{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T01:30:32Z","timestamp":1779413432131,"version":"3.53.1"},"reference-count":84,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-026-14528-9","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T09:35:40Z","timestamp":1776072940000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patients\u2019 and healthcare providers\u2019 perceptions in outpatient palliative cancer care services at a tertiary care hospital in Sri Lanka: prospects for adoption of a digital health intervention"],"prefix":"10.1186","volume":"26","author":[{"given":"R. S.","family":"Deduwela","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. K.","family":"Athauda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. A.","family":"Sirribaddana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"14528_CR1","doi-asserted-by":"crossref","unstructured":"Levy MH, Weinstein SM, Carducci MA. Vol. 8, Cancer Control. 2001 [cited 2020 Nov 12]. pp. 66\u201371 Palliative care. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care.","DOI":"10.1177\/107327480100800105"},{"key":"14528_CR2","unstructured":"National Cancer Institute. SEER Cancer Statistics Review. 2014 [cited 2022 Jan 23]. Browse the SEER Cancer Statistics Review (CSR) 1975\u20132015. Available from: https:\/\/seer.cancer.gov\/archive\/csr\/1975_2015\/."},{"key":"14528_CR3","unstructured":"SEER [Internet]. [cited 2025 Nov 28]. Cancer of Any Site - Cancer Stat Facts. Available from: https:\/\/seer.cancer.gov\/statfacts\/html\/all.html."},{"key":"14528_CR4","unstructured":"Connor SR. The global atlas of palliative care at the end of life: An advocacy tool [Internet]. Vol. 21, European Journal of Palliative Care. 2014. 180\u2013183 p. Available from: http:\/\/www.who.int\/cancer\/publications\/palliative-care-atlas\/en\/."},{"issue":"1","key":"14528_CR5","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1200\/JCO.2016.70.1474","volume":"35","author":"BR Ferrell","year":"2017","unstructured":"Ferrell BR, Temel JS, Temin S, Alesi ER, Balboni TA, Basch EM, et al. Integration of palliative care into standard oncology care: American society of clinical oncology clinical practice guideline update. J Clin Oncol. 2017;35(1):96\u2013112.","journal-title":"J Clin Oncol"},{"key":"14528_CR6","unstructured":"Programme NCC. National strategic framework for palliative care development in Sri Lanka 2019\u20132023. National Cancer Control Programme, Ministry of Health, Nutrition and Indigenous Medicine; 2019."},{"issue":"5","key":"14528_CR7","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.jpainsymman.2007.06.006","volume":"35","author":"M Wright","year":"2008","unstructured":"Wright M, Wood J, Lynch T, Clark D. Mapping Levels of Palliative Care Development: A Global View. J Pain Symptom Manag. 2008;35(5):469\u201385.","journal-title":"J Pain Symptom Manag"},{"issue":"1","key":"14528_CR8","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1186\/s12904-024-01489-1","volume":"23","author":"M L\u00f3pez-Salas","year":"2024","unstructured":"L\u00f3pez-Salas M, Yanes-Rold\u00e1n A, Fern\u00e1ndez A, Mar\u00edn A, Mart\u00ednez AI, Monroy A, et al. End-of-life care needs in cancer patients: a qualitative study of patient and family experiences. BMC Palliat Care. 2024;23(1):157.","journal-title":"BMC Palliat Care"},{"issue":"3","key":"14528_CR9","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1093\/jamia\/ocv184","volume":"23","author":"C Petersen","year":"2016","unstructured":"Petersen C. Patient-generated health data: A pathway to enhanced long-term cancer survivorship. J Am Med Inform Assoc. 2016;23(3):456\u201361.","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"14528_CR10","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1186\/s12904-024-01572-7","volume":"23","author":"M Gupta","year":"2024","unstructured":"Gupta M, Kankaria A, Joshy LE, Singh S, Lal B, Choudhary S, et al. Community-based palliative care needs and barriers to access among cancer patients in rural north India: a Participatory action research. BMC Palliat Care. 2024;23(1):240.","journal-title":"BMC Palliat Care"},{"issue":"20","key":"14528_CR11","doi-asserted-by":"publisher","first-page":"8557","DOI":"10.7314\/APJCP.2014.15.20.8557","volume":"15","author":"D Arslan","year":"2014","unstructured":"Arslan D, Koca T, Akar