BACKGROUND: Challenges accessing post-treatment speech-language pathology (SLP) services can add to treatment burden for rural patients with head and neck cancer (HNC). Hence, the aim of this study was to evaluate a shared-care SLP service designed to support local SLP access for patients with HNC, using the RE-AIM framework. METHODS: RE-AIM evaluation involved 5 staff and 23 patients. Data sources included service statistics, costs, quality of life measures, satisfaction surveys, and interviews. RESULTS: Shared-care demonstrated strong reach and effectiveness: 91% of patients received most or all care locally. Average patient-attributable cost savings were AUD801. 94/person. Patients were highly satisfied, reporting equivalent care between local and tertiary services. Clinicians valued professional development and service integration. Communication systems and infrastructure assisted implementation. Policy alignment supported maintenance. CONCLUSION: The shared-care model enhanced rural SLP service access while maintaining quality care and lowering patient burden. Effective communication and clinical support were key enablers, demonstrating shared-care as a sustainable approach for rural post-HNC treatment SLP services.
Patterson et al. (Tue,) studied this question.
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