Optimizing cancer care through e-health: status, potential, and adoption

Abstract

Cancer is a major health challenge in the Netherlands and worldwide. While the number of diagnoses continues to rise, earlier detection and improved treatments mean that more people survive the disease. As a result, the overall demand for healthcare is growing and pressure on the system is increasing. E-health may help by supporting patients and organizing care more efficiently.

This dissertation examined the role of e-health in optimizing cancer care. It analyzed existing interventions and their effectiveness, explored factors influencing their use, and investigated how patients and professionals view their potential. Findings show that e-health holds considerable promise, but is not yet fully utilized. Patients and professionals see benefits such as improved information provision, greater self-management, and support for long-term effects of cancer and treatment, including fatigue and psychological complaints.

At the same time, barriers remain, including limited awareness, unequal use due to differences in digital skills, and unclear financing. Overall, digital health could improve survivorship care if it is accessible and integrated into routine practice. To achieve this, solutions must be inclusive, widely known, and embedded in the healthcare system.