{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:00:10Z","timestamp":1789149610741,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Tele-oncology became a widely used tool during the COVID-19 pandemic, but there was limited understanding of how patient\u2013clinician communication occurred using the technology. Our goal was to identify how communication transpired during tele-oncology consultations compared with in-person appointments.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">A convergent parallel mixed-method design was utilized for the web-based survey, and follow-up interviews were conducted with cancer patients from March to December 2020. Participants were recruited from the University of Florida Health Cancer Center and two national cancer organizations. During the survey, participants rated their clinician's patient-centered communication behaviors. Open-ended survey responses and interview data were combined and analyzed thematically using the constant comparative method.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">A total of 158 participants completed the survey, and 33 completed an interview. Ages ranged from 19 to 88 years (mean\u2009=\u200964.2; standard deviation\u2009=\u200913.0); 53.2% identified as female and 44.9% as male. The majority of respondents (76%) considered communication in tele-oncology equal to in-person visits. Preferences for tele-oncology included the ability to get information from the clinician, with 13.5% rating tele-oncology as better than in-person appointments. Tele-oncology was considered worse than in-person appointments for eye contact (n\u2009=\u200921, 12.4%) and virtual waiting room times (n\u2009=\u200950, 29.4%). The following qualitative themes corresponded with several quantitative variables: (1) commensurate to in-person appointments, (2) uncertainty with the digital platform, (3) lack of a personal connection, and (4) enhanced patient experience.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Patient-centered communication behaviors were mostly viewed as equally prevalent during tele-oncology and in-person appointments. Addressing the challenges of tele-oncology is necessary to improve the patient experience.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2023.0372","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T14:51:42Z","timestamp":1712242302000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Tele-Oncology Use During the COVID-19 Pandemic: Patient Experiences and Communication Behaviors with Clinicians"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7066-4748","authenticated-orcid":false,"given":"Jordan M.","family":"Alpert","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Geriatrics, Center for Value-Based Care Research, Cleveland Clinic Foundation, Cleveland, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea N.","family":"Hampton","sequence":"additional","affiliation":[{"name":"College of Journalism and Communications, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemme","family":"Campbell-Salome","sequence":"additional","affiliation":[{"name":"Genomic Medicine Institute, Department of Population Health Sciences, Geisinger, Danville, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Paige","sequence":"additional","affiliation":[{"name":"College of Journalism and Communications, University of Florida, Gainesville, Florida, USA."},{"name":"Department of Behavior Science, Johnson and Johnson, Potsdam, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Murphy","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Heffron","sequence":"additional","affiliation":[{"name":"College of Journalism and Communications, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tithi B.","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Harle","sequence":"additional","affiliation":[{"name":"Health Policy and Management, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tien","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor S.","family":"Vasquez","sequence":"additional","affiliation":[{"name":"College of Journalism and Communications, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merry Jennifer","family":"Markham","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carma L.","family":"Bylund","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12466"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2022.04.002"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2021.104672"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.2196\/34895"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70288-8"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.21.00160"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.7943"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1200\/OP.21.00438"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp19X704141"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.3233\/THC-181293"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2011.02537.x"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.06.042"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-15935-1_10"},{"key":"e_1_3_4_15_2","volume-title":"Designing and conducting mixed methods research","author":"Creswell JW","year":"2017","unstructured":"Creswell JW, , Clark VLP. 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