A, Merrell R. Telemedicine for access to quality care on medical practice and continuing medical education in a global arena. J Contain Educ Health Prof. 2005;25(1):34–42.CrossRef
9.
go back to reference Norris A. The strategic support of telemedicine and telecare. Health Inf J. 2001;7(2):81–9.CrossRef Norris A. The strategic support of telemedicine and telecare. Health Inf J. 2001;7(2):81–9.CrossRef
10.
go back to reference Schiffman J, Tang R. Telemedicine consultation in ophthalmology: extending your ophthalmic expertise and your practice. Ophthalmol Clin N Am. 2000;13(2):197–212.CrossRef Schiffman J, Tang R. Telemedicine consultation in ophthalmology: extending your ophthalmic expertise and your practice. Ophthalmol Clin N Am. 2000;13(2):197–212.CrossRef
11.
go back to reference Wade V, Eliot J, Kamon J, Elshaug A. A qualitative study of sustainability and vulnerability in Australian telehealth services. Stud Health Technol Inf. 2010;161:190–201. Wade V, Eliot J, Kamon J, Elshaug A. A qualitative study of sustainability and vulnerability in Australian telehealth services. Stud Health Technol Inf. 2010;161:190–201.
12.
go back to reference Mayan M. Essentials of qualitative inquiry. CA: Left Coast Press; 2009. Mayan M. Essentials of qualitative inquiry. CA: Left Coast Press; 2009.
14.
go back to reference National Rural Health Alliance (NRHA). A snapshot of poverty in rural and regional Australia, joint report with Australian Council of Social Services (ACOSS), 14th October 2013. National Rural Health Alliance (NRHA). A snapshot of poverty in rural and regional Australia, joint report with Australian Council of Social Services (ACOSS), 14th October 2013.
15.
go back to reference Coory M, Ho T, Jordan S. Australia is continuing to make progress against cancer, but the regional and remote disadvantage remains. MJA. 2013;199(9):605–8.PubMed Coory M, Ho T, Jordan S. Australia is continuing to make progress against cancer, but the regional and remote disadvantage remains. MJA. 2013;199(9):605–8.PubMed
16.
go back to reference Moffatt J, Eley D. The reported benefits of telehealth for rural Australians. Aust Health Rev. 2010;34(3):276–81.CrossRefPubMed Moffatt J, Eley D. The reported benefits of telehealth for rural Australians. Aust Health Rev. 2010;34(3):276–81.CrossRefPubMed
17.
go back to reference Croll J, Norton C, Gray L, Bryette A, Smith A. Telehealth opportunities in regional Queensland: a scoping study. J Telemed Telecare. 2012;18(8):451–4.CrossRefPubMed Croll J, Norton C, Gray L, Bryette A, Smith A. Telehealth opportunities in regional Queensland: a scoping study. J Telemed Telecare. 2012;18(8):451–4.CrossRefPubMed
18.
go back to reference Armfield N, Gray L, Smith A. Clinical use of Skype: a review of the evidence base. J Telemed Telecare. 2012;18(3):125–7.CrossRefPubMed Armfield N, Gray L, Smith A. Clinical use of Skype: a review of the evidence base. J Telemed Telecare. 2012;18(3):125–7.CrossRefPubMed
19.
go back to reference Mair F, Whitten P, May C, Doolittle G. Patients’ perceptions of a telemedicine specialty clinic. J Telemed Telecare. 2000;6(1):36–40.CrossRefPubMed Mair F, Whitten P, May C, Doolittle G. Patients’ perceptions of a telemedicine specialty clinic. J Telemed Telecare. 2000;6(1):36–40.CrossRefPubMed
20.
go back to reference Sevean P, Dampier S, Spadoni M, Strickland S, Pilatzke S. Patients and families experiences with video telehealth in rural/remote communities in Northern Canada. J Clin Nurs. 2009;18(8):2573–9.CrossRefPubMed Sevean P, Dampier S, Spadoni M, Strickland S, Pilatzke S. Patients and families experiences with video telehealth in rural/remote communities in Northern Canada. J Clin Nurs. 2009;18(8):2573–9.CrossRefPubMed
21.
go back to reference Jury S, Walker A, Komberg A. The introduction of web-based video-consultation in a paediatric acute care setting. J Telemed Telecare. 2013;19(7):383–7.CrossRefPubMed Jury S, Walker A, Komberg A. The introduction of web-based video-consultation in a paediatric acute care setting. J Telemed Telecare. 2013;19(7):383–7.CrossRefPubMed
Metadata
Title
Technology-Based Patient Consultations: Research Findings from Haematology Patients in Regional, Rural and Remote Queensland
Author
Pam McGrath
Publication date
01-04-2015
Publisher
Springer International Publishing
Published in
The Patient - Patient-Centered Outcomes Research / Issue 2/2015
Print ISSN: 1178-1653
Electronic ISSN: 1178-1661
DOI
https://doi.org/10.1007/s40271-014-0074-z

Other articles of this Issue 2/2015

The Patient - Patient-Centered Outcomes Research 2/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.