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A Gender Perspective on Telemedicine. Early Results from the National Cancer Institute of Aviano Experience

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Book cover Organizational Resilience and Female Entrepreneurship During Crises

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Abstract

During the COVID-19 pandemic, with its mandated social distancing rules, telemedicine and remote visits stood as the only option for continuing to meet patients’ ambulatory care needs without requiring vulnerable people to travel back and to the hospital. Telemedicine is gaining traction in a variety of clinical fields, including pain medicine and oncology. Women account for two out of every three chronic pain patients. The literature has also considered several women vulnerable patients since they frequently need to care for their families and careers while undergoing chronic pain or oncological treatment. The same literature highlights the massive impact of the COVID-19 pandemic on women workers and patients. The purpose of this article is to explore how this new paradigm can improve women’s health, facilitating their work-life balance while sick.

The research employs a case study approach, starting with The National Cancer Institute of Aviano’s “Doctor @ Home” (D@H) initiative.

While telemedicine is receiving more attention in the international clinical and management literature, there is still much to learn in practice. The article expands on the gender perspective on e-health, viewing it as a potential opportunity for patients, practitioners, and entrepreneurs. The co-production of care and the co-learning approach are the two fundamental factors of the program.

Although the D@H initiative is still in its infancy, the study provides new perspectives about an innovative telemedicine program that focuses primarily on female patients. Its techniques and methodologies may be easily replicable by other healthcare organizations, as telemedicine appears to have a bright future even in a COVID-free new normal.

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References

  • Acar, M., & Kaya, O. (2019). A healthcare network design model with mobile hospitals for disaster preparedness: A case study for Istanbul earthquake. Transportation Research Part E: Logistics and Transportation Review, 130(September), 273–292. https://doi.org/10.1016/j.tre.2019.09.007

    Article  Google Scholar 

  • Amgarth-duff, I., Hendrickx, D., Bowen, A., Carapetis, J., Infectious, P., Consultant, D., … Council, J. C. (2019). Women, clinician and IT staff perspectives on telehealth for enhanced gestational diabetes mellitus management in an Australian rural/regional setting. Rural and Remote Health, 19(3).

    Google Scholar 

  • Angelos, P. (2020). Interventions to improve informed consent perhaps surgeons should speak less and listen more. JAMA Surgery, 155(1), 13–14. https://doi.org/10.1001/jamasurg.2019.3796

    Article  Google Scholar 

  • Arena, C., Catuogno, S., Saggese, S., & Sarto, F. (2020). The adoption of e-Health in public hospitals. Unfolding the gender dimension of TMT and line managers. Public Management Review, 1–27. https://doi.org/10.1080/14719037.2020.1775280

  • Barcellini, A., Filippi, A. R., Dal Mas, F., Cobianchi, L., Corvò, R., Price, P., & Orlandi, E. (2020). To a new normal in radiation oncology: Looking back and planning forward. Tumori Journal, 106(6), 440–444. https://doi.org/10.1177/0300891620962197

    Article  Google Scholar 

  • Bashshur, R., Shannon, G., Krupinski, E., & Grigsby, J. (2011). The taxonomy of telemedicine. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 17(6), 484–494. https://doi.org/10.1089/tmj.2011.0103

    Article  Google Scholar 

  • Batalden, M., Batalden, P., Margolis, P., Seid, M., Armstrong, G., Opipari-arrigan, L., & Hartung, H. (2016). Coproduction of healthcare service. BMJ Quality & Safety, 25(7), 509–517. https://doi.org/10.1136/bmjqs-2015-004315

    Article  Google Scholar 

  • Bednarova, R., Biancuzzi, H., Rizzardo, A., Dal Mas, F., Massaro, M., Cobianchi, L., … Miceli, L. (2020). Cancer rehabilitation and physical activity: The “Oncology in Motion” project. Journal of Cancer Education. (In press). https://doi.org/10.1007/s13187-020-01920-0

