Patient Perceptions Toward the Changes in Outpatient Oncology Service During the COVID-19 Pandemic
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Abstract
COVID-19 crisis has posed an enormous challenge for all healthcare services. Therefore, this study aimed to describe the cancer patients’ knowledge and perceptions on oncology service quality during the COVID-19 pandemic. Cancer outpatient knowledge and perceptions toward the changes in chemotherapy and radiotherapy service in response to the pandemic was evaluated using a questionnaire. Majority of the 230 participants were knowledgeable about the pandemic and more than 95% of them claimed to sufficiently practice preventive measures. Television and the internet were their main source of information, and despite the fear of being infected by the COVID-19 virus, less than 15% of the respondents thought to stop or delay hospital visits. Generally, the changes in oncology service were well-received by the patients and they trust the health care workers in maintaining their safety. Also, oncology services delivery to outpatients remains consistent despite several alterations in hospital policies. Personal protective equipment utilization by health care workers and patients proved to be an important factor in reducing anxiety during hospital visits. Policy makers need to fully utilize the internet and associated mobile applications as an education tool.
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How to Cite
Prajoko, Y. W., Supit, T., & Azam, M. (2021). Patient Perceptions Toward the Changes in Outpatient Oncology Service During the COVID-19 Pandemic. Unnes Journal of Public Health, 10(2), 127-137. https://doi.org/10.15294/ujph.v10i2.46755
References
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Olum et al. 2020. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Frontiers in Public Health, 8: 181. https://dx.doi.org/10.3389%2Ffpubh.2020.00181.
Ory et al. 2014. Cancer Prevention among Adults Aged 45-64 Years: Setting the Stage. American Journal of Preventive Medicine, 46 (3S1): S1–S6. https://dx.doi.org/10.1016%2Fj.amepre.2013.10.027.
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Patel et al. 2020. COVID-19 and Cancer Patients. Cancer Medicine Journal, 3 (1): 40–48. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7219960/.
Perveen et al. 2020. Perception Towards COVID-19 Pandemic and Psychological Impact among Malaysian Adults during Movement Control Order. International Journal of Psychosocial Rehabilitation, 24 (6): 10408–10417. https://doi.org/10.37200/IJPR/V24I6/PR261035.
Saratsiotou et al. 2011. Treatment Adherence of Cancer Patients to Orally Administered Chemotherapy: Insights from a Greek Study Using a Self-Reported Questionnaire. Journal of Oncology Pharmacy Practice, 17 (4): 304–311. https://doi.org/10.1177/1078155210380292.
Seale et al. 2020. COVID-19 is Rapidly Changing: Examining Public Perceptions and Behaviors in Response to this Evolving Pandemic. PloS One, 15 (6): 1-13. https://doi.org/10.1371/journal.pone.0235112.
Tagliamento et al. 2020. Call for Ensuring Cancer Care Continuity during COVID-19 Pandemic. ESMO Open, 5 (3): 1-3.https://doi.org/10.1136/esmoopen-2020-000783.
Tsamakis et al. 2020. Oncology during the COVID-19 Pandemic: Challenges, Dilemmas and the Psychosocial Impact on Cancer Patients. Oncology Letters, 20 (1): 441–447. https://dx.doi.org/10.3892%2Fol.2020.11599.
Wang et al. 2020. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17 (5): 1-25. https://dx.doi.org/10.3390%2Fijerph17051729.
White et al. 2014. Age and Cancer Risk: a Potentially Modifiable Relationship. American Journal of Preventive Medicine, 46 (3): S7–S15. https://doi.org/10.1016/j.amepre.2013.10.029.
Abdulwahab, M., Kamal, M. & Al Ali, A.M. 2021. Knowledge and Perceptions of COVID-19 among Health Care Professionals, Medical Students, and Dental Students in the GCC Region: A Cross-Sectional Correlational Study. Journal of Multidisiplinary Healthcare, 14: 1223-1232. https://doi.org/10.2147/JMDH.S306324.
