Digital health technology in oncology: Results from a survey by the ESMO young oncologists committee and medical student alumni

Document Type

Article

Department

Haematology/Oncology

Abstract

Background and purpose: Digital health technologies are transforming oncology care, yet adoption remains inconsistent globally. This study evaluates current utilization patterns, perceived effectiveness, and barriers among oncology professionals worldwide.
Methods: We conducted a global cross-sectional survey (27 questions) analyzing workplace characteristics, technology usage patterns, effectiveness, and barriers to adoption among oncology professionals to better understand the real-world adoption of digital health technologies. Using a questionnaire developed by the ESMO Young Oncologists Committee in collaboration with the medical student alumni, we assessed device availability, technology usage, effectiveness ratings, training experiences, and implementation barriers. Responses were analyzed using descriptive statistical methods to identify usage patterns, variations and barriers to adoption of digital health technologies.
Results: A total of 423 oncology professionals completed the questionnaire. The survey revealed widespread access to computerized workstations (89.1%) but notable geographic disparities (Africa 67.7% versus Europe 93.8%, P < 0.001). Email remained the most widely used communication tool (51.8%), while video telehealth was rated as the most effective (62.9% scoring 4-5 on a 5-point Likert scale). Despite 46.8% of oncology professionals reporting using telemedicine systems, only 28.2% received formal training. Respondents reported an increase of adoption of digital health solutions in 93.3% of the cases. Older clinicians (>40 years) showed 12% higher video telehealth usage than younger colleagues (35% versus 23%, P = 0.014). Major barriers included system integration challenges (67.4%) and infrastructure limitations (57.3%), while 84.1% expressed a need for additional training. Effectiveness varied significantly by tool, from 80.5% for e-prescriptions to 45.2% for telemonitoring. Regional patterns emerged, with high-bandwidth tools predominant in well-resourced areas (Oceania 85.7% video telehealth) versus text-based systems where connectivity is more limited (Africa 63% chat-based).
Discussion: Findings from the present survey highlight persistent disparities in digital health adoption, emphasizing the need for infrastructure investment, interoperable systems, and tailored training to ensure equitable implementation and maximize the potential of technology in oncology care globally.

Publication (Name of Journal)

ESMO Real World Data and Digital Oncology

DOI

10.1016/j.esmorw.2026.100697

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