E, Tural D, Ozdogan M. Cancer pain prevalence and its management. Asian Pac J Cancer Prev. 2014;15(20):8557\u201362.","journal-title":"Asian Pac J Cancer Prev"},{"issue":"3","key":"14528_CR12","doi-asserted-by":"publisher","first-page":"182","DOI":"10.3322\/caac.21608","volume":"70","author":"HSL Jim","year":"2020","unstructured":"Jim HSL, Hoogland AI, Brownstein NC, Barata A, Dicker AP, Knoop H, et al. Innovations in research and clinical care using patient-generated health data. Cancer J Clin. 2020;70(3):182\u201399.","journal-title":"Cancer J Clin"},{"issue":"3","key":"14528_CR13","first-page":"1097","volume":"28","author":"MJ Verhoef","year":"2020","unstructured":"Verhoef MJ, de Nijs E, Horeweg N, Fogteloo J, Heringhaus C, Jochems A, et al. Palliative care needs of advanced cancer patients in the emergency department at the end of life: an observational cohort study. Support Care Cancer. 2020;28(3):1097.","journal-title":"Support Care Cancer"},{"key":"14528_CR14","unstructured":"WHO. Palliative care [Internet]. 2020 [cited 2022 Feb 20]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care."},{"issue":"1","key":"14528_CR15","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s12904-020-0516-4","volume":"19","author":"K Cox-Seignoret","year":"2020","unstructured":"Cox-Seignoret K, Maharaj RG. Unmet needs of patients with cancer in their last year of life as described by caregivers in a developing world setting: a qualitative study. BMC Palliat Care. 2020;19(1):13.","journal-title":"BMC Palliat Care"},{"key":"14528_CR16","unstructured":"World Health Organization. Why palliative care is an essential function of primary health care [Internet]. 2018 [cited 2025 Nov 17]. Available from: https:\/\/www.who.int\/publications\/i\/item\/WHO-HIS-SDS-2018.39."},{"issue":"1","key":"14528_CR17","doi-asserted-by":"publisher","first-page":"1516","DOI":"10.1186\/s12913-022-08802-9","volume":"22","author":"S May","year":"2022","unstructured":"May S, Bruch D, Gehlhaar A, Linderkamp F, Stahlhut K, Heinze M, et al. Digital technologies in routine palliative care delivery: an exploratory qualitative study with health care professionals in Germany. BMC Health Serv Res. 2022;22(1):1516.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"14528_CR18","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1186\/s12904-025-01698-2","volume":"24","author":"A Kirby","year":"2025","unstructured":"Kirby A, Griffin D, Heavin C, Drummond FJ, McGrath C, Kiely F. Telehealth adoption in palliative care: a systematic review of patient barriers and facilitators. BMC Palliat Care. 2025;24(1):52.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR19","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1186\/s12904-025-01819-x","volume":"24","author":"B Gon\u00e7alves","year":"2025","unstructured":"Gon\u00e7alves B, Radoji\u010di\u0107 T, Centeno C, Garralda E, Mart\u00ednez M, Preston N, et al. The transition from oncology to palliative care: barriers and facilitators explored through an integrative review. BMC Palliat Care. 2025;24(1):215.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR20","doi-asserted-by":"publisher","first-page":"50","DOI":"10.3322\/caac.20093","volume":"61","author":"R McCorkle","year":"2011","unstructured":"McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K, et al. Self-management: Enabling and empowering patients living with cancer as a chronic illness. Cancer J Clin. 2011;61(1):50\u201362.","journal-title":"Cancer J Clin"},{"key":"14528_CR21","doi-asserted-by":"publisher","first-page":"9","DOI":"10.21037\/mhealth-23-5","volume":"9","author":"M Twilt","year":"2023","unstructured":"Twilt M. mHealth applications are they the future or another burden for our patients? Mhealth. 2023;9:9.","journal-title":"Mhealth"},{"issue":"7","key":"14528_CR22","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1177\/1049909119885655","volume":"37","author":"F Bienfait","year":"2020","unstructured":"Bienfait F, Petit M, Pardenaud R, Guineberteau C, Pignon A. Applying M-Health to Palliative Care: A Systematic Review on the Use of M-Health in Monitoring Patients With Chronic Diseases and its Transposition in Palliative Care. Am J Hospice Palliat Med. 2020;37(7):549\u201364.","journal-title":"Am J Hospice Palliat Med"},{"key":"14528_CR23","doi-asserted-by":"crossref","unstructured":"Low CA, Dey AK, Ferreira D, Kamarck T, Sun W, Bae S, et al. Estimation of symptom severity during chemotherapy from passively sensed data: Exploratory study. J Med Internet Res [Internet]. 