This study evaluates patient perceptions around quality of care through telemedicine in neuro-oncology. Studying questionnaires related to perceptions quality of care through telemedicine in patients with brain cancer may help doctors to improve the delivery of care through this modality.
PRIMARY OBJECTIVE: I. To evaluate the patient-perceived quality of care by group (telemedicine versus in-person visits) in patients with central nervous system (CNS) cancer. SECONDARY OBJECTIVES: I. To characterize the visits provided by telemedicine compared to those in-person. II. To contrast the average time spent on telemedicine visits compared to in-person visits, and the delay between visit order placement and visit occurring. III. To evaluate the domains of patient care addressed on a telemedicine visit versus in-person visit per documentation, including (1) treatment planning, (2) symptom burden, (3) goals of care. IV. To evaluate frequency of acute care sought (through emergency room or urgent care clinic) within 30 days of encounter in telemedicine visit versus (vs) in-person visit. V. The impact of patient and clinical characteristics on perceived quality of care in the context of covariate-adjusted modeling. OUTLINE: Patients complete a survey related to their perceived quality of care via telephone and have their medical chart reviewed prospectively.
Study Type
OBSERVATIONAL
Enrollment
200
Review of medical chart
Complete survey
M D Anderson Cancer Center
Houston, Texas, United States
RECRUITINGSurvey response to question 6 of the quality of care survey ("I felt I received good medical care during this encounter")
Survey responses will be summarized by ordinal category as counts with percentages, separately by group. Will separately estimate the proportion of each ordinal level of each group with 95% confidence interval.
Time frame: through study completion, an average of 1 year
Quality of Care Survey
Will separately estimate the proportion of each ordinal level of each group with 95% confidence interval.
Time frame: through study completion, an average of 1 year
Patients and clinical characteristics
Differences between groups will be assessed by 2-sample 2-sided t-test and Mann-Whitney test, Fisher's exact test, or chi-square test.
Time frame: Baseline
Interactive time spent during visit
Will be summarized by group per mean, median, standard deviation, and range. Differences between groups will be assessed by t-test and Mann-Whitney test.
Time frame: through study completion, an average of 1 year
Time from visit order placement to visit occurring
Will be summarized by group per mean, median, standard deviation, and range. Differences between groups will be assessed by t-test and Mann-Whitney test.
Time frame: through study completion, an average of 1 year
Domains of patient care addressed during a visit, including treatment planning, symptom burden, and goals of care
Will be summarized as counts with percentages by group. Differences between groups will be assessed by chi-square test.
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Time frame: through study completion, an average of 1 year
Incidence of acute care sought (through emergency room or urgent care clinic)
Will be summarized as counts with percentages by group. Differences between groups will be provisionally assessed by Fisher's exact test.
Time frame: Within 30 days of encounter