Jan 11, 2011

Developing the Native People for Cancer Control Telehealth Network

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Ardith Z DoorenbosDedra Buchwald


We aimed to develop a telehealth network to deliver postdiagnosis cancer care clinical services and education to American Indian and Alaska Native patients, their families, and their healthcare providers. We also sought to identify the challenges and opportunities of implementing such a telehealth-based application for this rural and underserved population. We followed a participatory formative evaluation approach to engage all stakeholders in the telehealth network design and implementation. This approach allowed us to identify and address technical and infrastructure barriers, lack of previous experience with telehealth, and political, legal, and historical challenges. Between September 2006 and August 2009, nine tribal clinics in Washington and 26 clinical sites in Alaska had participated in the telehealth network activities. Network programming included cancer education presentations, case conferences, and cancer survivor support groups. Twenty-seven cancer education presentations were held, with a total provider attendance of 369. Forty-four case conferences were held, with a total of 129 cases discussed. In total, 513 patient encounters took place. Keys to success included gaining provider and community acceptance, workin...Continue Reading

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Mentioned in this Paper

Cancer Survivor
Health Care Systems
Malignant Neoplasms
Patient Education
Focus Groups
Clinical Skill
Consumer-Driven Community-Based Research
Native Americans
Family Planning Program Evaluation

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