调整或不调整:语音语言病理学的公共资金模式是否反映了推的证据? 澳大利亚语音语言病理学家的探索性调查
T Nickless1,2, B Davidson1, S Finch3
1Department of Audiology & Speech Pathology, The University of Melbourne, Australia.
Health policy OPEN
|March 21, 2024
概括
澳大利亚的公共资金模式往往无法与儿科语音语言病理学 (SLP) 服务的科学证据保持一致. 与其他计划相比,医疗保险慢性疾病管理计划的证据一致性明显较低.
科学领域:
- 语音语言病理学 语音语言病理学
- 儿科健康 儿科健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 政府补贴对于澳大利亚儿童获得私人语音语言病理学 (SLP) 服务至关重要.
- 了解公共资金模式 (PFM) 与科学证据的协调对于有效的儿科护理至关重要.
研究的目的:
- 从提供者的角度来看,评估当代澳大利亚PFM与最好的科学证据的一致性.
- 为了比较私人实践中不同PFM对儿科语音和吞障碍的证据对齐.
主要方法:
- 一项探索性在线调查分发给澳大利亚各地的儿科语音语言病理学家.
- 分析了121个有效的调查,使用混合效应逻辑回归来比较三个熟悉的PFM.
主要成果:
- 感知到的证据一致性在PFM之间有显著的差异.
- 医疗保险慢性疾病管理计划 (MBS_CDMP) 与国家残疾保险计划相比,未能与证据保持一致的可能性是4.92倍.
- 与Medicare的帮助自闭症儿童倡议相比,MBS_CDMP的未能与证据保持一致的可能性也高出7.40倍.
结论:
- 这项研究首次报告了澳大利亚PFM与儿科SLP服务的科学证据之间的一致性.
- 当代七分之四的PFM对被调查的语音语言病理学家来说并不熟悉.
- MBS_CDMP显示未能与最佳SLP管理的证据基础保持一致.
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