2017 Dec 1 [cited 2022 Jan 17];19(12). Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/29258977\/.","DOI":"10.2196\/jmir.9046"},{"issue":"2","key":"14528_CR24","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1001\/jamasurg.2019.4702","volume":"155","author":"N Panda","year":"2020","unstructured":"Panda N, Solsky I, Huang EJ, Lipsitz S, Pradarelli JC, Delisle M, et al. Using Smartphones to Capture Novel Recovery Metrics after Cancer Surgery. JAMA Surg. 2020;155(2):123\u20139.","journal-title":"JAMA Surg"},{"key":"14528_CR25","unstructured":"What are patient. -generated health data? | HealthIT.gov [Internet]. [cited 2020 Aug 24]. Available from: https:\/\/www.healthit.gov\/topic\/otherhot-topics\/what-are-patient-generated-health-data."},{"issue":"1","key":"14528_CR26","doi-asserted-by":"publisher","first-page":"152","DOI":"10.15265\/IY-2017-016","volume":"26","author":"AM Lai","year":"2017","unstructured":"Lai AM, Hsueh PYS, Choi YK, Austin RR. Present and Future Trends in Consumer Health Informatics and Patient-Generated Health Data. Yearb Med Inform. 2017;26(1):152\u20139.","journal-title":"Yearb Med Inform"},{"issue":"5 SUPPL 2","key":"14528_CR27","doi-asserted-by":"publisher","first-page":"S208","DOI":"10.1016\/j.amepre.2011.01.013","volume":"40","author":"S Madhavan","year":"2011","unstructured":"Madhavan S, Sanders AE, Chou WYS, Shuster A, Boone KW, Dente MA, et al. Pediatric palliative care and eHealth: Opportunities for patient-centered care. Am J Prev Med. 2011;40(5 SUPPL 2):S208\u201316.","journal-title":"Am J Prev Med"},{"key":"14528_CR28","doi-asserted-by":"crossref","unstructured":"Mooney K, Berry DL, Whisenant M, Sjoberg D. Improving cancer care through the patient experience: how to use patient-reported outcomes in clinical practice. American Society of Clinical Oncology educational book American Society of Clinical Oncology Annual Meeting. 2017;37(37):695\u2013704.","DOI":"10.1200\/EDBK_175418"},{"issue":"7","key":"14528_CR29","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1177\/0269216316677470","volume":"31","author":"S Taylor","year":"2017","unstructured":"Taylor S, Allsop MJ, Bekker HL, Bennett MI, Bewick BM. Identifying professionals\u2019 needs in integrating electronic pain monitoring in community palliative care services: An interview study. Palliat Med. 2017;31(7):661\u201370.","journal-title":"Palliat Med"},{"key":"14528_CR30","first-page":"647","volume":"4","author":"C Karamanidou","year":"2020","unstructured":"Karamanidou C, Natsiavas P, Koumakis L, Marias K, Schera F, Sch\u00e4fer M, et al. Electronic Patient-Reported Outcome\u2013Based Interventions for Palliative Cancer Care: A Systematic and Mapping Review. JCO Clin Cancer Inf. 2020;4:647\u201356.","journal-title":"JCO Clin Cancer Inf"},{"issue":"4","key":"14528_CR31","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1016\/j.outlook.2019.04.005","volume":"67","author":"G Demiris","year":"2019","unstructured":"Demiris G, Iribarren SJ, Sward K, Lee S, Yang R. Patient generated health data use in clinical practice: A systematic review. Nurs Outlook. 2019;67(4):311\u201330.","journal-title":"Nurs Outlook"},{"issue":"4","key":"14528_CR32","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1016\/j.semradonc.2019.05.008","volume":"29","author":"JM Purswani","year":"2019","unstructured":"Purswani JM, Dicker AP, Champ CE, Cantor M, Ohri N. Big Data From Small Devices: The Future of Smartphones in Oncology. Semin Radiat Oncol. 2019;29(4):338\u201347.","journal-title":"Semin Radiat Oncol"},{"issue":"3","key":"14528_CR33","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1024\/1012-5302\/a000803","volume":"34","author":"A Hochmuth","year":"2021","unstructured":"Hochmuth A, Wrona KJ, Exner AK, Dockweiler C. Digitization and health inequality and equity in nursing: A scoping review. Pflege. 2021;34(3):151\u20138.","journal-title":"Pflege"},{"key":"14528_CR34","doi-asserted-by":"crossref","unstructured":"Mihas P. Learn to use an exploratory sequential mixed method design for instrument development [Internet]. Learn to Use an Exploratory Sequential Mixed Method Design for Instrument Development. 