Perspectives on Referral Pathways for Timely Head and Neck Cancer Care.

Area of Science:

• Oncology
• Health Services Research
• Patient Care Pathways

Background:

• Timely diagnosis and treatment of head and neck cancer (HNC) are crucial for improved patient survival and reduced recurrence.
• Delays in the referral and triage process can negatively impact outcomes for HNC patients.
• Understanding the factors influencing the HNC patient journey is essential for optimizing care delivery.

Purpose of the Study:

• To investigate the head and neck cancer (HNC) referral and triage process.
• To identify barriers and facilitators of timely care from patient and healthcare worker perspectives.

Main Methods:

• Qualitative study utilizing semistructured interviews.
• Involved 42 patients with HNC and 30 healthcare workers.
• Recruitment from HNC clinics at two tertiary care academic medical centers.

Main Results:

• The head and neck cancer (HNC) referral and triage pathway is often fragmented.
• Primary and dental care play critical roles in facilitating timely HNC referrals.
• Efficient interclinician coordination and consistent patient-practitioner engagement are vital for expediting care and alleviating patient fear.

Conclusions:

• The head and neck cancer (HNC) referral and triage pathway is complex and influenced by multiple factors.
• Effective symptom recognition, strong primary/dental care involvement, seamless information flow, and clear communication are essential for prompt HNC referrals.
• Addressing these elements can improve the timeliness and effectiveness of HNC care.