  • Biancuzzi, H., Dal Mas, F., Miceli, L., & Bednarova, R. (2020). Post breast cancer coaching path: A co-production experience for women. In P. Paoloni & R. Lombardi (Eds.), Gender studies, entrepreneurship and human capital. IPAZIA 2019. Springer Proceedings in Business and Economics (pp. 11–23). Springer. https://doi.org/10.1007/978-3-030-46874-3_2

    Chapter  Google Scholar 

  • Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006). Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain (London, England), 10(4), 287–333. https://doi.org/10.1016/j.ejpain.2005.06.009

    Article  Google Scholar 

  • Chen, B., Baur, A., Stepniak, M., & Wang, J. (2019). Finding the future of care provision: The role of smart hospitals. McKinsey & Company. Accessed October 26, 2021, from https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/finding-the-future-of-careprovision-the-role-of-smart-hospitals

  • Cheng, B.-W., Luo, C.-M., Chiu, W.-H., & Chen, K.-H. (2009). Applying cluster analysis to build a patient-centric healthcare service strategy for elderly patients. International Journal of Technology Management, 47(1–3), 145–160.

    Article  Google Scholar 

  • Cobianchi, L., Pugliese, L., Peloso, A., Dal Mas, F., & Angelos, P. (2020). To a new normal: Surgery and COVID-19 during the transition phase. Annals of Surgery, 272, e49–e51. https://doi.org/10.1097/SLA.0000000000004083

    Article  Google Scholar 

  • Dal Mas, F., Bagarotto, E. M., & Cobianchi, L. (2021). Soft skills effects on knowledge translation in healthcare. Evidence from the field. In M. T. Lepeley, N. Beutell, N. Abarca, & N. Majluf (Eds.), Soft skills for human centered management and global sustainability (pp. 95–109). Routledge. https://doi.org/10.4324/9781003094463-7-11

    Chapter  Google Scholar 

  • Dal Mas, F., Biancuzzi, H., Massaro, M., Barcellini, A., Cobianchi, L., & Miceli, L. (2020). Knowledge translation in oncology. A case study. Electronic Journal Of Knowledge Management, 18(3), 212–223. https://doi.org/10.34190/EJKM.18.03.002

    Article  Google Scholar 

  • Dal Mas, F., Biancuzzi, H., Massaro, M., & Miceli, L. (2020). Adopting a knowledge translation approach in healthcare co-production. A case study. Management Decision, 58(9), 1841–1862. https://doi.org/10.1108/MD-10-2019-1444

    Article  Google Scholar 

  • Dal Mas, F., Biancuzzi, H., & Miceli, L. (2021). The importance of Soft Skills in the co-production of healthcare services in the public sector: The Oncology in Motion experience. In M. T. Lepeley, N. Beutell, N. Abarca, & N. Majluf (Eds.), Soft skills for human centered management and global sustainability. Routledge. https://doi.org/10.4324/9781003094463-8-12

  • Dal Mas, F., Garcia-Perez, A., Sousa, M. J., Lopes da Costa, R., & Cobianchi, L. (2020). Knowledge translation in the healthcare sector. A structured literature review. Electronic Journal of Knowledge Management, 18(3), 198–211. https://doi.org/10.34190/EJKM.18.03.001

    Article  Google Scholar 

  • Dal Mas, F., & Paoloni, P. (2019). A relational capital perspective on social sustainability. The case of female entrepreneurship in Italy. Measuring Business Excellence, 24(1), 114–130.

    Article  Google Scholar 

  • Dal Mas, F., Piccolo, D., & Ruzza, D. (2020). Overcoming cognitive bias through intellectual capital management . The case of pediatric medicine. In P. Ordonez de Pablos & L. Edvinsson (Eds.), Intellectual capital in the digital economy (pp. 123–133). Routledge.

