Implementing Web-Based Clinical Breast Cancer Monitoring Application In Remote Areas: Lesson From The State of Sabah

Embracing new telehealth applications in the COVID19 era must response to breast cancer monitoring issues in unreachable areas like East Malaysia. Thus, these issues need to be addressed by hoping there are technologies that able to de-liver detailed advice, treatments and enhance the patient's experience of breast cancer living far away from the specialist hospitals. This work-in-progress article discusses the implementation process of a web-based clinical breast cancer moni-toring application (WCBCMA) at the Queen Elizabeth Hospital II in Kota Kina-balu, Sabah, with another 25 district hospitals throughout the state. This article is different from those previous studies since it deals with the non-typical challeng-es confronted by breast cancer consultants to roll out the breast cancer application with minimum bandwidth. Furthermore, the WCBCMA and COVID-19 pan-demic have acted as inevitable and non-controllable constraints. Non-technical determinants that were contextual to the region were found to determine the appli-cation implementation accomplishment, i.e., specialist engagements and continu-ous staff training.