TY  - JOUR
AU  - van Deursen, Liza
AU  - Versluis, Anke
AU  - van der Vaart, Rosalie
AU  - Standaar, Lucille
AU  - Struijs, Jeroen
AU  - Chavannes, Niels
AU  - Aardoom, Jiska J
PY  - 2022
DA  - 2022/6/14
TI  - eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens
JO  - JMIR Cancer
SP  - e37093
VL  - 8
IS  - 2
KW  - cancer
KW  - eHealth
KW  - digital care
KW  - Triple Aim
KW  - population health
KW  - quality of care
KW  - costs
KW  - systematic review
KW  - psychosocial
KW  - intervention
KW  - mobile phone
AB  - Background: Globally, the burden of cancer on population health is growing. Recent trends such as increasing survival rates have resulted in a need to adapt cancer care to ensure a good care experience and manageable expenditures. eHealth is a promising way to increase the quality of cancer care and support patients and survivors. Objective: The aim of this systematic review was 2-fold. First, we aimed to provide an overview of eHealth interventions and their characteristics for Dutch patients with and survivors of cancer. Second, we aimed to provide an overview of the empirical evidence regarding the impact of eHealth interventions in cancer care on population health, quality of care, and per capita costs (the Triple Aim domains). Methods: The electronic databases Web of Science, PubMed, Cochrane, and Ovid PsycINFO were searched using 3 key search themes: eHealth interventions, cancer care, and the Netherlands. The identified interventions were classified according to predetermined criteria describing the intervention characteristics (eg, type, function, and target population). Their impact was subsequently examined using the Triple Aim framework. Results: A total of 38 interventions were identified. Most of these were web portals or web applications functioning to inform and self-manage, and target psychosocial factors or problems. Few interventions have been tailored to age, disease severity, or gender. The results of this study indicate that eHealth interventions could positively affect sleep quality, fatigue, and physical activity of patients with and survivors of cancer. Inconclusive results were found regarding daily functioning and quality of life, psychological complaints, and psychological adjustment to the disease. Conclusions: eHealth can improve outcomes in the Triple Aim domains, particularly in the population health and quality of care domains. Cancer-related pain and common symptoms of active treatment were not targeted in the included interventions and should receive more attention. Further research is needed to fully understand the impact of eHealth interventions in cancer care on participation, accessibility, and costs. The latter can be examined in economic evaluations by comparing eHealth interventions with care as usual. 
SN  - 2369-1999
UR  - https://cancer.jmir.org/2022/2/e37093
UR  - https://doi.org/10.2196/37093
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35699991
DO  - 10.2196/37093
ID  - info:doi/10.2196/37093
ER  -