    Google Scholar 

  • Dal Mas, F., Romani, G., Modenese, M., Lucà, R., Manca, M. F., Ferrara, M., & Cobianchi, L. (2021). Healthcare and human centered organizational culture in crisis during COVID-19 pandemic. The Italian experience. In M. T. Lepeley, O. Morales, P. Essens, N. J. Beutell, & N. Majluf (Eds.), Human centered organizational culture global dimensions (pp. 139–150). Routledge.

    Google Scholar 

  • Della Monica, A., Ferrara, P., Dal Mas, F., Cobianchi, L., Scannapieco, F., & Ruta, F. (2021). The impact of Covid-19 healthcare emergency on the psychological well-being of health professionals: A review of literature. Annali Di Igiene. Epub in pr. https://doi.org/10.7416/ai.2021.2445

  • Elwyn, G., Nelson, E., Hager, A., & Price, A. (2020). Coproduction: When users define quality. BMJ Quality and Safety, 29(9), 711–716. https://doi.org/10.1136/bmjqs-2019-009830

    Article  Google Scholar 

  • Escoffery, C. (2018). Gender similarities and differences for e-health behaviors among U.S. adults. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 24(5), 335–343. https://doi.org/10.1089/tmj.2017.0136

    Article  Google Scholar 

  • Fuchs, V. (1968). The service economy. National Bureau of Economic Research.

    Google Scholar 

  • Grasselli, G., Pesenti, A., & Cecconi, M. (2020). Critical care utilization for the COVID-19 outbreak in Lombardy, Italy. JAMA, 323(16), 1545–1546. https://doi.org/10.1001/jama.2020.4031

    Article  Google Scholar 

  • Grenda, T. R., Whang, S., & Evans, N. R. (2020). Transitioning a surgery practice to telehealth during COVID-19. Annals of Surgery, 272(2), e168–e169. https://doi.org/10.1097/SLA.0000000000004008

    Article  Google Scholar 

  • Jain, P., & Kaur, A. (2018). Big data analysis for prediction of coronary artery disease. In 4th International Conference on Computing Sciences (ICCS) (pp. 188–193) Jalandhar.

    Google Scholar 

  • Jiménez-Zarco, A. I., Clemente-Almendros, J. A., González-González, I., & Aracil-Jordà, J. (2021). Female Micro-entrepreneurs and social networks: Diagnostic analysis of the influence of social-media marketing strategies on brand financial performance. Frontiers in Psychology, 12, 151. Retrieved from https://www.frontiersin.org/article/10.3389/fpsyg.2021.630058

    Article  Google Scholar 

  • Kuckertz, A. (2021). Standing up against crisis-induced entrepreneurial uncertainty: Fewer teams, more habitual entrepreneurs. International Small Business Journal, 39(3), 191–201. https://doi.org/10.1177/0266242621997782

    Article  Google Scholar 

  • Leape, L. L., Berwick, D., Clancy, C., Conway, J., Gluck, P., Guest, J., Lawrence, D., Morath, J., O’Leary, D., O’Neill, P., & Pinakiewicz, D. (2009). Transforming healthcare: A safety imperative. Quality and Safety in Health Care, 18(6), 424–428. https://doi.org/10.1136/qshc.2009.036954

    Article  Google Scholar 

  • Martínez-Rodríguez, I., Quintana-Rojo, C., Gento, P., & Callejas-Albiñana, F.-E. (2021). Public policy recommendations for promoting female entrepreneurship in Europe. International Entrepreneurship and Management Journal. https://doi.org/10.1007/s11365-021-00751-9

  • Massaro, M., Tamburro, P., La Torre, M., Dal Mas, F., Thomas, R., Cobianchi, L., & Barach, P. (2021). Non-pharmaceutical interventions and the infodemic on Twitter: Lessons learned from Italy during the Covid-19 pandemic. Journal of Medical Systems, 45(50). https://doi.org/10.1007/s10916-021-01726-7

