在熟练护理机构的语音语言病理学服务的患者特征和治疗模式
Cait Brown1, Rachel Prusynski1, Carolyn Baylor1
1Department of Rehabilitation Medicine, University of Washington, Seattle.
American journal of speech-language pathology
|January 12, 2024
概括
在熟练护理机构 (SNFs) 的语音语言病理学 (SLP) 服务更常见的是神经诊断和功能障碍的患者. 然而,存在差异,随着通信障碍严重程度的增加,服务提供量下降.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复医学 康复医学 康复医学
- 老年医疗护理 医疗护理
背景情况:
- 熟练护理机构 (SNFs) 面临着影响语音语言病理学 (SLP) 服务的系统性挑战.
- 有限的研究存在于影响在SNF内SLP服务提供的因素.
- 大规模的行政数据集为现实世界SLP服务交付提供了洞察力.
研究的目的:
- 调查与SNF中SLP服务提供相关的患者和设施特征.
- 分析影响SNF居民使用SLP服务的因素.
- 通过使用行政数据,了解SNF环境中SLP护理的景观.
主要方法:
- 利用混合效应物流回归模型.
- 分析了代表833,653名受益人的2018年医疗保险行政数据.
- 检查了患者诊断,功能状态,设施类型和SLP服务提供之间的关联.
主要成果:
- 更高的SLP服务概率与神经病诊断,SLP相关的功能障碍以及接受其他康复服务有关.
- 在医院的SNF中观察到SLP服务的几率较低,对于需要口译的患者,以及使用值实践的患者.
- 随着沟通障碍严重程度的增加,提供服务的几率下降,并且在人口群体和地点之间显示出不同的关联.
结论:
- 临床医生似乎识别了需要SLP服务的诊断患者.
- 服务提供方面的差异以及与损伤严重程度的相关性减弱引起了临床关注.
- 卫生服务研究对于探索SNF SLP实践和促进公平护理至关重要.
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