成人语音和语言疗法设置中使用的优先级系统:范围审查
Orla Gilheaney1, Carolyn Hulbert1, Roisin Cullen1
1Department of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland.
International journal of language & communication disorders
|September 16, 2025
概括
语音语言治疗 (SLT) 优先级系统 (PS) 缺乏基于证据的指导方针,导致资源分配不一致. 需要进一步的研究来开发标准化,有效的PS,以改善患者护理.
科学领域:
- 医疗保健管理的管理
- 临床实践 临床实践
- 语音和语言治疗治疗
背景情况:
- 越来越多的语音和语言治疗 (SLT) 服务需求往往超过了资源,需要有效的优先级系统 (PS).
- 对于成年SLT环境中的基于证据的PS存在有限的研究,风险是不一致的做法和资源分配不平等.
- 目前的优先考虑通常依赖于临床判断或非标准化的方法,可能会影响患者的治疗结果.
研究的目的:
- 确定成人SLT设置中使用的优先级系统 (PS).
- 确定在这些环境中开发和实施有效的公共公共服务的促进者和障碍.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在六个学术数据库,专业机构网站和国家卫生服务网站上进行了搜索.
- 数据被绘制成图表,由两个独立研究人员完成了批判性评估.
主要成果:
- 在60%的研究中,缺食症是优先考虑的,通常是由于医疗影响而导致的沟通缺陷.
- 大多数研究 (60-80%) 并没有针对PS开发/实施的促进者或障碍.
- 非标准化系统,临床判断或转案命令通常用于优先级.
结论:
- 在成年SLT环境中存在明显缺乏基于证据和标准化的PS.
- 需要进一步的研究来确定影响临床优先级的因素.
- 开发和实施以证据为基础的PS对于最佳实践至关重要,改善患者护理,经验和结果.
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