  • Massaro, M., Dumay, J., & Bagnoli, C. (2019). Transparency and the rhetorical use of citations to Robert Yin in case study research. Meditari Accountancy Research, 27(1), 44–71. https://doi.org/10.1108/MEDAR-08-2017-0202

    Article  Google Scholar 

  • Mavroudis, C. L., Landau, S., Brooks, E., Bergmark, R., Berlin, N. L., Blumenthal, B., Cooper, Z., Hwang, E. K., Lancaster, E., Waljee, J., & Wick, E. (2021). The relationship between surgeon gender and stress during the Covid-19 pandemic. Annals of Surgery. https://doi.org/10.1097/sla.0000000000004762

  • Miaskowski, C., Paul, S. M., Snowberg, K., Abbott, M., Borno, H., Chang, S., Chen, L. M., Cohen, B., Cooper, B. A., Hammer, M. J., & Kenfield, S. A. (2021). Oncology patients’ perceptions of and experiences with COVID-19. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 29(4), 1941–1950. https://doi.org/10.1007/s00520-020-05684-7

    Article  Google Scholar 

  • Miceli, L., Bednarova, R., Bednarova, I., Rizzardo, A., Cobianchi, L., Dal Mas, F., … Zattoni, F. (2021). What people search for when browsing “Doctor Google.” An analysis of search trends in Italy after the law on pain. Journal of Pain & Palliative Care Pharmacotherapy, 35(1), 23–30. https://doi.org/10.1080/15360288.2021.1882640

    Article  Google Scholar 

  • Miceli, L., Bednarova, R., Biancuzzi, H., & Garlatti, A. (2019). Nascita di un percorso riabilitativo in un Irccs oncologico del Friuli-Venezia Giulia: “Oncology in motion.”. Politiche Sanitarie, 20(2), 89–95.

    Google Scholar 

  • Miceli, L., Bednarova, R., Di Cesare, M., Santori, E., Spizzichino, M., Di Minco, L., … Della Rocca, G. (2017). Outpatient therapeutic chronic opioid consumption in Italy: a one-year survey. Minerva Anestesiologica, 83(1), 33–40.

    Article  Google Scholar 

  • Miceli, L., Dal Mas, F., Biancuzzi, H., Bednarova, R., Rizzardo, A., Cobianchi, L., & Holmboe, E. S. (2021). Doctor@Home: Through a telemedicine co-production and co-learning journey. Journal of Cancer Education. In press. https://doi.org/10.1007/s13187-020-01945-5

  • Miceli, L., Bednarova, R., Rizzardo, A., Cuomo, A., Riccardi, I., Vetrugno, L., … Cascella, M. (2018). Opioids prescriptions in pain therapy and risk of addiction: a one-year survey in Italy. Analysis of national opioids database. Annali Dell’Istituto Superiore Di Sanita, 54(4), 370–374. https://doi.org/10.4415/ANN_18_04_15

    Article  Google Scholar 

  • Nikolian, V. C., Williams, A. M., Jacobs, B. N., Kemp, M. T., Wilson, J. K., Mulholland, M. W., & Alam, H. B. (2018). Pilot study to evaluate the safety, feasibility, and financial implications of a postoperative telemedicine program. Annals of Surgery, 268(4), 700–707. https://doi.org/10.1097/SLA.0000000000002931

    Article  Google Scholar 

  • Osei-Frimpong, K., Wilson, A., & Lemke, F. (2018). Patient co-creation activities in healthcare service delivery at the micro level: The influence of online access to healthcare information. Technological Forecasting and Social Change, 126, 14–27. https://doi.org/10.1016/j.techfore.2016.04.009

    Article  Google Scholar 

  • Paoloni, P., Dal Mas, F., Massaro, M., Barcellini, A., & Orlandi, E. (2021). An organizational model for female leadership in healthcare. The National Centre of Oncological Hadrontherapy (CNAO Foundation) experience during the Covid-19 pandemic. In E. T. Pereira, C. Costa, & Z. Breda (Eds.), Proceedings of the 4th International Conference on Gender Research ICGR 2021 (pp. 228–237). Academic Conferences & Publishing International Ltd. https://doi.org/10.34190/IGR.21.025

