Telehealth Research and Innovation for Veterans with Cancer: the THRIVE Center
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Le résumé fourni par la source
BACKGROUND: In recent years the US health-care system has witnessed a substantial increase in telehealth use. Telehealth enhances health-care access and quality and may reduce costs. However, there is a concern that the shift from in-person to telehealth care delivery may differentially improve cancer care access and quality in certain clinical settings and for specific patient populations while potentially exacerbating disparities in care for others. Our National Cancer Institute-funded center, called Telehealth Research and Innovation for Veterans with Cancer (THRIVE), is focused on health equity for telehealth-delivered cancer care. We seek to understand how social determinants of telehealth-particularly race and ethnicity, poverty, and rurality-affect the use of telehealth. METHODS: THRIVE draws from the Health Disparities Research Framework and the Consolidated Framework for Implementation Research. THRIVE consists of multiple cores that work synergistically to assess and understand health equity for telehealth-delivered cancer care. These include the Administrative Core, Research and Methods Core, Clinical Practice Network, and Pragmatic Trial. RESULTS: As of October 2023, we identified and trained 5 THRIVE scholars, who are junior faculty beginning a research career. We have reviewed 20 potential pilot studies, funding 6. Additionally, in communication with our funders and advisory boards, we have adjusted our study design and analytic approach, ensuring feasibility while addressing our operational partners' needs. CONCLUSIONS: THRIVE has several key strengths. First, the Veterans Health Administration's health-care system is large and diverse regarding health-care setting type and patient population. Second, we have access to longitudinal data, predating the COVID-19 pandemic, about telehealth use. Finally, equitable access to high-quality care for all veterans is a major tenet of the Veterans Health Administration health-care mission. As a result of these advantages, THRIVE can focus on isolating and evaluating the impact of social determinants of telehealth on equity in cancer care.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Telehealth Research and Innovation for Veterans with Cancer: the THRIVE Center
- Date Crossref
- 26/06/2024
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Duke University Department of Population Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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Durham VA Health Care System pays non établi dans la noticeÉtablissement de santé
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VA NY Harbor Healthcare System pays non établi dans la noticeÉtablissement de santé
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New York University Department of Population Health pays non établi dans la noticeUniversité ou école supérieure
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Duke Medical Center pays non établi dans la noticeÉtablissement de santé
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Center of Innovation to Accelerate Discovery and Practice Transformation pays non établi dans la noticeInstitution
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VA New York Harbor Healthcare System pays non établi dans la noticeInstitution
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Department of Veterans Affairs pays non établi dans la noticeInstitution
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Division of Hematology-Oncology pays non établi dans la noticeInstitution
Department of Population Health Sciences — Duke University, Durham VA Health Care System et VA NY Harbor Healthcare System, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.