1 Oliver\u2019s Yard, 55 City Road, London EC1Y 1SP United Kingdom: SAGE Publications, Ltd.; 2019. Available from: http:\/\/methods.sagepub.com\/dataset\/exploratory-sequential-mixed-method-instrument-development-united-states.","DOI":"10.4135\/9781526496454"},{"issue":"2","key":"14528_CR35","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1177\/1098214005283748","volume":"27","author":"DR Thomas","year":"2006","unstructured":"Thomas DR. A general inductive approach for analyzing qualitative evaluation data. Am J Evaluation. 2006;27(2):237\u201346.","journal-title":"Am J Evaluation"},{"issue":"8","key":"14528_CR36","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1038\/sj.bdj.2008.292","volume":"204","author":"P Burnard","year":"2008","unstructured":"Burnard P, Gill P, Stewart K, Treasure E, Chadwick B. Analysing and presenting qualitative data. Br Dent J. 2008;204(8):429\u201332.","journal-title":"Br Dent J"},{"issue":"2","key":"14528_CR37","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77\u2013101.","journal-title":"Qualitative Res Psychol"},{"issue":"7783","key":"14528_CR38","first-page":"1147","volume":"341","author":"A O\u2019Cathain","year":"2010","unstructured":"O\u2019Cathain A, Murphy E, Nicholl J. Three techniques for integrating data in mixed methods studies. BMJ (Online). 2010;341(7783):1147\u201350.","journal-title":"BMJ (Online)"},{"issue":"2","key":"14528_CR39","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1258\/jhsrp.2007.007074","volume":"13","author":"A O\u2019cathain","year":"2008","unstructured":"O\u2019cathain A, Murphy E, Nicholl J. The Quality of Mixed Methods Studies in Health Services Research. J Health Serv Res Policy. 2008;13(2):92\u20138.","journal-title":"J Health Serv Res Policy"},{"issue":"3","key":"14528_CR40","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.jpainsymman.2016.10.370","volume":"53","author":"D Hui","year":"2017","unstructured":"Hui D, Bruera E. The Edmonton Symptom Assessment System 25 Years Later: Past, Present and Future Developments. J Pain Symptom Manage. 2017;53(3):630\u201343.","journal-title":"J Pain Symptom Manage"},{"issue":"13","key":"14528_CR41","doi-asserted-by":"publisher","first-page":"3158","DOI":"10.3390\/cancers14133158","volume":"14","author":"J Haier","year":"2022","unstructured":"Haier J, Schaefers J. Economic Perspective of Cancer Care and Its Consequences for Vulnerable Groups. Cancers (Basel). 2022;14(13):3158.","journal-title":"Cancers (Basel)"},{"issue":"6","key":"14528_CR42","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1177\/0361198121991497","volume":"2675","author":"R Etminani-Ghasrodashti","year":"2021","unstructured":"Etminani-Ghasrodashti R, Kan C, Mozaffarian L. Investigating the Role of Transportation Barriers in Cancer Patients\u2019 Decision Making Regarding the Treatment Process. Transp Res Rec. 2021;2675(6):175\u201387.","journal-title":"Transp Res Rec"},{"issue":"1","key":"14528_CR43","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s12904-020-00694-y","volume":"20","author":"KB Nkhoma","year":"2021","unstructured":"Nkhoma KB, Ebenso B, Akeju D, Adejoh S, Bennett M, Chirenje M, et al. Stakeholder perspectives and requirements to guide the development of digital technology for palliative cancer services: a multi-country, cross-sectional, qualitative study in Nigeria, Uganda and Zimbabwe. BMC Palliat Care. 2021;20(1):4.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR44","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1186\/s12904-020-00667-1","volume":"19","author":"C Widberg","year":"2020","unstructured":"Widberg C, Wiklund B, Klarare A. Patients\u2019 experiences of eHealth in palliative care: an integrative review. BMC Palliat Care. 2020;19(1):158.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR45","doi-asserted-by":"publisher","first-page":"110","DOI":"10.5152\/FNJN.2024.23058","volume":"32","author":"K K\u0131l\u0131\u00e7aslan","year":"2024","unstructured":"K\u0131l\u0131\u00e7aslan K, K\u00fc\u00e7\u00fckakg\u00fcn H, Alikan B. Caregiver Burden of Palliative Cancer Patients: A Cross-Cultural Perspective. Florence Nightingale J Nurs. 2024;32(1):110\u20135.","journal-title":"Florence Nightingale J Nurs"},{"issue":"1","key":"14528_CR46","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1186\/s12904-025-01925-w","volume":"24","author":"A Suresh","year":"2025","unstructured":"Suresh A, T S G, Jaya S. Factors influencing caregiver burden and its prevalence level amongst family caregivers of patients with palliative care needs and serious illnesses. BMC Palliat Care. 2025;24(1):289.