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"It's the Exact Same Treatment … Except Only 5 Min Away": A RE-AIM Evaluation of a Speech-Language Pathology
Corey Patterson1, Elizabeth C Ward2,3, Rebecca L Packer3
1Speech Pathology Department, The Townsville University Hospital, The Townsville Hospital and Health Service, Queensland Health, Townsville, Australia.
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 AUD$801.94/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.
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