{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:54:58Z","timestamp":1791035698175,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a national cross-sectional survey to examine telehealth utilization among adults with and without a history of cancer (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 202). Participants were categorized as no cancer (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 40), having cancer 1\u20135 years since diagnosis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 79), and having cancer \u22656 years since diagnosis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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%&gt;62.5%&gt;40.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 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 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.034). Qualitative analysis echoed these findings, highlighting flexibility as major benefits (61.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261492657","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:56:09Z","timestamp":1790672169000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patterns and Determinants of Telehealth Use by Cancer Survivorship: A National Online Survey"],"prefix":"10.1177","author":[{"given":"Michelle","family":"Yang","sequence":"first","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umayma","family":"Abdullatif","sequence":"additional","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada","family":"Shalaby","sequence":"additional","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar","family":"Kamprath","sequence":"additional","affiliation":[{"name":"Family Medicine, Houston Methodist Hospital, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4333-5444","authenticated-orcid":false,"given":"Wei-Chen","family":"Lee","sequence":"additional","affiliation":[{"name":"Internal Medicine-Geriatric, University of Texas Medical Branch, Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(23)00049-3"},{"issue":"3","key":"e_1_3_1_3_1","first-page":"e2020022","article-title":"Implications of telemedicine in oncology during the COVID-19 pandemic","volume":"91","author":"Shirke MM","year":"2020","unstructured":"2.Shirke MM, , Shaikh SA, , Harky A. Implications of telemedicine in oncology during the COVID-19 pandemic. Acta Bio Medica Atenei Parm 2020;91(3):e2020022.","journal-title":"Acta Bio Medica Atenei Parm"},{"key":"e_1_3_1_4_1","unstructured":"3.Wang L. National Cancer Institute. Telehealth-based cancer care surged during COVID. Will it continue? 2022. Available from: https:\/\/www.cancer.gov\/news-events\/cancer-currents-blog\/2022\/pandemic-telehealth-surge-cancer-care [Last accessed: February12 2026]."},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43856-025-00757-2"},{"key":"e_1_3_1_6_1","unstructured":"5.Karimi M Lee EC Couture SJ et al.; Office of the Assistant Secretary for Planning and Evaluation U. S. Department of Health and Human Services. National Survey Trends in Telehealth Use in 2021: Disparities in Utilization and Audio vs. Video Services. 2022. Available from: https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/4e1853c0b4885112b2994680a58af9ed\/telehealth-hps-ib.pdf [Last accessed: February12 2026]"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/26242"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/45518"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2023.100360"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-12731-8"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.47686"},{"key":"e_1_3_1_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-021-01407-y"},{"key":"e_1_3_1_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/66636"},{"key":"e_1_3_1_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/52124"},{"key":"e_1_3_1_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01700-x"},{"issue":"5","key":"e_1_3_1_16_1","first-page":"qxaf060","article-title":"Utilization and patient experiences of telehealth among Medicaid expansion enrollees","volume":"3","author":"Liu T","year":"2025","unstructured":"15.Liu T, , Box N, , Kirch M, et al. Utilization and patient experiences of telehealth among Medicaid expansion enrollees. Health Aff Sch 2025;3(5):qxaf060.","journal-title":"Health Aff Sch"},{"issue":"1","key":"e_1_3_1_17_1","first-page":"38","article-title":"Telehealth utilization during the COVID-19 pandemic: A preliminary selective review","volume":"3","author":"Harju A","year":"2022","unstructured":"16.Harju A, , Neufeld J. Telehealth utilization during the COVID-19 pandemic: A preliminary selective review. Telemed Rep 2022;3(1):38\u201347.","journal-title":"Telemed Rep"},{"key":"e_1_3_1_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/15305627261450362"},{"key":"e_1_3_1_19_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.00823"},{"key":"e_1_3_1_20_1","unstructured":"19.Telehealth.HHS.gov. Build a sustainable telehealth practice. Available from: https:\/\/telehealth.hhs.gov\/providers\/planning-your-telehealth-workflow\/telehealth-sustainability [Last accessed: February12 2026]."},{"key":"e_1_3_1_21_1","first-page":"1","article-title":"Declines in telemedicine use among adults: United States, 2021 and 2022","volume":"205","author":"Lucas J","year":"2024","unstructured":"20.Lucas J, , Wang X. Declines in telemedicine use among adults: United States, 2021 and 2022. Natl Health Stat Rep 2024;205:1\u201311.","journal-title":"Natl Health Stat Rep"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627261492657","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15305627261492657","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627261492657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:16:36Z","timestamp":1791033396000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15305627261492657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":20,"alternative-id":["10.1177\/15305627261492657"],"URL":"https:\/\/doi.org\/10.1177\/15305627261492657","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"15305627261492657"}}