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR47","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1186\/s12904-025-01855-7","volume":"24","author":"B Kim","year":"2025","unstructured":"Kim B, Hwang IC, Ahn HY, Lee Jwoo. Family relationships and caregiver burden among family caregivers of patients with terminal cancer. BMC Palliat Care. 2025;24(1):207.","journal-title":"BMC Palliat Care"},{"key":"14528_CR48","doi-asserted-by":"publisher","unstructured":"Lumini MJ, Fran\u00e7a D, Sousa MR, Ara\u00fajo F, Cardoso C, S\u00e1 M, et al. Efficacy of digital technology-based interventions for reducing caregiver burden and stress: a systematic review and meta-analysis. Front Digit Health [Internet]. 2025 Nov 6 [cited 2025 Nov 24];7. Available from: https:\/\/www.frontiersin.org\/journals\/digital-health\/articles\/https:\/\/doi.org\/10.3389\/fdgth.2025.1636084\/full.","DOI":"10.3389\/fdgth.2025.1636084\/full"},{"issue":"1","key":"14528_CR49","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1186\/s12904-025-01732-3","volume":"24","author":"S Li","year":"2025","unstructured":"Li S, Lu G, Shen Y, Ye J, Ji J. A qualitative study on the experience of internet outpatient consultation in palliative care for relatives of cancer patients. BMC Palliat Care. 2025;24(1):94.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR50","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1186\/s12904-024-01347-0","volume":"23","author":"J Guo","year":"2024","unstructured":"Guo J, Xu X, Liu C, Wang Y, Chen Y. Perspectives of telemedicine-based services among family caregivers of patients with end-of-life cancer: a qualitative study in mainland China. BMC Palliat Care. 2024;23(1):16.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR51","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s12904-016-0082-y","volume":"15","author":"K Krug","year":"2016","unstructured":"Krug K, Miksch A, Peters-Klimm F, Engeser P, Szecsenyi J. Correlation between patient quality of life in palliative care and burden of their family caregivers: a prospective observational cohort study. BMC Palliat Care. 2016;15(1):4.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR52","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1186\/s12904-024-01418-2","volume":"23","author":"W Xia","year":"2024","unstructured":"Xia W, Ou M, Chen Y, Chen F, Yan M, Xiao Z, et al. Experiences of patients with advanced cancer coping with chronic pain: a qualitative analysis. BMC Palliat Care. 2024;23(1):94.","journal-title":"BMC Palliat Care"},{"issue":"3","key":"14528_CR53","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1188\/18.ONF.399-416","volume":"45","author":"S Carrasco","year":"2018","unstructured":"Carrasco S, Symes L. Patient use of electronic methods to self-Report symptoms: An integrative literature review. Oncol Nurs Forum. 2018;45(3):399\u2013416.","journal-title":"Oncol Nurs Forum"},{"issue":"1","key":"14528_CR54","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40900-019-0171-1","volume":"5","author":"CW B\u00e6ksted","year":"2019","unstructured":"B\u00e6ksted CW, Nissen A, Knoop AS, Pappot H. Patients\u2019 experience of communication and handling of symptomatic adverse events in breast cancer patients receiving adjuvant chemotherapy. Res Involv Engagem. 2019;5(1):1\u20137.","journal-title":"Res Involv Engagem"},{"issue":"1","key":"14528_CR55","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1186\/s41687-022-00509-z","volume":"6","author":"L Consolo","year":"2022","unstructured":"Consolo L, Castellini G, Cilluffo S, Basile I, Lusignani M. Electronic patient-reported outcomes (e-PROMs) in palliative cancer care: a scoping review. J Patient Rep Outcomes. 