ASCO. 2020. ASCO Special Report: A Guide to Cancer Care Delivery during the COVID-19 Pandemic [Online]. American Society of Clinical Oncology. https://www.asco.org/sites/new-www.asco.org/files/content-files/2020-ASCO-Guide-Cancer-COVID19.pdf.
Atchison, C.J., Bowman, L., Vrinten, C., Redd, R., Pristera, P., Eaton, J.W. & Ward, H. 2020. Perceptions and Behavioural Responses of the General Public during the COVID-19 Pandemic: A Cross-sectional Survey of UK Adults. BMJ Open, 11 (1): 1-13. https://doi.org/10.1101/2020.04.01.20050039.
Azlan, A.A., Hamzah, M.R., Sern, T.J., Ayub, S.H. & Mohamad, E. 2020. Public Knowledge, Attitudes and Practices towards COVID-19: A Cross-sectional Study in Malaysia. PloS One, 15 (5), 1-15. https://doi.org/10.1371/journal.pone.0233668.
Bai, Y., Yao, L. & Wei, T. 2020. Presumed Asymptomatic Carrier Transmission of COVID-19. JAMA- Journal of the American Medical Association, 323 (14): 1406–1407. https://doi.org/10.1001/jama.2020.2565.
Chen, H., Zhou, M., Tian, W., Meng, K. & He, H.2016. Effect of Age on Breast Cancer Patient Prognoses: A Population-Based Study Using the SEER 18 Database. PloS One, 11 (10): 1-11. https://doi.org/10.1371/journal.pone.0165409.
Chen, Y., Perng, R., Chu, H., Tsai, C. & Whang-Peng, J. 2004. Impact of Severe Acute Respiratory Syndrome on the Status of Lung Cancer Chemotherapy Patients and a Correlation of the Signs and Symptoms. Lung Cancer, 45 (1): 39–43. https://doi.org/10.1016/j.lungcan.2004.01.002.
COVID-19 Response Acceleration Task Force. 2020. Distribution Data of COVID-19. https://covid19.go.id/peta-sebaran.
Day, M. 2020. Covid-19: Four Fifths of Cases are Asymptomatic, China Figures Indicate, the BMJ, 369: 1. https://doi.org/10.1136/bmj.m1375.
DeSantis, C.E., Ma, J., Gaudet, M.M., Newman, L.A., Miller, K.D., Sauer, A.G., Jemal, A. & Siegel, R.L. 2019. Breast Cancer Statistics, 2019. CA: A Cancer Journal for Clinicians, 69 (6): 438–451. https://doi.org/10.3322/caac.21583.
Djalante et al. 2020. Review and Analysis of Current Responses to COVID-19 in Indonesia: Period of January to March 2020. Progress in Disaster Science, 6: 1-9. https://doi.org/10.1016/j.pdisas.2020.100091.
Elhadi et al. 2020. Assessment of Healthcare Workers’ Levels of Preparedness and Awareness Regarding COVID-19 Infection in Low-Resource Settings. American Journal of Tropical Medicine and Hygiene, 103 (2): 828–833. https://doi.org/10.4269/ajtmh.20-0330.
Faasse, K. & Newby, J. 2020. Public Perceptions of COVID-19 in Australia: Perceived Risk, Knowledge, Health-protective Behaviours, and Vaccine Intentions. Frontiers in Psychology, 11: 1-39. https://doi.org/10.1101/2020.04.25.20079996.
Fontana, L. & Strasfeld, L. 2019. Respiratory Virus Infections of the Stem Cell Transplant Recipient and the Hematologic Malignancy Patient. Infectious Disease Clinics of North America, 33 (2): 523–544. https://doi.org/10.1016/j.idc.2019.02.004.
IPSOS. 2020. The Beryl Institute-Ipsos PX Pulse Shows Fewer Americans Visiting The Doctor Amidst COVID-19 Pandemic, But Americans Are Increasingly Satisfied With Healthcare Quality. https://www.ipsos.com/en-us/news-and-polls/Beryl-Institute-Ipsos-PX-Pulse-Shows-Fewer-Americans-Visiting-The-Doctor.
