Implementing telemedicine for cancer care in European healthcare organizations: lessons from the eCAN Joint Action

Clinical Snapshot

Key Findings

• Effect Size: Not applicable (qualitative study)

• Primary Outcome: Key implementation factors: healthcare professional skills training, system compatibility, and resource allocation for hybrid care models

• Nnt Or Sensitivity: Not applicable (implementation study)

Clinical Application

Requires significant investment in training, infrastructure, and interoperability; hybrid care models may be most practical Findings relevant to Australian cancer care networks; aligns with TGA telemedicine regulations and PBS telehealth items introduced during COVID-19 Healthcare organizations implementing telemedicine for cancer care, particularly in resource-constrained settings

Abstract

PURPOSE: Telemedicine represents a promising innovation to complement conventional cancer care in Europe to improve treatment quality and patient outcomes. Funded between September 2022 and December 2024, the Joint Action "Strengthening eHealth including telemedicine and remote monitoring for health care systems for CANcer prevention and care" (eCAN JA) aimed to bring the benefits of telemedicine to cancer patients across the European Union (EU) Member States, with 35 partner organizations from 16 countries and explored its feasibility through multicenter clinical trials. This study sheds light on key factors to implement telemedicine services for cancer care in European healthcare organizations (HCOs) and offers a forward-looking perspective by conducting a foresight exercise as part of the Sustainability Work Package (WP4) of the eCAN JA. DESIGN/METHODOLOGY/APPROACH: Foresight is an umbrella term for innovative strategic planning, policy formulation and solution design methods that empower decision-makers. For our multi-country foresight study, we followed three sequential steps to gain qualitative and quantitative findings on the facilitators of telemedicine services for cancer patients in clinical settings, comprised of (1) literature review; (2) surveys to HCOs in different EU Member States and (3) a foresight workshop with survey respondents. FINDINGS: Telemedicine implementation in HCOs requires equipping healthcare professionals with the necessary skills, ensuring system compatibility and addressing resource constraints for hybrid care models for success. Future policies in the EU should focus on establishing telemedicine training for healthcare professionals and support interoperability as well as user-friendliness of telemedicine services in HCOs. Policies should also address clinical workload challenges, enable harmonized telemedicine protocols across Europe, provide incentives for implementation and invest in digital infrastructure in HCOs for a sustainable telemedicine adoption. ORIGINALITY/VALUE: To the best of our knowledge, this is the first study to conduct a foresight analysis on the feasibility of telemedicine for cancer care across different HCOs in EU Member States.

References

1. 1.Schmitt, T., Habimana, K., Gottlob, A., Habl, C., Rosińska, M., Sønderskov Frydensberg, M., Jensen, C., Leclercq, V., Delnord, M., & Van den Bulcke, M. (2026). Implementing telemedicine for cancer care in European healthcare organizations: lessons from the eCAN Joint Action. Journal of Health Organization and Management. https://doi.org/10.1108/JHOM-01-2025-0048