2022;6(1):102.","journal-title":"J Patient Rep Outcomes"},{"issue":"4","key":"14528_CR56","doi-asserted-by":"publisher","first-page":"32271150","DOI":"10.2196\/14896","volume":"22","author":"LK Tolstrup","year":"2020","unstructured":"Tolstrup LK, Pappot H, Bastholt L, Zwisler AD, Dieperink KB. Patient-Reported Outcomes during Immunotherapy for Metastatic Melanoma: Mixed Methods Study of Patients\u2019 and Clinicians\u2019 Experiences. J Med Internet Res. 2020;22(4):32271150.","journal-title":"J Med Internet Res"},{"issue":"1","key":"14528_CR57","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1186\/s12904-021-00844-w","volume":"20","author":"L Oelschl\u00e4gel","year":"2021","unstructured":"Oelschl\u00e4gel L, Dihle A, Christensen VL, Heggdal K, Moen A, \u00d6sterlind J, et al. Implementing welfare technology in palliative homecare for patients with cancer: a qualitative study of health-care professionals\u2019 experiences. BMC Palliat Care. 2021;20(1):146.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR58","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s12904-022-01123-y","volume":"22","author":"E M\u00fcller","year":"2023","unstructured":"M\u00fcller E, Mayer-Steinacker R, Gencer D, Ke\u00dfler J, Alt-Epping B, Sch\u00f6nsteiner S, et al. Feasibility, use and benefits of patient-reported outcome measures in palliative care units: a multicentre observational study. BMC Palliat Care. 2023;22(1):6.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR59","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1472-684X-11-7","volume":"11","author":"M Akashi","year":"2012","unstructured":"Akashi M, Yano E, Aruga E. Under-diagnosis of pain by primary physicians and late referral to a palliative care team. BMC Palliat Care. 2012;11(1):7.","journal-title":"BMC Palliat Care"},{"issue":"3","key":"14528_CR60","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1089\/jpm.2011.0403","volume":"15","author":"W Rhondali","year":"2012","unstructured":"Rhondali W, Hui D, Kim SH, Kilgore K, Kang JH, Nguyen L, et al. Association between patient-reported symptoms and nurses\u2019 clinical impressions in cancer patients admitted to an acute palliative care unit. J Palliat Med. 2012;15(3):301\u20137.","journal-title":"J Palliat Med"},{"issue":"1","key":"14528_CR61","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/1472-684X-12-41","volume":"12","author":"C Garz\u00f3n-Rodr\u00edguez","year":"2013","unstructured":"Garz\u00f3n-Rodr\u00edguez C, Lyras L, Gayoso LO, Sep\u00falveda JM, Samantas E, Pelzer U, et al. Cancer-related neuropathic pain in out-patient oncology clinics: a European survey. BMC Palliat Care. 2013;12(1):41.","journal-title":"BMC Palliat Care"},{"issue":"2","key":"14528_CR62","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1002\/pon.4113","volume":"26","author":"RA Willems","year":"2017","unstructured":"Willems RA, Bolman CAW, Mesters I, Kanera IM, Beaulen AAJM, Lechner L. Short-term effectiveness of a web-based tailored intervention for cancer survivors on quality of life, anxiety, depression, and fatigue: randomized controlled trial. Psycho-oncology. 2017;26(2):222\u201330.","journal-title":"Psycho-oncology"},{"issue":"6","key":"14528_CR63","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1093\/jamia\/ocy006","volume":"25","author":"MJ Reading","year":"2018","unstructured":"Reading MJ, Merrill JA. Converging and diverging needs between patients and providers who are collecting and using patient-generated health data: An integrative review. J Am Med Inform Assoc. 2018;25(6):759\u201371.","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"14528_CR64","doi-asserted-by":"publisher","first-page":"146045822311646","DOI":"10.1177\/14604582231164697","volume":"29","author":"P Zou","year":"2023","unstructured":"Zou P, Huang A, Luo Y, Tchakerian N, Zhang H, Zhang C. Effects of using WeChat\/WhatsApp on physical and psychosocial health outcomes among oncology patients: A systematic review. Health Inf J. 2023;29(1):14604582231164697.","journal-title":"Health Inf J"},{"issue":"1","key":"14528_CR65","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1186\/s12904-024-01578-1","volume":"23","author":"C Morris","year":"2024","unstructured":"Morris C, Waterman D, Henson LA. Understanding the benefits and limitations of mixing virtual and face-to-face consultations to outpatient palliative care services; a mixed-methods study. BMC Palliat Care. 2024;23(1):260.","journal-title":"BMC Palliat Care"},{"key":"14528_CR66","doi-asserted-by":"crossref","unstructured":"Kessel KA, Vogel MME, Schmidt-Graf F, Combs SE. Mobile apps in oncology: a survey on health care professionals\u2019 attitude toward telemedicine, mHealth, and oncological apps. J Med Int Res [Internet]. 