Review of Use of Digital Health in Melanoma Post-Treatment Care for Rural and Remote Communities (Preprint)
BACKGROUND The melanoma incidence and mortality rates in rural and remote communities are exponentially higher than in urban areas. Digital health could be used to close the urban/rural gap for melanoma and improve access to post-treatment and support care services. OBJECTIVE To understand how digital health is currently used for melanoma post-treatment care and determine its benefits for Australian rural and remote areas. METHODS A systematic search of PubMed, Medline, Google Scholar, Scopus was conducted in March 2018. Findings were clustered per type of intervention and related-direct outcomes. RESULTS Five studies met the inclusion criteria, but none of them investigated the benefits of digital health for melanoma post-treatment care in rural and remote areas of Australia. A number of empirical studies demonstrated consumers’ acceptance toward digital intervention for post-treatment care. Findings did not take into consideration individual, psychological and socioeconomic factors, even though studies show their significant impacts on melanoma quality of aftercare. CONCLUSIONS Digital interventions may to be used as an adjunct service by clinicians during melanoma post-treatment care, especially in regions that are lower-resourced by practitioners and health infrastructure, such as rural and remote Australia. Technology could be used to reduce the disparity in melanoma incidence, mortality rates and accessibility to post-treatment care management between urban and rural/remote populations.