Klemm, C., Das, E. & Hartmann, T. 2014. Swine Flu and Hype: A Systematic Review of Media Dramatization of the H1N1 Influenza Pandemic. Journal of Risk Research, 19 (1): 1–20. https://doi.org/10.1080/13669877.2014.923029.
Liang et al. 2020. Cancer Patients in SARS-CoV-2 Infection: a Nationwide Analysis in China. The Lancet Oncology, 21 (3): 335–337. https://doi.org/10.1016/S1470-2045(20)30096-6.
McFadden et al. 2020. Perceptions of the Adult US Population Regarding the Novel Coronavirus Outbreak. PloS One, 15 (4): 1-6. https://doi.org/10.1371/journal.pone.0231808.
Mizumoto et al. 2020/ Estimating the Asymptomatic Proportion of Coronavirus Disease 2019 (COVID-19) Cases on Board the Diamond Princess Cruise Ship, Yokohama, Japan, 2020. Eurosurveillance, 25 (10): 1-5. https://dx.doi.org/10.2807%2F1560-7917.ES.2020.25.10.2000180.
Momenimovahed, Z. & Salehiniya, H. 2019. Epidemiological Characteristics of and Risk Factors for Breast Cancer in the World. Breast Cancer (Dove Med Press), 11: 151–164. https://dx.doi.org/10.2147%2FBCTT.S176070.
Olum et al. 2020. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Frontiers in Public Health, 8: 181. https://dx.doi.org/10.3389%2Ffpubh.2020.00181.
Ory et al. 2014. Cancer Prevention among Adults Aged 45-64 Years: Setting the Stage. American Journal of Preventive Medicine, 46 (3S1): S1–S6. https://dx.doi.org/10.1016%2Fj.amepre.2013.10.027.
Park, K., Kim, A., Yang, M., Lim, S. & Park, J. 2021. Impact of the COVID-19 Pandemic on the Lifestyle, Mental Health, and Quality of Life of Adults in South Korea. Plos One, 16 (2): 1–13. https://doi.org/10.1371/journal.pone.0247970.
Patel et al. 2020. COVID-19 and Cancer Patients. Cancer Medicine Journal, 3 (1): 40–48. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7219960/.
Perveen et al. 2020. Perception Towards COVID-19 Pandemic and Psychological Impact among Malaysian Adults during Movement Control Order. International Journal of Psychosocial Rehabilitation, 24 (6): 10408–10417. https://doi.org/10.37200/IJPR/V24I6/PR261035.
Saratsiotou et al. 2011. Treatment Adherence of Cancer Patients to Orally Administered Chemotherapy: Insights from a Greek Study Using a Self-Reported Questionnaire. Journal of Oncology Pharmacy Practice, 17 (4): 304–311. https://doi.org/10.1177/1078155210380292.
Seale et al. 2020. COVID-19 is Rapidly Changing: Examining Public Perceptions and Behaviors in Response to this Evolving Pandemic. PloS One, 15 (6): 1-13. https://doi.org/10.1371/journal.pone.0235112.
Tagliamento et al. 2020. Call for Ensuring Cancer Care Continuity during COVID-19 Pandemic. ESMO Open, 5 (3): 1-3.https://doi.org/10.1136/esmoopen-2020-000783.
Tsamakis et al. 2020. Oncology during the COVID-19 Pandemic: Challenges, Dilemmas and the Psychosocial Impact on Cancer Patients. Oncology Letters, 20 (1): 441–447. https://dx.doi.org/10.3892%2Fol.2020.11599.
Wang et al. 2020. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17 (5): 1-25. https://dx.doi.org/10.3390%2Fijerph17051729.
White et al. 2014. Age and Cancer Risk: a Potentially Modifiable Relationship. American Journal of Preventive Medicine, 46 (3): S7–S15. https://doi.org/10.1016/j.amepre.2013.10.029.