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Related Experiment Videos

Setting speech and language therapy priorities: theory and practice.

A Rice1

  • 1Portsmouth HealthCare NHS Trust, St. Mary's Hospital, Milton.

International Journal of Language & Communication Disorders
|May 27, 1999
PubMed
Summary

Speech and language therapy (SLT) prioritisation criteria are ethically sound and agreed upon by clinicians and purchasers. However, sophisticated clinical systems are not reflected at higher organizational levels.

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Area of Science:

  • Healthcare Management
  • Speech and Language Therapy
  • Health Economics

Background:

  • Increasing demand for speech and language therapy (SLT) services necessitates effective treatment prioritization.
  • Resource limitations in healthcare require robust systems for managing patient waiting lists.
  • Ethical considerations are paramount when making decisions about healthcare access.

Purpose of the Study:

  • To evaluate the theoretical underpinnings of priority setting in SLT.
  • To examine the methods and criteria used by SLTs for caseload prioritization.
  • To explore the alignment of priority setting across clinical, provider, and purchaser levels.

Main Methods:

  • Qualitative analysis of theoretical issues in prioritization.
  • Survey or interview-based assessment of SLT prioritization criteria.

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  • Comparative analysis of prioritization practices at different organizational levels.

    • Main Results:

    • Strong consensus exists among SLTs regarding ethically defensible prioritization criteria.
    • Agreement on valued prioritization criteria is found between SLTs, purchasers, and providers.
    • Clinical-level prioritization systems are more sophisticated than those at provider and purchaser levels.

    Conclusions:

    • SLT prioritization criteria are ethically justifiable and widely accepted.
    • A gap exists in the sophistication of prioritization systems between clinical practice and organizational oversight.
    • A proposed framework for good practice in healthcare prioritization is identified.