2016 Nov 1 [cited 2022 Jan 29];18(11). Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/27884810\/.","DOI":"10.2196\/jmir.6399"},{"issue":"1","key":"14528_CR67","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1186\/s12904-020-00644-8","volume":"19","author":"M Nguyen","year":"2020","unstructured":"Nguyen M, Fujioka J, Wentlandt K, Onabajo N, Wong I, Bhatia RS, et al. Using the technology acceptance model to explore health provider and administrator perceptions of the usefulness and ease of using technology in palliative care. BMC Palliat Care. 2020;19(1):138.","journal-title":"BMC Palliat Care"},{"issue":"11","key":"14528_CR68","doi-asserted-by":"publisher","first-page":"e1255","DOI":"10.1200\/OP.20.00357","volume":"16","author":"S Sandhu","year":"2020","unstructured":"Sandhu S, King Z, Wong M, Bissell S, Sperling J, Gray M, et al. Implementation of Electronic Patient-Reported Outcomes in Routine Cancer Care at an Academic Center: Identifying Opportunities and Challenges. JCO Oncol Pract. 2020;16(11):e1255\u201363.","journal-title":"JCO Oncol Pract"},{"issue":"1","key":"14528_CR69","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12904-020-00554-9","volume":"19","author":"N Radionova","year":"2020","unstructured":"Radionova N, Becker G, Mayer-Steinacker R, Gencer D, Rieger MA, Preiser C. The views of physicians and nurses on the potentials of an electronic assessment system for recognizing the needs of patients in palliative care. BMC Palliat Care. 2020;19(1):1\u20139.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR70","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12875-019-1077-6","volume":"21","author":"GM Turner","year":"2020","unstructured":"Turner GM, Litchfield I, Finnikin S, Aiyegbusi OL, Calvert M. General practitioners\u2019 views on use of patient reported outcome measures in primary care: A cross-sectional survey and qualitative study. BMC Fam Pract. 2020;21(1):1\u201310.","journal-title":"BMC Fam Pract"},{"issue":"1","key":"14528_CR71","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s12904-024-01372-z","volume":"23","author":"S Stanley","year":"2024","unstructured":"Stanley S, Finucane A, Thompson A, Nwosu AC. How can technology be used to support communication in palliative care beyond the covid-19 pandemic: a mixed-methods national survey of palliative care healthcare professionals. BMC Palliat Care. 2024;23(1):40.","journal-title":"BMC Palliat Care"},{"key":"14528_CR72","doi-asserted-by":"publisher","unstructured":"Hettiarachchi Senarath GM, Delir Haghighi P, Bai L, Shannon MM, Andrew NE, Srikanth V, et al. Barriers and facilitators to the uptake of electronic collection and use of patient-reported measures in routine care of older adults: a systematic review with qualitative evidence synthesis. [cited 2025 Nov 2]; Available from: https:\/\/doi.org\/10.1093\/jamiaopen\/ooae068.","DOI":"10.1093\/jamiaopen\/ooae068"},{"issue":"27","key":"14528_CR73","doi-asserted-by":"publisher","first-page":"2397","DOI":"10.2217\/fon-2017-0345","volume":"13","author":"R Eid","year":"2017","unstructured":"Eid R, Haddad FGH, Kourie HR, Kattan J. Electronic patient-reported outcomes: A revolutionary strategy in cancer care. Future Oncol. 2017;13(27):2397\u20139.","journal-title":"Future Oncol"},{"key":"14528_CR74","first-page":"1","volume":"3","author":"MJ Allsop","year":"2019","unstructured":"Allsop MJ, Johnson O, Taylor S, Hackett J, Allen P, Bennett MI, et al. Multidisciplinary Software Design for the Routine Monitoring and Assessment of Pain in Palliative Care Services: The Development of PainCheck. JCO Clin Cancer Inf. 2019;3:1\u201317.","journal-title":"JCO Clin Cancer Inf"},{"key":"14528_CR75","unstructured":"Department of Census and Statistics. Computer Literacy Statistics 2022 [Internet]. 2022. Available from: http:\/\/www.statistics.gov.lk\/ComputerLiteracy\/StaticalInformation\/Bulletins\/2022-Annual."},{"key":"14528_CR76","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s41687-023-00554-2","volume":"7","author":"BG Glenwright","year":"2023","unstructured":"Glenwright BG, Simmich J, Cottrell M, O\u2019Leary SP, Sullivan C, Pole JD, et al. Facilitators and barriers to implementing electronic patient-reported outcome and experience measures in a health care setting: a systematic review. J Patient Rep Outcomes. 