    Chapter  Google Scholar 

  • Presch, G., Dal Mas, F., Piccolo, D., Sinik, M., & Cobianchi, L. (2020). The World Health Innovation Summit (WHIS) platform for sustainable development. From the digital economy to knowledge in the healthcare sector. In P. Ordonez de Pablos & L. Edvinsson (Eds.), Intellectual Capital in the Digital Economy (pp. 19–28). Routledge.

    Chapter  Google Scholar 

  • Reed, M. E., Huang, J., Graetz, I., Lee, C., Muelly, E., Kennedy, C., & Kim, E. (2020). Patient characteristics associated with choosing a telemedicine visit vs office visit with the same primary care clinicians. JAMA Network Open, 3(6), e205873–e205873. https://doi.org/10.1001/jamanetworkopen.2020.5873

    Article  Google Scholar 

  • Reed, M. E., Huang, J., Parikh, R., Millman, A., Ballard, D. W., Barr, I., & Wargon, C. (2019). Patient–provider video telemedicine integrated with clinical care: Patient experiences. Annals of Internal Medicine, 171(3), 222–224. https://doi.org/10.7326/M18-3081

    Article  Google Scholar 

  • Remuzzi, A., & Remuzzi, G. (2020). COVID-19 and Italy: What next? The Lancet, 395(10231), 1225–1228. https://doi.org/10.1016/S0140-6736(20)30627-9

    Article  Google Scholar 

  • Ridder, H.-G., Hoon, C., & McCandless Baluch, A. (2014). Entering a dialogue: Positioning case study findings towards theory. British Journal of Management, 25(2), 373–387. https://doi.org/10.1111/1467-8551.12000

    Article  Google Scholar 

  • Ritchey, K. C., Foy, A., McArdel, E., & Gruenewald, D. A. (2020). Reinventing palliative care delivery in the era of COVID-19: How telemedicine can support end of life care. American Journal of Hospice and Palliative Medicine, 37(11), 992–997. https://doi.org/10.1177/1049909120948235

    Article  Google Scholar 

  • Romani, G., Dal Mas, F., Massaro, M., Cobianchi, L., Modenese, M., Barcellini, A., … Ferrara, M. (2021). Population health strategies to support hospital and intensive care unit resiliency during the COVID-19 pandemic: The Italian experience. Population Health Management, 24(2), 174–181. https://doi.org/10.1089/pop.2020.0255

    Article  Google Scholar 

  • Ruta, F., Dal Mas, F., Biancuzzi, H., Ferrara, P., & Della Monica, A. (2021). Covid-19 e salute mentale del personale infermieristico in prima linea: una revisione della letteratura. Professioni Infermieristiche, 74(1), 41–47. https://doi.org/10.7429/pi.2021.741041

    Article  Google Scholar 

  • Schutt, S., Holloway, D., Linegar, D., & Deman, D. (2017, April). Using simulated digital role plays to teach healthcare “soft skills.” 2017 IEEE 5th International conference on serious games and applications for health, SeGAH 2017. https://doi.org/10.1109/SeGAH.2017.7939254

  • Sorensen, M. J., Bessen, S., Danford, J., Fleischer, C., & Wong, S. L. (2020). Telemedicine for surgical consultations – Pandemic response or here to stay? Annals of Surgery, 272(3), e174–e180. https://doi.org/10.1097/sla.0000000000004125

    Article  Google Scholar 

  • Sousa, M. J., Dal Mas, F., & Lopes Da Costa, R. (2021). Editorial EJKM Volume 18 Issue 3. Advances in health knowledge management: New perspectives. Electronic Journal of Knowledge Management, 18(3), 407–411. https://doi.org/10.34190/ejkm.18.3.2137

