Factors Associated With Cancer Patients’ Preferences for Telemedicine or In-Person Palliative Care

Prior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population. This study aim...

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Published in:Journal of pain and symptom management Vol. 70; no. 2; pp. e159 - e166
Main Authors: Kim, Min Ji, Tang, Michael, Taylor, Terry, Chen, Minxing, Hui, David, Reddy, Akhila, Narayanan, Santhosshi, Bruera, Eduardo
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.08.2025
Subjects:
Adult
Aged
Aged, 80 and over
Anesthesia
Cancer patients
Female
Healthcare access
Humans
Male
Middle Aged
Neoplasms - psychology
Neoplasms - therapy
Pain Medicine
Palliative care
Palliative Care - methods
Palliative Care - psychology
Patient Preference
Patient preferences
Retrospective Studies
Telemedicine
Patient preferences
Palliative care
Cancer patients
Healthcare access
Telemedicine
ISSN:0885-3924, 1873-6513, 1873-6513
Online Access:Get full text
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Summary:Prior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population. This study aimed to identify cancer patients’ preferences for in-person vs. telemedicine palliative care visits in real-world clinical practice and associated patient-centric factors. This was a retrospective study involving chart review of in-person or telemedicine palliative care visits between September 2021 and October 2021, during which patients’ preferences for telemedicine or in-person visits and perceived difficulty coming in-person were routinely asked. Their answers were collected from the electronic chart. Associations between visit preference and sociodemographic and clinical factors were identified. Of 400 patients, mean age was 59 years. 217 (54%) were female. 285 (71%) were White. Most had advanced cancer (344; 86%). 83% (n = 333) preferred telemedicine. 72% (n = 288) cited difficulty coming in-person. On univariate analysis, female gender (P = 0.03), college completion (P < 0.01), and perceived difficulty coming in-person (P < 0.01) were associated with preferring telemedicine. Positive Cut-Down, Annoyed, Guilty, Eye-Opener-Adapted to Include Drugs (CAGE-AID) score (P = 0.02) was associated with in-person preference. On multivariate analyses, perceived difficulty coming in-person was associated with telemedicine preference (OR: 16.81; 95% CI: 7.91–35.28; P < 0.01). A positive CAGE-AID score was associated with in-person preference (OR: 0.17; 95% CI: 0.05–0.59; P = 0.01). Most patients having outpatient palliative care visits preferred telemedicine. Perceived difficulty coming in-person was associated with telemedicine preference. Patients with positive CAGE-AID scores were less likely to prefer telemedicine.
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ISSN:0885-3924
1873-6513
1873-6513
DOI:10.1016/j.jpainsymman.2025.05.002