Telehealth can be used to deliver clinical trials, improve access to novel therapies and develop clinical networks
Australia is a vast country. Nearly 32% of Australians reside outside the major capital cities, while 95% of medical specialists practise in cities.1 People living in rural and regional areas consistently experience poorer health outcomes.2
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- 1. Australian Bureau of Statistics. 4102.0 ‐ Australian Social Trends, April 2013. The ‘average’ Australian. https://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4102.0Main+Features30April+2013 (viewed July 2020).
- 2. Australian Institute of Health and Welfare. Australia's health 2018 (Australia's Health Series No. 16; Cat No. AUS 221). Canberra: AIHW, 2018. https://www.aihw.gov.au/getmedia/7c42913d-295f-4bc9-9c24-4e44eff4a04a/aihw-aus-221.pdf.aspx?inline=true (viewed July 2020).
- 3. Australian Institute of Health and Welfare. Cancer in Australia 2019 (Cancer Series No. 119). Canberra: AIHW; 2019. https://www.aihw.gov.au/getmedia/8c9fcf52-0055-41a0-96d9-f81b0feb98cf/aihw-can-123.pdf.aspx?inline=true (viewed July 2020).
- 4. Fox P, Boyce A. Cancer health inequality persists in regional and remote Australia. Med J Aust 2014; 201: 445–446. https://www.mja.com.au/journal/2014/201/8/cancer-health-inequality-persists-regional-and-remote-australia
- 5. Coory MD, Ho T, Jordan SJ. Australia is continuing to make progress against cancer, but the regional and remote disadvantage remains. Med J Aust 2013; 199: 605–608. https://www.mja.com.au/journal/2013/199/9/australia-continuing-make-progress-against-cancer-regional-and-remote
- 6. Grimison P, Phillips F, Butow P, et al. Are visiting oncologists enough? A qualitative study of the needs of Australian rural and regional cancer patients, carers and health professionals. Asia Pac J Clin Oncol 2013; 9: 226–238.
- 7. Francis HM, Clarke KA, Steer CB, et al. Attitudes of advanced Australian medical oncology trainees to rural practice. Asia Pac J Clin Oncol 2008; 4: 34–41.
- 8. Coleman MP, Quaresma M, Berrino F, et al. Cancer survival in five continents: a worldwide population‐based study (CONCORD). Lancet Oncol 2008; 9: 730–756.
- 9. Murphy C, Sabesan S, Steer C, et al. Oncology service initiatives and research in regional Australia. Aust J Rural Health 2015; 23: 40–48.
- 10. Sabesan S, Zalcberg J. Telehealth models could be extended to conducting clinical trials—a teletrial approach. Eur J Cancer Care 2018; 27: e12587.
- 11. Unger JM, Cook E, Tai E, et al. The role of clinical trial participation in cancer research: barriers, evidence, and strategies. Am Soc Clin Oncol Educ Book 2016; 35: 185–198.
- 12. Sabesan S, Zalcberg J. Telehealth. N Engl J Med 2018; 378: 402.
- 13. Sabesan S, Zalcberg J, Underhill C, et al. Implementation of the Australasian Teletrial Model: lessons from practice. Asia Pac J Clin Oncol 2019; 15 (Suppl 8): 3–14.
- 14. Clinical Trials Transformation Initiative. Decentralized clinical trials. https://www.ctti-clinicaltrials.org/projects/decentralized-clinical-trials (viewed July 2020).
- 15. Unger JM, Vaidya R, Hershman DL, et al. Systematic review and meta‐analysis of the magnitude of structural, clinical, and physician and patient barriers to cancer clinical trial participation. J Nat Cancer Inst 2019; 111: 245–255.
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We acknowledge the input of Hannah Cross, Alana Donaldson, Dish Herath, Kathleen Wilkins, Paul Baden and Sabe Sabesan in the development and implementation of the teletrials framework.
No relevant disclosures.