{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T19:31:51Z","timestamp":1792524711756,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,1,22]],"date-time":"2022-01-22T00:00:00Z","timestamp":1642809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Individuals with head and neck cancer residing in rural areas face numerous challenges accessing post\u2010acute rehabilitation services, including speech pathology services. In order to inform future service enhancements, the key issues impacting access to, and the provision of, speech pathology head and neck cancer services in rural areas was explored through the perspectives of patients, carers, speech pathology clinicians and service managers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A rural health referral network in Queensland consisting of tertiary, regional and remote hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Twenty\u2010eight participants, including 12 speech pathology staff\/managers and 16 consumers (people with head and neck cancer\/carers).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative methodology using semi\u2010structured interviews was analysed using content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two themes were identified from the consumer group including (a) navigating health services for head and neck cancer management and (b) burden of accessing head and neck cancer care. Speech pathology staff\/managers interviews raised 3 themes: (a) transfer of care and access to local services, (b) workforce and workload and (c) travelling impacts the service our patients can receive. An integrative theme across both groups highlighted the perceived disparity in health care access that existed for people with head and neck cancer in rural areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In rural areas, consumers face multiple barriers navigating the head and neck cancer treatment pathway, while health services encounter specific challenges ensuring access and equity in care. Despite the complexities, possible avenues for service change and service enhancement are proposed. Speech pathology services in rural areas need to proactively evaluate services and address existing disparities in order to enact positive change for people with head and neck cancer living outside metropolitan locations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12829","type":"journal-article","created":{"date-parts":[[2022,1,22]],"date-time":"2022-01-22T16:04:11Z","timestamp":1642867451000},"page":"175-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Clinician and consumer perceptions of head and neck cancer services in rural areas: Implications for speech pathology service delivery"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7998-5372","authenticated-orcid":false,"given":"Jasmine","family":"Foley","sequence":"first","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Nund","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Ward","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"},{"name":"Centre of Functioning and Health Research Metro South Hospital and Health Service  Brisbane OLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare L.","family":"Burns","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"},{"name":"Speech Pathology Department The Royal Brisbane and Women's Hospital Queensland Health  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurelie R.","family":"Wishart","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"},{"name":"Centre of Functioning and Health Research Metro South Hospital and Health Service  Brisbane OLD Australia"},{"name":"Princess Alexandra Hospital Metro South Hospital and Health Service  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicky","family":"Graham","sequence":"additional","affiliation":[{"name":"Speech Pathology Department The Mount Isa Hospital North West Hospital and Health Service  Mount Isa QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey","family":"Patterson","sequence":"additional","affiliation":[{"name":"Speech Pathology Department Children\u02bcs Health Queensland Hospital and Health Service Wondai Hospital  Wondai QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Ashley","sequence":"additional","affiliation":[{"name":"Speech Pathology Department Children\u02bcs Health Queensland Hospital and Health Service Wondai Hospital  Wondai QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Fink","sequence":"additional","affiliation":[{"name":"Speech Pathology Department Children\u02bcs Health Queensland Hospital and Health Service Wondai Hospital  Wondai QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Tiavaasue","sequence":"additional","affiliation":[{"name":"Speech Pathology Department The Townsville University Hospital The Townsville Hospital and Health Service  Townsville QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Comben","sequence":"additional","affiliation":[{"name":"Speech Pathology Department Children\u02bcs Health Queensland Hospital and Health Service Wondai Hospital  Wondai QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12106"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djh255"},{"key":"e_1_2_12_4_1","volume-title":"From Cancer Patient to Cancer Survivor \u2010 Lost in Transition: An American Society of Clinical Oncology and Institute of Medicine Symposium","author":"Hewitt M","year":"2006"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7547-11-7"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-65421-8"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2014.11.006"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24916"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21899"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2013.11.105"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2016.11.009"},{"key":"e_1_2_12_12_1","volume-title":". Advancing Rural and Remote Health Service Delivery through Workforce: A Strategy for Queensland 2017\u20132020","author":"Queensland Health","year":"2017"},{"key":"e_1_2_12_13_1","volume-title":"Rural & Remote Health","author":"Australian Institute of Health and Welfare","year":"2019"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14417040500125277"},{"key":"e_1_2_12_15_1","unstructured":"Australian Bureau of StatisticsCensus of Population and Housing: Reflecting Australia \u2010 Stories from the Census 2016. Australian Government 2016.https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/Lookup\/2071.0main+features1132016. Accessed 20 March 2019."},{"key":"e_1_2_12_16_1","volume-title":"Planning for Australia's Future Population","author":"Australian Government","year":"2019"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2016.1159334"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2012.gth104"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24706"},{"key":"e_1_2_12_20_1","volume-title":"Cancer Care Statewide Health Service Strategy 2014","author":"Queensland Health","year":"2014"},{"key":"e_1_2_12_21_1","volume-title":"The Allied Health Integrated Regional Pathway and Guide: Head and Neck Cancer Patients","author":"Queensland Health","year":"2014"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-2081(00)80008-X"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_2_12_24_1","unstructured":"Australian Bureau of Statistics.Australian Statistical Geography Standard (ASGS).Australian Government;2018.https:\/\/www.abs.gov.au\/websitedbs\/d3310114.nsf\/home\/australian+statistical+geography+standard+(asgs). Accessed 2019 4 March."},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_12_26_1","unstructured":"QSR International Pty Ltd. NVivo (Version 12);2018."},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13138"},{"key":"e_1_2_12_28_1","volume-title":"Optimal Care Pathway for People with Head and Neck Cancers","author":"Cancer Council Australia","year":"2016"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.050623"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2011.07.026"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1270-1"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12071"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2013.861869"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15617887"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2016.01.004"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601166"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH050211"},{"key":"e_1_2_12_38_1","volume-title":"Clinical Guidelines: Dysphagia","year":"2012"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-11-66"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.1996.tb00194.x"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/030802260006301106"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/07325223.2017.1377663"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S84557"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41077-019-0113-x"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.5195\/ijt.2013.6128"},{"issue":"8","key":"e_1_2_12_46_1","first-page":"S77","article-title":"\u201cBeyond workforce\u201d: a systemic solution for health service provision in small rural and remote communities","volume":"188","author":"Humphreys JS","year":"2008","journal-title":"Med J Aust"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-276"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.3954"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.2007.00847.x"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.12829","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajr.12829","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.12829","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T01:54:07Z","timestamp":1692842047000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.12829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,22]]},"references-count":48,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1111\/ajr.12829"],"URL":"https:\/\/doi.org\/10.1111\/ajr.12829","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,22]]},"assertion":[{"value":"2021-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}