{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T13:47:27Z","timestamp":1745502447217,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale<\/jats:title><jats:p>Head and neck surgery services are increasingly being centralised in Australia. Outreach models can overcome burdens of travel that patients in regional and rural areas experience when attending routine appointments, by providing services closer to home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore patient\u2010reported experiences and satisfaction with regional outreach services for head and neck surgery in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who attended two regional outreach clinics in New South Wales (NSW), Australia, were surveyed over a 6\u2010month period. Patients completed the Outpatient Cancer Clinics Survey (2020 version) that explored perceptions and experiences of the clinic. Patients with cancer were asked to complete the Edmonton Symptom Assessment System and the Communication and Attitudinal Self\u2010Efficacy scale. Descriptive statistics and analysis of data was performed, and results were compared to the NSW statewide Outpatient Cancer Clinics Survey (2020). Content analysis of free text responses was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Some 128 patients responded (56% response rate; mean age 67.2 years, 46.1% female). Compared to the 2020 NSW survey, a higher proportion of patients in our cohort responded positively to 14 of the 26 questions, with the greatest differences observed for questions regarding waiting area comfort (+12.1%, <jats:italic>p<\/jats:italic>\u2009=\u20090.008), being informed about different treatment options (+9.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.04), and issues relating to parking (+9.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.03). A lower proportion of our sample responded positively to the question about whether health professionals knew enough about their medical history (\u221219.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Respondents appreciated having a local clinic that helped them avoid travel to major cities and associated expenses and highlighted benefits of expert consultation and timeliness of investigations. However, cost of appointments and level of reimbursements remain barriers for some patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients had a high level of satisfaction with regional outreach clinics for head and neck surgery across most domains, indicating patients highly value this service.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.13918","type":"journal-article","created":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T06:02:03Z","timestamp":1692770523000},"page":"1302-1313","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient\u2010reported experiences and satisfaction with head and neck surgery outreach clinics in regional New South Wales, Australia: A cross\u2010sectional survey"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6493-7933","authenticated-orcid":false,"given":"Rebecca L.","family":"Venchiarutti","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Sydney School of Public Health The University of Sydney Camperdown New South Wales Australia"},{"name":"RPA Institute of Academic Surgery Sydney Local Health District Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9342-5061","authenticated-orcid":false,"given":"Ashleigh R.","family":"Sharman","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tania","family":"Dawson","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"RPA Institute of Academic Surgery Sydney Local Health District Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan R.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"RPA Institute of Academic Surgery Sydney Local Health District Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten E.","family":"Palme","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse Camperdown New South Wales Australia"},{"name":"RPA Institute of Academic Surgery Sydney Local Health District Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkw060"},{"key":"e_1_2_10_3_1","unstructured":"Australian Institute of Health and Welfare. Australia's health 2018. AIHW2018. Australia's health series no. 16. AUS 221. Accessed September 29 2022.https:\/\/www.aihw.gov.au\/getmedia\/31d2844d-323e-400a-875e-e9183fafdfad\/aihw-aus-221-chapter-7-17.pdf.aspx"},{"key":"e_1_2_10_4_1","unstructured":"NHS Care Quality Commission. NHS patient surveys.2022. Accessed September\u00a029 2022.https:\/\/nhssurveys.org\/"},{"key":"e_1_2_10_5_1","unstructured":"Agency for Healthcare Research and Quality. CAHPS patient experience surveys and guidance.2022. Accessed September 29 2022.