Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026
Patterns and Determinants of Telehealth Use by Cancer Survivorship: A National Online Survey.
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Yang Michelle, Abdullatif Umayma, Shalaby Nada, Kamprath Sagar, Lee Wei-Chen
Аннотация
INTRODUCTION: Since the COVID-19 pandemic, telehealth utilization has increased substantially and remained well above pre-2020 levels. This study sought to determine whether cancer survivorship phase predicts telehealth utilization, perceived barriers, and benefits, informing future strategies to enhance digital care for this immuno-compromised population.
METHODS: We conducted a national cross-sectional survey to examine telehealth utilization among adults with and without a history of cancer (n = 202). Participants were categorized as no cancer (n = 40), having cancer 1-5 years since diagnosis (n = 79), and having cancer ≥6 years since diagnosis (n = 83). The primary outcome was utilization pattern by cancer history, and the secondary outcomes were determinants (5 perceived benefits and 6 perceived challenges) of telehealth use. Multivariable regression analyses of quantitative data and thematic qualitative analyses of qualitative responses were performed.
RESULTS: Adults diagnosed with cancer in 5 years demonstrated higher telehealth utilization followed by those with cancer for 6+ years, while those who never had cancer were least likely to engage (80.3%>62.5%>40.0%, p < 0.001). The most common challenge was poor internet quality (47.4% of the recent-cancer group) although there is no significant difference found. All three groups reported that flexibility was the most important benefit (p = 0.034). Qualitative analysis echoed these findings, highlighting flexibility as major benefits (61.5%).
CONCLUSION: Qualitative responses complemented the quantitative data with a better understanding of eight determinants of telehealth use. Policies promoting broadband reliability, multilingual access, and digital literacy are key to equitable telehealth engagement that meets different needs across cancer histories.
METHODS: We conducted a national cross-sectional survey to examine telehealth utilization among adults with and without a history of cancer (n = 202). Participants were categorized as no cancer (n = 40), having cancer 1-5 years since diagnosis (n = 79), and having cancer ≥6 years since diagnosis (n = 83). The primary outcome was utilization pattern by cancer history, and the secondary outcomes were determinants (5 perceived benefits and 6 perceived challenges) of telehealth use. Multivariable regression analyses of quantitative data and thematic qualitative analyses of qualitative responses were performed.
RESULTS: Adults diagnosed with cancer in 5 years demonstrated higher telehealth utilization followed by those with cancer for 6+ years, while those who never had cancer were least likely to engage (80.3%>62.5%>40.0%, p < 0.001). The most common challenge was poor internet quality (47.4% of the recent-cancer group) although there is no significant difference found. All three groups reported that flexibility was the most important benefit (p = 0.034). Qualitative analysis echoed these findings, highlighting flexibility as major benefits (61.5%).
CONCLUSION: Qualitative responses complemented the quantitative data with a better understanding of eight determinants of telehealth use. Policies promoting broadband reliability, multilingual access, and digital literacy are key to equitable telehealth engagement that meets different needs across cancer histories.