成人吞咽困难服务在急性和亚急性设置在新加坡

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Flora M. M. Poon, Elizabeth C. Ward, Clare L. Burns
{"title":"成人吞咽困难服务在急性和亚急性设置在新加坡","authors":"Flora M. M. Poon, Elizabeth C. Ward, Clare L. Burns","doi":"10.1080/2050571x.2023.2240988","DOIUrl":null,"url":null,"abstract":"International studies examining dysphagia management have identified that a degree of practice variability exists globally, with multiple factors within the local health service context influencing the nature of services. Understanding current practices and service inefficiencies is a foundational step for service optimization. Thus, this study aimed to understand service characteristics and issues associated with adult dysphagia service provision within acute and subacute settings in Singapore. Two online anonymous surveys were conducted with: (a) managers to explore practice documents used to guide dysphagia services, and (b) speech-language pathologists (SLPs) to understand dysphagia practices and service issues. Data were analyzed using descriptive statistics and content analysis. Responses from 12 managers and 68 SLPs working in acute and subacute settings were analyzed. There was a lack of national practice documents to guide dysphagia clinical training and service provision, and services were generally guided by internal documents. Despite this, dysphagia services were similar across acute and subacute settings. However, differences between settings were identified in screening and instrumental assessments services, perceived rehabilitation intensity, perceived rehabilitation adherence among patients, and extent of challenges with onward referrals. Whilst Singapore’s dysphagia services were largely aligned with other countries, challenges unique to the Singapore context was found relating to enteral feeding management, language barrier, financing framework, and care transitions. These findings build on the knowledge of dysphagia practices internationally, and provide direction for service optimization in Singapore.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adult dysphagia services in acute and subacute settings in Singapore\",\"authors\":\"Flora M. M. Poon, Elizabeth C. Ward, Clare L. Burns\",\"doi\":\"10.1080/2050571x.2023.2240988\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"International studies examining dysphagia management have identified that a degree of practice variability exists globally, with multiple factors within the local health service context influencing the nature of services. Understanding current practices and service inefficiencies is a foundational step for service optimization. Thus, this study aimed to understand service characteristics and issues associated with adult dysphagia service provision within acute and subacute settings in Singapore. Two online anonymous surveys were conducted with: (a) managers to explore practice documents used to guide dysphagia services, and (b) speech-language pathologists (SLPs) to understand dysphagia practices and service issues. Data were analyzed using descriptive statistics and content analysis. Responses from 12 managers and 68 SLPs working in acute and subacute settings were analyzed. There was a lack of national practice documents to guide dysphagia clinical training and service provision, and services were generally guided by internal documents. Despite this, dysphagia services were similar across acute and subacute settings. However, differences between settings were identified in screening and instrumental assessments services, perceived rehabilitation intensity, perceived rehabilitation adherence among patients, and extent of challenges with onward referrals. Whilst Singapore’s dysphagia services were largely aligned with other countries, challenges unique to the Singapore context was found relating to enteral feeding management, language barrier, financing framework, and care transitions. These findings build on the knowledge of dysphagia practices internationally, and provide direction for service optimization in Singapore.\",\"PeriodicalId\":43000,\"journal\":{\"name\":\"Speech Language and Hearing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2023-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Speech Language and Hearing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/2050571x.2023.2240988\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Speech Language and Hearing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/2050571x.2023.2240988","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

检查吞咽困难管理的国际研究发现,全球范围内存在一定程度的实践差异,当地卫生服务环境中的多种因素影响着服务的性质。了解当前的实践和服务效率低下是服务优化的基础步骤。因此,本研究旨在了解新加坡急性和亚急性环境下成人吞咽困难服务提供的服务特征和相关问题。进行了两项在线匿名调查:(a)管理人员探索用于指导吞咽困难服务的实践文件,(b)语言病理学家(slp)了解吞咽困难的实践和服务问题。数据分析采用描述性统计和内容分析。分析了12名管理人员和68名在急性和亚急性环境中工作的slp的反应。缺乏指导吞咽困难临床培训和服务提供的国家实践文件,服务一般以内部文件为指导。尽管如此,急性和亚急性情况下的吞咽困难服务是相似的。然而,在筛查和工具评估服务、感知康复强度、患者感知康复依从性以及后续转诊的挑战程度方面,确定了不同设置之间的差异。虽然新加坡的吞咽困难服务在很大程度上与其他国家保持一致,但在肠内喂养管理、语言障碍、融资框架和护理过渡方面,新加坡面临着独特的挑战。这些发现建立在对国际上吞咽困难实践的了解的基础上,并为新加坡的服务优化提供了方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adult dysphagia services in acute and subacute settings in Singapore
International studies examining dysphagia management have identified that a degree of practice variability exists globally, with multiple factors within the local health service context influencing the nature of services. Understanding current practices and service inefficiencies is a foundational step for service optimization. Thus, this study aimed to understand service characteristics and issues associated with adult dysphagia service provision within acute and subacute settings in Singapore. Two online anonymous surveys were conducted with: (a) managers to explore practice documents used to guide dysphagia services, and (b) speech-language pathologists (SLPs) to understand dysphagia practices and service issues. Data were analyzed using descriptive statistics and content analysis. Responses from 12 managers and 68 SLPs working in acute and subacute settings were analyzed. There was a lack of national practice documents to guide dysphagia clinical training and service provision, and services were generally guided by internal documents. Despite this, dysphagia services were similar across acute and subacute settings. However, differences between settings were identified in screening and instrumental assessments services, perceived rehabilitation intensity, perceived rehabilitation adherence among patients, and extent of challenges with onward referrals. Whilst Singapore’s dysphagia services were largely aligned with other countries, challenges unique to the Singapore context was found relating to enteral feeding management, language barrier, financing framework, and care transitions. These findings build on the knowledge of dysphagia practices internationally, and provide direction for service optimization in Singapore.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Speech Language and Hearing
Speech Language and Hearing AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.30
自引率
6.70%
发文量
11
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信