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Treatment indicators influence speech therapy discharge time.

Marianna Avelino Tavares1, Patrícia Pupin Mandrá1, Thaís Cristina da Freiria Moretti1

  • 1Faculdade de Ceilândia, Universidade de Brasília - UnB - Brasília (DF), Brasil.

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Summary

Implementing treatment indicators for acquired neurological communication disorders significantly reduced speech therapy duration. This led to a higher discharge rate in a Brazilian medium complexity care service.

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Area of Science:

  • Neurology
  • Speech-Language Pathology

Background:

  • Acquired neurological disorders of communication require specialized speech therapy.
  • Treatment effectiveness is often measured by duration and discharge rates.
  • Implementing standardized indicators can potentially optimize care pathways.

Purpose of the Study:

  • To compare speech therapy treatment time and discharge reasons for communication disorders.
  • To evaluate the impact of treatment indicators on service delivery.
  • To analyze data from two periods: before and after indicator implementation.

Main Methods:

  • Retrospective cohort study design.
  • Analysis of 129 medical records from a medium complexity care service.
  • Comparison of data from before and after the implementation of treatment indicators.

Main Results:

  • Mean speech therapy duration decreased from 10.9 to 7.8 months post-indicator implementation.
  • A statistically significant difference in average therapy time and discharge reasons was observed.
  • 72 out of 89 users continued treatment after indicator implementation with regular reassessments.

Conclusions:

  • Treatment indicators implementation reduced average speech therapy duration for communication disorders.
  • There was an increased percentage of speech therapy discharges.
  • These findings suggest improved efficiency in a Brazilian medium complexity care setting.