“It's the Exact Same Treatment … Except Only 5 Min Away”: A <scp>RE</scp> ‐ <scp>AIM</scp> Evaluation of a Speech‐Language Pathology Shared‐Care Model for Rural Patients With Head and Neck Cancer

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.