A framework for integrating telehealth equitably across the cancer care continuum Journal Article
| Authors: | Rendle, K. A.; Tan, A. S. L.; Spring, B.; Bange, E. M.; Lipitz-Snyderman, A.; Morris, M. J.; Makarov, D. V.; Daly, R.; Garcia, S. F.; Hitsman, B.; Ogedegbe, O.; Phillips, S.; Sherman, S. E.; Stetson, P. D.; Vachani, A.; Wainwright, J. V.; Zullig, L. L.; Bekelman, J. E. |
| Article Title: | A framework for integrating telehealth equitably across the cancer care continuum |
| Abstract: | The COVID-19 pandemic placed a spotlight on the potential to dramatically increase the use of telehealth across the cancer care continuum, but whether and how telehealth can be implemented in practice in ways that reduce, rather than exacerbate, inequities are largely unknown. To help fill this critical gap in research and practice, we developed the Framework for Integrating Telehealth Equitably (FITE), a process and evaluation model designed to help guide equitable integration of telehealth into practice. In this manuscript, we present FITE and showcase how investigators across the National Cancer Institute’s Telehealth Research Centers of Excellence are applying the framework in different ways to advance digital and health equity. By highlighting multilevel determinants of digital equity that span further than access alone, FITE highlights the complex and differential ways structural determinants restrict or enable digital equity at the individual and community level. As such, achieving digital equity will require strategies designed to not only support individual behavior but also change the broader context to ensure all patients and communities have the choice, opportunity, and resources to use telehealth across the cancer care continuum. © The Author(s) 2024. |
| Keywords: | united states; neoplasm; organization and management; neoplasms; patient care; medical research; community; epidemiology; conceptual framework; health care delivery; therapy; continuity of patient care; health care access; health care disparity; health services accessibility; telemedicine; healthcare disparities; pandemic; telehealth; integrated health care system; humans; human; article; malignant neoplasm; health equity; pandemics; severe acute respiratory syndrome coronavirus 2; coronavirus disease 2019; covid-19; digital health; sars-cov-2; patient centered communication |
| Journal Title: | Journal of the National Cancer Institute - Monographs |
| Volume: | 2024 |
| Issue: | 64 |
| ISSN: | 1052-6773 |
| Publisher: | Oxford University Press |
| Date Published: | 2024-07-01 |
| Start Page: | 92 |
| End Page: | 99 |
| Language: | English |
| DOI: | 10.1093/jncimonographs/lgae021 |
| PUBMED: | 38924790 |
| PROVIDER: | scopus |
| PMCID: | PMC11207920 |
| DOI/URL: | |
| Notes: | Article -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
Related MSK Work