Time to Measure:A Proposed Theoretical Model for Head and Neck Cancer Intervals of CareOA
Head and neck cancer care delays are challenging,given the complexity of cancer care pathways,which leads to delays throughout the patient journey,from the symptom onset to treatment completion.Current models and literature addressing cancer care are limited by heterogeneous definitions of care intervals,a focus on specific aspects of the patient journey instead of the whole care continuum,and limited use of implementation science to target gaps in implementing evidence-based interventions.Here,we propose the Head and Neck Cancer TImely aCess TO Care Model as an approach to conceptualize,measure,and address delays in diverse health systems.
Mary Jue Xu;Hannah Decker;Arianne Abreu;Rolvix HPatterson;Hirwa Nteyumwete;Pier-Luc Beaudoin;David WHamilton;Aslam Nkya;Willybroad Massawe;Nicholas Correia;Furahini Yoram Paulo;Katherine Van Loon;Susan DEmmett;Christina Reaves;Samuel Okerosi
Department of Otolaryngology-Head and Neck Surgery,University of California San Francisco,San Francisco,California,USA Global Otolaryngology-Head and Neck Surgery,Chicago,Illinois,USADepartment of Surgery,University of California San Francisco,San Francisco,California,USAGlobal Otolaryngology-Head and Neck Surgery,Chicago,Illinois,USA Department of Otolaryngology-Head and Neck Surgery,Philadelphia College of Osteopathic Medicine,Philadelphia,Pennsylvania,USAGlobal Otolaryngology-Head and Neck Surgery,Chicago,Illinois,USA Department of Head and Neck Surgery&Communication Sciences,Duke University,Durham,North Carolina,USADepartment of ENT,College of Medicine and Health Sciences,University of Rwanda,Kigali,RwandaDepartment of Surgery,Universitéde Montréal,Montreal,CanadaDepartment of Otolaryngology-Head and Neck Surgery,The Newcastle upon Tyne Hospitals,NHS Foundation Trust,Newcastle upon Tyne,UKDepartment of Otolaryngology-Head&Neck Surgery,Muhimbili National Hospital,Dar es Salaam,TanzaniaDepartment of Otolaryngology-Head&Neck Surgery,Muhimbili National Hospital,Dar es Salaam,TanzaniaSchool of Medicine,University of California San Francisco,San Francisco,California,USADepartment of Clinical Oncology,Muhimbili University of Health and Allied Sciences,Dar es Salaam,TanzaniaDivision of Hematology and Oncology,Department of Medicine,University of California,San Francisco,San Francisco,California,USACenter for Hearing Health Equity,University of Arkansas for Medical Sciences,Little Rock,Arkansas,USA Department of Otolaryngology-Head and Neck Surgery,University of Arkansas for Medical Sciences,Little Rock,Arkansas,USA Department of Epidemiology,Fay W.Boozman College of Public Health,University of Arkansas for Medical Sciences,Little Rock,Arkansas,USACenter for Hearing Health Equity,University of Arkansas for Medical Sciences,Little Rock,Arkansas,USAGlobal Otolaryngology-Head and Neck Surgery,Chicago,Illinois,USA Ear Nose and Throat Department,Kenyatta National Hospital,Nairobi,Kenya
医药卫生
delayshead and neck cancerimplementation science
《World Journal of Otorhinolaryngology-Head and Neck Surgery》 2026 (3)
P.374-378,5
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