Table 2.
Baseline characteristics of barrier and facilitator studies.
| Reference | Country | Study design | Patient population and sample size | Description of platform | Q1a | Q2b |
| Alpert et al [45] | US | In-depth semistructured interviews with cancer patients and oncologists | 35 cancer patients (breast n=9, hematologic n=6, gastrointestinal n=5, genitourinary n=4, lung n=3, sarcoma n=3, skin n=3, gynecologic n=2, other n=3) and 13 oncologists | Patient portals offer functional benefits to patients as they enable convenient patient access to EMRc data from devices such as personal computers or smartphones; they allow the ability to request medication refills, schedule appointments, and they support secure messaging | X | ✔ |
| Baudendistel et al [46] | Germany | Qualitative explorative study using focus groups | 12 colorectal cancer patients, 17 physicians, and 26 other health care professionals | Patient-controlled “personal electronic health record” (PEPA) (in development) | X | ✔ |
| Ector et al [47] | Netherlands | Design thinking development study | 8 CMLd patients, 14 hematologists | CMyLife, a web-based, patient-centered intervention | X | ✔ |
| Geerts et al [48] | Netherlands | Mixed methods design: focus group and literature for patient survey, and physician survey based on literature | Patients with hematologic malignancy (questionnaire: n=204, focus group: n=6) and their physicians (questionnaire: n=13) | Not yet developed | X | ✔ |
| Gerber et al [49] | US | Qualitative study using 2 focus groups | 13 nurses from a cancer center | Not yet developed | X | ✔ |
| Girault et al [50] | Canada | Questionnaire-based survey | 1072 patients treated in a comprehensive cancer center | Internet-based technologies such as patient portals, websites, and applications managed by health care institutions to improve cancer care coordination | X | ✔ |
| Kildea et al [51] | Canada | Participatory stakeholder design | Focus group and survey among 361 cancer patients | Electronic patient portal accessible through smartphones (not yet developed) | X | ✔ |
| Kuijpers et al [52] | Netherlands | Focus group interviewing (9 groups) | 21 BCAe patients, 31 lung cancer patients, and 31 health professionals | Interactive portal | X | ✔ |
| McCleary et al [53] | US | Focus group sessions and surveys | Focus group: 20 patients and family and 5 advisory council members; survey: 1019 cancer patients | Patient gateway application as patient portal: a secure, web-based database enabling patient access to their health and disease information embedded within an EMR, managed by individual health care organizations and accessible via the internet | X | ✔ |
| De Regge et al [39] | Belgium | Mixed method triangulation design | Interviews with 23 patients, 2 physicians, 1 nurse specialist, 2 nurse consultants, 9 nurses, and 1 psychologist | The digital oncology platform includes the individualized care path, reliable treatment-related information, contact details for the treatment team, secure conversations with the treatment team, self-registration of complaints, and a diary | ✔ | ✔ |
| Kuijpers et al [42] | Netherlands | Mixed methods design: pretest-posttest design and focus group | 6/92 BCA patients were included in focus group discussions; 24 health care providers were asked to fill out a questionnaire | MyAvL includes personalized educational material, overview of past and upcoming appointments, EMRs, medication overview, questionnaire concerning PROMsf | ✔ | ✔ |
| Ruland et al [43] | Norway | Prospective cohort | 103 patients with breast cancer (n=56) and prostate cancer (n=47) received questionnaires with space for additional comments and suggestions | WebChoice is an interactive electronic health application that includes personalized information, a communication tool where patients can receive support from peers or professionals, a diary, and a self-management component | ✔ | ✔ |
| Tiong et al [44] | Australia | Prospective pilot study | 50 patients with BCA were asked to use the platform and fill out a questionnaire; 9 patients were invited for a face-to-face feedback session | Healthy.me is a secure personally controlled health management website that features the patient journey with tailored information, appointment overviews, interactive forums, and messaging with peers and private messaging with health care providers | ✔ | ✔ |
aQ1: addresses research question 1 (to collect the best available evidence of the effect of a digital care platform on quality of care for oncological patients).
bQ2: addresses research question 2 (to analyze the currently reported barriers and facilitators for implementation of a digital platform in oncological health care).
cEMR: electronic medical record.
dCML: chronic myeloid leukemia.
eBCA: breast cancer.
fPROM: patient-reported outcome measure.