预约因素导致儿童有言语障碍 缺失言语和语言病理学预约 预约
Jonathan M Carnino1, Lindsay R Salvati2, Henry Bayly2
1Chobanian & Avedisian School of Medicine, Boston University, Boston, MA, USA.
Clinical pediatrics
|March 5, 2024
概括
儿科语音和语言病理学 (SLP) 预约不出现是由患者的问题列表和过去的预约历史预测的,而不是人口统计数据或COVID-19锁定状态. 了解这些因素可以提高SLP预约出席率.
科学领域:
- 儿科 儿科 儿科
- 语音语言病理学 语音语言病理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿科语音语言病理学 (SLP) 服务中错过的预约对患者的护理和资源分配构成重大挑战.
- 识别阻碍持续出席的障碍对于优化语言障碍儿童治疗结果至关重要.
研究的目的:
- 调查影响儿科患者错过预约的因素,并将其转诊给语音语言病理学服务.
- 区分人口统计,物流和行为预测因素的不出现.
主要方法:
- 波士顿医疗中心对839个转诊的分析,包括人口统计数据,预约具体情况和患者问题列表.
- 使用千平方测试和后勤回归的统计分析,以确定错过预约的重要预测因素.
主要成果:
- 人口因素 (性别,种族,语言,出生地),推来源 (ENT与非ENT) 和预约类型 (面对面与远程医疗) 并没有显著影响出席率.
- COVID-19封锁状态也显示没有与错过的预约有显著的关联.
- 患者问题清单上的项目数量,之前的预约取消和之前的错过预约都是未来不出现的重要预测因素.
结论:
- 患者现有的健康负担 (问题列表) 和过去的预约遵守是预测错过儿科SLP预约的关键指标.
- 这些发现表明,干预措施应侧重于患者病史和复杂性,而不是广泛的人口或情境因素.
- 基于这些预测因素的有针对性的策略可以改善预约出席率,并加强与语音和语言病理学服务的参与.
相关概念视频
01:19Autism Spectrum Disorder
90
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
90
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
01:30Attention-Deficit/Hyperactivity Disorder
67
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
67
01:26Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72
01:28Conduct Disorder
35
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
35
01:25Elements Crucial for Effective Psychotherapy
43
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
43