{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:11:06Z","timestamp":1783951866253,"version":"3.55.0"},"reference-count":25,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"5","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncology Practice"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p> The COVID-19 pandemic led to the rapid implementation of remote work, but few studies have examined the impact. We evaluated clinical staff experience with working remotely at a large, urban comprehensive cancer center in Toronto, Canada. <\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p> An electronic survey was disseminated between June 2021, and August 2021, via e-mail to staff who had completed at least some remote work during the COVID-19 pandemic. Factors associated with a negative experience were examined with binary logistic regression. Barriers were derived from a thematic analysis of open-text fields. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> Most respondents (N = 333; response rate, 33.2%) were age 40-69 years (46.2%), female (61.3%), and physicians (24.6%). Although the majority of respondents wished to continue remote work (85.6%), relative to administrative staff (admin), physicians (odds ratio [OR], 16.6; 95% CI, 1.45 to 190.14) and pharmacists (OR, 12.6; 95% CI, 1.0 to 158.9) were more likely to want to return on-site. Physicians were approximately eight times more likely to report dissatisfaction with remote work (OR, 8.4; 95% CI, 1.4 to 51.6) and 24 times more likely to report that remote work negatively affected efficiency (OR, 24.0; 95% CI, 2.7 to 213.0); nurses were approximately seven times more likely to report the need for additional resources (OR, 6.5; 95% CI, 1.71 to 24.48) and\/or training (OR, 7.02; 95% CI, 1.78 to 27.62). The most common barriers were the absence of fair processes for allocation of remote work, poor integration of digital applications and connectivity, and poor role clarity. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p> Although overall satisfaction with working remotely was high, work is needed to overcome barriers to implementation of remote and hybrid work models in the health care setting. <\/jats:p><\/jats:sec>","DOI":"10.1200\/op.22.00649","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T20:59:11Z","timestamp":1677099551000},"page":"e732-e744","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":6,"title":["Staff Experiences With Remote Work in a Comprehensive Cancer Center During the COVID-19 Pandemic and Recommendations for Long-Term Adoption"],"prefix":"10.1200","volume":"19","author":[{"given":"Christopher","family":"McChesney","sequence":"first","affiliation":[{"name":"Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6038-0701","authenticated-orcid":false,"given":"Melanie Lynn","family":"Powis","sequence":"additional","affiliation":[{"name":"Cancer Quality Lab (CQuaL), Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2052-2626","authenticated-orcid":false,"given":"Osvaldo","family":"Espin-Garcia","sequence":"additional","affiliation":[{"name":"Cancer Quality Lab (CQuaL), Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada"},{"name":"Epidemiology and Biostatistics, Western University, London, ON, Canada"},{"name":"Dalla Lana School of Public Health and Statistical Sciences, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saidah","family":"Hack","sequence":"additional","affiliation":[{"name":"Cancer Quality Lab (CQuaL), Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada"},{"name":"Epidemiology and Biostatistics, Western University, London, ON, Canada"},{"name":"Dalla Lana School of Public Health and Statistical Sciences, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyndon","family":"Morley","sequence":"additional","affiliation":[{"name":"Cancer Quality Lab (CQuaL), Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada"},{"name":"Epidemiology and Biostatistics, Western University, London, ON, Canada"},{"name":"Dalla Lana School of Public Health and Statistical Sciences, University of Toronto, Toronto, ON, 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