Speech pathology service enhancement for people with head and neck cancer living in rural areas: Using a concept mapping approach to inform service change

Head & Neck ◽  
2021 ◽  
Author(s):  
Jasmine Foley ◽  
Elizabeth C. Ward ◽  
Clare L. Burns ◽  
Rebecca L. Nund ◽  
Laurelie Wishart ◽  
...  
Head & Neck ◽  
2017 ◽  
Vol 39 (12) ◽  
pp. 2470-2480 ◽  
Author(s):  
Clare L. Burns ◽  
Sanjeewa Kularatna ◽  
Elizabeth C. Ward ◽  
Anne J. Hill ◽  
Joshua Byrnes ◽  
...  

2000 ◽  
Vol 114 (8) ◽  
pp. 605-615 ◽  
Author(s):  
Alison R. Perry ◽  
Margaret A. Shaw

Since April 1997, in Melbourne, Australia, speech pathologists have collaborated to establish a prospective database of functional outcomes of speech, swallowing and voice for patients undergoing head and neck cancer treatments.Staff at eight acute care hospitals, all of which offer speech pathology for head and neck cancer services in Victoria, are contributing data, collated centrally, in an agreed pro forma.Early results are given (after 12 months’ data collection). The implications for clinically-based research, and the future potential for benchmarking outcomes – by expansion of the rehabilitation database beyond the current participating sites – is discussed.This paper outlines the rationale of establishing the database is multicentred, and explores some of the complexities involved, including the challenges inherent in long-term accurate data collection in the head and neck cancer patient population. This work represents the development of an appropriate, usable tool for data collection on functional outcomes.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S1022-S1022
Author(s):  
Aaron T Seaman ◽  
Julia Friberg ◽  
Jenna L Adamowicz ◽  
Nicholas Kendell ◽  
Nitin A Pagedar ◽  
...  

Abstract The purpose of this study was to investigate 1) rural patients’ perceptions of their own rurality and its effects on experience of head and neck cancer survivorship, and 2) potential barriers and facilitators to survivorship care within an integrated health care delivery system of the Veterans Health Administration (VHA). Data from qualitative interviews with Veterans who have a history of head and neck cancer are presented to understand the complex ways that rurality impacts cancer survivorship. Head and neck cancer survivors must contend with specific challenges resulting from their risk factors and treatment, including access to complex medical follow up, long-term physical and psychological effects of treatment, and tobacco- and alcohol-related comorbidities. While integration within the VHA facilitates coordination of specialty and primary care and the transfer of medical information, the use of community care in rural areas presents coordination challenges, especially for survivors with comorbidities.


2012 ◽  
Vol 18 (8) ◽  
pp. 443-446 ◽  
Author(s):  
Clare L Burns ◽  
Elizabeth C Ward ◽  
Anne J Hill ◽  
Karen Malcolme ◽  
Lynell Bassett ◽  
...  

2011 ◽  
Vol 121 (S4) ◽  
pp. S158-S158
Author(s):  
Heather M Starmer ◽  
Giuseppe Sanguineti ◽  
Shanthi Marur ◽  
Christine Gourin

2017 ◽  
Vol 23 (10) ◽  
pp. 866-872 ◽  
Author(s):  
Annette Collins ◽  
Clare L Burns ◽  
Elizabeth C Ward ◽  
Tracy Comans ◽  
Claire Blake ◽  
...  

Introduction Following (chemo)radiotherapy (C/RT) for head and neck cancer (HNC), patients return to hospital for regular outpatient reviews with speech pathology (SP) and nutrition and dietetics (ND) for acute symptom monitoring, nutritional management, and swallowing and communication rehabilitation. The aim of the current study was to determine the feasibility of a home-based telehealth model for delivering SP and ND reviews, to provide patients with more convenient access to these appointments. Methods Service outcomes, costs, and consumer satisfaction were examined across 30 matched participants: 15 supported via the standard model of care (SMOC), and 15 via the home-based telehealth model of care (TMOC). Results All patients were successfully managed via telehealth. The TMOC was more efficient, with a reduced number ( p < 0.003) and duration ( p < 0.01) of appointments required until discharge. Significant patient cost savings ( p = 0.002) were reported for the TMOC due to decreased travel requirements. While staff costs were reduced, additional telehealth equipment levies resulted in a lower but non-significant overall cost difference to the health service when using the TMOC. High satisfaction was reported by all participants attending the TMOC. Discussion The findings support the feasibility of a home-based telehealth model for conducting SP and ND reviews post C/RT for HNC.


2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Muhammad Waqar ◽  
Muhammad Nawaz Abro ◽  
Quratulain Soomro ◽  
Muhammad Shahban ◽  
Sardar Khatoon

2011 ◽  
Vol 121 (10) ◽  
pp. 2131-2135 ◽  
Author(s):  
Heather Starmer ◽  
Giuseppe Sanguineti ◽  
Shanthi Marur ◽  
Christine G. Gourin

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