    Article  Google Scholar 

  • Vázquez-Quesada, L., Shukla, A., Vieitez, I., Acharya, R., & RamaRao, S. (2020). Abortion self-care: A forward-looking solution to inequitable access. International Perspectives on Sexual and Reproductive Health, 46(Supplement 1), 91–95. https://doi.org/10.1363/46e1420

    Article  Google Scholar 

  • Villaseca, D., Navío-Marco, J., & Gimeno, R. (2020). Money for female entrepreneurs does not grow on trees: Start-ups’ financing implications in times of COVID-19. Journal of Entrepreneurship in Emerging Economies. ahead-of-print. https://doi.org/10.1108/JEEE-06-2020-0172

  • Wenham, C., Smith, J., & Morgan, R. (2020). COVID-19: The gendered impacts of the outbreak. The Lancet, 395(10227), 846–848. https://doi.org/10.1016/S0140-6736(20)30526-2

    Article  Google Scholar 

  • Wenham, C., Abagaro, C., Arévalo, A., Coast, E., Corrêa, S., Cuéllar, K., … Valongueiro, S. (2021). Analysing the intersection between health emergencies and abortion during Zika in Brazil, El Salvador and Colombia. Social Science & Medicine, 270, 113671. https://doi.org/10.1016/j.socscimed.2021.113671

    Article  Google Scholar 

  • WHO. (2019). Coronavirus disease (COVID-19) pandemic, Health Topics.

    Google Scholar 

  • WHO. (2020a). Coronavirus disease (COVID-19) pandemic. Retrieved April 8, 2020, from Health Topics website: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

  • WHO. (2020b). WHO coronavirus disease (Covid-19) dashboard. Retrieved June 28, 2021, from WHO Coronavirus (COVID-19) Dashboard overview website: https://covid19.who.int

  • Woltz, S., Krijnen, P., Pieterse, A. H., & Schipper, I. B. (2018). Surgeons’ perspective on shared decision making in trauma surgery. A national survey. Patient Education and Counseling, 101(10), 1748–1752. https://doi.org/10.1016/j.pec.2018.06.002

    Article  Google Scholar 

  • Yin, R. K. (2014). Case study research: Design and methods. Sage Publications.

    Google Scholar 

  • Yule, S., & Smink, D. S. (2020). Non-technical skill countermeasures for pandemic response. Annals of Surgery, 272(3), e213–e215. https://doi.org/10.1097/SLA.0000000000004107

    Article  Google Scholar 

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Authors and Affiliations

  1. Lincoln International Business School, University of Lincoln, Lincoln, UK

    Francesca Dal Mas

  2. Ipazia International Observatory on Gender Research, Rome, Italy

    Helena Biancuzzi

  3. Department of Pain Medicine, Hospital of Latisana (ASUFC), Latisana, UD, Italy

    Rym Bednarova

  4. Department of Pain medicine, Centro di Riferimento Oncologico, Aviano, PN, Italy

    Luca Miceli

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  1. Francesca Dal Mas
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  2. Helena Biancuzzi
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  3. Rym Bednarova
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  4. Luca Miceli
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Editors and Affiliations

  1. Department of Law and Economics of Productive Activities, University of Rome La Sapienza, Rome, Italy

    Paola Paoloni

  2. Department of Law and Economics of Productive Activities, University of Rome La Sapienza, Rome, Italy

    Rosa Lombardi

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Dal Mas, F., Biancuzzi, H., Bednarova, R., Miceli, L. (2022). A Gender Perspective on Telemedicine. Early Results from the National Cancer Institute of Aviano Experience. In: Paoloni, P., Lombardi, R. (eds) Organizational Resilience and Female Entrepreneurship During Crises. SIDREA Series in Accounting and Business Administration. Springer, Cham. https://doi.org/10.1007/978-3-030-89412-2_6

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