\u00a0https:\/\/www.ahrq.gov\/cahps\/surveys-guidance\/index.html"},{"key":"e_1_2_10_6_1","unstructured":"Australian Commission on Safety and Quality in Health Care. Australian hospital patient experience question set.2022. Accessed September 29 2022.https:\/\/www.safetyandquality.gov.au\/our-work\/indicators-measurement-and-reporting\/australian-hospital-patient-experience-question-set"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0135027"},{"key":"e_1_2_10_8_1","unstructured":"Australian Institute of Health and Welfare. Rural & remote health. Accessed September 29 2022.https:\/\/www.aihw.gov.au\/reports\/rural-remote-australians\/rural-and-remote-health"},{"key":"e_1_2_10_9_1","article-title":"Is fly in\/fly out (FIFO) a viable interim solution to address remote medical workforce shortages?","volume":"12","author":"Margolis SA","year":"2012","journal-title":"Rural Remote Health"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/ajo.2019.04.01"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2341-x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10081391"},{"volume-title":"Outpatient Cancer Clinics: Results from the 2020 patient survey","year":"2021","author":"Bureau of Health Information","key":"e_1_2_10_13_1"},{"key":"e_1_2_10_14_1","first-page":"1","article-title":"Travel\u2010associated cost savings to patients and the health system through provision of specialist head and neck surgery outreach clinics in rural New South Wales, Australia","author":"Venchiarutti RL","year":"2023","journal-title":"Aust J Rural Health"},{"key":"e_1_2_10_15_1","unstructured":"Australian Bureau of Statistics. Snapshot of New South Wales.2022. Accessed January 19 2023.https:\/\/www.abs.gov.au\/articles\/snapshot-nsw-2021"},{"key":"e_1_2_10_16_1","unstructured":"NSW Parliamentary Research Service. Regional NSW: a demographic and economic snapshot. NSW Parliament;2020. Briefing Paper No 01\/2020. Accessed March 2 2022.https:\/\/www.parliament.nsw.gov.au\/researchpapers\/Documents\/Regional%20NSW%20Snapshot.pdf"},{"key":"e_1_2_10_17_1","unstructured":"Bureau of Health Information. Outpatient cancer clinic survey.2022. Accessed September\u00a022 2022.https:\/\/www.bhi.nsw.gov.au\/nsw_patient_survey_program\/outpatient_cancer_clinics_survey"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.370"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585979100700202"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2004.09.005"},{"volume-title":"Healthcare in Focus 2011: How Well Does NSW Perform? An International Comparison","year":"2011","author":"Bureau of Health Information","key":"e_1_2_10_21_1"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-022-01204-0"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2016.0036"},{"volume-title":"Coordination of Health Care: Experiences of Barriers to Accessing Health Services Among Patients Aged 45 and Over","year":"2016","author":"Australian Institute of Health and Welfare","key":"e_1_2_10_25_1"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12096"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2004.11.007"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199902000-00010"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10761"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00306-3"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00242-2"},{"key":"e_1_2_10_32_1","unstructured":"Australian Institute of Health and Welfare. Australia's health: rural and remote populations. 2018.\u00a0Accessed January 23 2023.https:\/\/www.aihw.gov.au\/getmedia\/0c0bc98b-5e4d-4826-af7f-b300731fb447\/aihw-aus-221-chapter-5-2.pdf.aspx"},{"key":"e_1_2_10_33_1","unstructured":"Royal Australian College of Surgeons. Rural health equity.2020.\u00a0Accessed January 23 2023.https:\/\/www.surgeons.org\/-\/media\/Project\/RACS\/surgeons-org\/files\/interest-groups-sections\/Rural-Surgery\/RPT-Rural-Health-Equity-Public-FINAL.pdf?rev=1709767dffbd48cda7dbfa3c053c6b58&hash=717809CD51D32CE7F4C927E883515ECE"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12171"},{"key":"e_1_2_10_35_1","unstructured":"Bureau of Health Information. Outpatient cancer clinics survey 2020 technical supplement Sydney. November 2021.\u00a0Accessed January 23 2023.https:\/\/www.bhi.nsw.gov.au\/__data\/assets\/pdf_file\/0010\/690463\/BHI_OCCS_2020_TECH_SUPP.pdf"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.13918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T04:52:31Z","timestamp":1699937551000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.13918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,22]]},"references-count":34,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1111\/jep.13918"],"URL":"https:\/\/doi.org\/10.1111\/jep.13918","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"type":"print","value":"1356-1294"},{"type":"electronic","value":"1365-2753"}],"subject":[],"published":{"date-parts":[[2023,8,22]]},"assertion":[{"value":"2023-05-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}