2023;7:13.","journal-title":"J Patient Rep Outcomes"},{"issue":"1","key":"14528_CR77","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1093\/jamiaopen\/ooz001","volume":"2","author":"R Zhang","year":"2019","unstructured":"Zhang R, Burgess ER, Reddy MC, Rothrock NE, Bhatt S, Rasmussen LV, et al. Provider perspectives on the integration of patient-reported outcomes in an electronic health record. JAMIA Open. 2019;2(1):73\u201380.","journal-title":"JAMIA Open"},{"issue":"1","key":"14528_CR78","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1186\/s12904-024-01541-0","volume":"23","author":"SHS Neo","year":"2024","unstructured":"Neo SHS, Mok N, Ng XH, Zhu X. Enhancing palliative care for advanced cancer patients: evaluating implementation and impact of a virtual nurse-led symptom monitoring and telehealth initiative. BMC Palliat Care. 2024;23(1):238.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"14528_CR79","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s12904-021-00822-2","volume":"20","author":"J Mills","year":"2021","unstructured":"Mills J, Fox J, Damarell R, Tieman J, Yates P. Palliative care providers\u2019 use of digital health and perspectives on technological innovation: a national study. BMC Palliat Care. 2021;20(1):124.","journal-title":"BMC Palliat Care"},{"issue":"6","key":"14528_CR80","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2019-035673","volume":"10","author":"RB Friis","year":"2020","unstructured":"Friis RB, Hjollund NH, Hjollund NH, Mejdahl CT, Pappot H, Skuladottir H. Electronic symptom monitoring in patients with metastatic lung cancer: A feasibility study. BMJ Open. 2020;10(6):1\u20139.","journal-title":"BMJ Open"},{"issue":"5","key":"14528_CR81","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1089\/jpm.2019.0342","volume":"23","author":"M Pavic","year":"2020","unstructured":"Pavic M, Klaas V, Theile G, Kraft J, Tr\u00f6ster G, Blum D, et al. Mobile health technologies for continuous monitoring of cancer patients in palliative care aiming to predict health status deterioration: A feasibility study. J Palliat Med. 2020;23(5):678\u201385.","journal-title":"J Palliat Med"},{"issue":"15suppl","key":"14528_CR82","doi-asserted-by":"publisher","first-page":"6577","DOI":"10.1200\/JCO.2017.35.15_suppl.6577","volume":"35","author":"MS Beg","year":"2017","unstructured":"Beg MS, Stewart T, Gupta A, Dong Y, Rahimi Z, Paul T, et al. Feasibility of wearable physical activity monitors in cancer patients (PAMCaP). J Clin Oncol. 2017;35(15suppl):6577\u20136577.","journal-title":"J Clin Oncol"},{"key":"14528_CR83","doi-asserted-by":"publisher","first-page":"205520762412718","DOI":"10.1177\/20552076241271835","volume":"10","author":"K Maguraushe","year":"2024","unstructured":"Maguraushe K, Ndlovu BM. The use of smart technologies for enhancing palliative care: A systematic review. Digit HEALTH. 2024;10:20552076241271835.","journal-title":"Digit HEALTH"},{"issue":"1","key":"14528_CR84","first-page":"60","volume":"1","author":"RCS Hui","year":"2024","unstructured":"Hui RCS, Fan PEM, Aloweni F, Ang SY. Wearable Devices for Vital Sign Monitoring in Hematology and Oncology Patients: An Integrative Review of Implementation Barriers and Detection Performance. EMJ. 2024;1(1):60\u201372.","journal-title":"EMJ"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-026-14528-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-026-14528-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-026-14528-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T01:02:39Z","timestamp":1779411759000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12913-026-14528-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":84,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["14528"],"URL":"https:\/\/doi.org\/10.1186\/s12913-026-14528-9","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"16 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participants provided informed, written consent prior to participation. Ethics approval for the study was obtained by: Ethics Review Committee, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka. (Ref. number: ERC\/PGIM\/2021\/068) Committee decisions are in accordance with the WMA Declaration of Helsinki. (\n                      \n                      )","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"737"}}