Teleoncology for Indigenous patients: The responses of patients and health workers
Open accessAbstract
PROBLEM: Townsville Cancer Centre provides video-consultation (VC) services to patients in rural/remote regions of North Queensland in order to improve access to specialist cancer care. The experience and responses of indigenous patients using this service have not been studied. Our objective is to assess the level of satisfaction and the responses of Indigenous patients, their families and health workers (HWs) to VC and such teleoncology service. DESIGN: Descriptive study, using semistructured interviews. SETTING: Tertiary referral centre (Townsville Cancer Centre) and various rural and remote towns in Queensland. KEY MEASURES FOR IMPROVEMENT: Satisfaction levels of Indigenous patients, their family members and Indigenous HWs with various aspects of the teleoncology service. LESSONS LEARNT: Our evaluation suggests that teleoncology is an acceptable model of care for Indigenous patients, with high levels of satisfaction expressed from patients, families and HWs. Health professionals involved with providing this service need to be adaptive to the needs of individual patients and local communities in order to provide culturally appropriate care. Formal skills training for staff, effective communication between specialist and local HWs, and informed consent procedures are essential to maintain safety of practices. Strategies for change are: • Mandatory informed consent procedure for all patients offered with VC. • Formalised competency training for staff in skills essential to maintain safe practices in teleoncology. • Clear clinical documentation to facilitate improved communication in patient management between medical staff at main centre and distant sites. • Further efforts in promotion, education and support for staff to participate in telemedicine.
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Tele-oncology among indigenous populations found that 87% of patients were satisfied with the service.
“For example, a paper reported on the use of tele-oncology among indigenous populations, which found that 87% of patients were satisfied with the service (Mooi et al., 2012).”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Mooi et al., 2012
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- Authors
- Mooi, J. K., Whop, L. J., Valery, P. C., & Sabesan, S. S.
- Affiliations
- Townsville Hospital (AU)
- Charles Darwin University (AU)
- Venue
- Australian Journal of Rural Health
- Publisher
- Wiley
- Published
- 2012-09-23
- Volume
- 20
- Issue
- 5
- Pages
- 265-269
- ISSN
- 1038-5282 (ISSN-L)
- 1440-1584
- OpenAlex
- W2144361718
- Cited by
- 91
- References
- 14
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 7 · 2023: 13 · 2022: 12 · 2021: 12 · 2020: 7 · 2019: 6 · 2018: 6 · 2016: 7 · 2015: 10 · 2014: 5 · 2013: 2 · 2012: 1
- FWCI
- 5.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Australian Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- teleoncology, video consultation, Indigenous patients, Indigenous health workers, patient satisfaction, access to cancer care, rural and remote health services, culturally appropriate care, informed consent, telemedicine, North Queensland
- MeSH terms
- Adult, Aged, Female, Health Personnel, Humans, Male, Medical Oncology, Middle Aged, Neoplasms, Queensland, Patient Satisfaction, Telemedicine, Qualitative Research
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