“Many wasted months”: Stakeholders’ perspectives about waiting for speech-language pathology services
“Many wasted months”: Stakeholders’ perspectives about waiting for speech-language pathology services
复制标题
“浪费了很多个月”：利益相关者对等待言语病理学服务的看法
DOI：
10.1080/17549507.2020.1747541
复制
发表时间：
2020
影响因子：
1.8
通讯作者：
S. Mcleod
中科院分区：
文献类型：
--
作者：
N. McGill;K. Crowe;S. Mcleod
摘要目的：对语言病理学服务的高需求反映在漫长的等待名单中。等待可以是主动的，也可以是被动的，对利益相关者有影响，包括消费者、专业人士和组织。本研究通过分析利益相关者向澳大利亚政府参议院调查提交的书面意见，探讨了等待语言病理学服务的经验和观点。方法：对337份书面报告进行筛选，以寻找与等待相关的术语。纳入的意见书（n = 133）由组织（36.8%）、语言病理学家（29.3%）、父母（27.8%）、有沟通和/或吞咽困难的个人（5.3%）和其他人撰写。结果：归纳主题性分析确定了三个主题性。(1)持续时间。一直被描述为长。(2)后果。消费者的后果包括：对身体健康、财务、时间、情感健康和人际关系造成负担，降低了护理的连续性，并增加了干预需求。职业后果包括：压力和倦怠影响工作满意度，降低工作效率。社会后果包括：社会和道德负担，以及对卫生和法律系统的消耗。(3)行动。消费者倡导并寻求替代方案（例如，威胁伤害他们的孩子，搬迁到首都城市），专业人员实施服务提供和政策行动，组织缺乏有效的全系统战略。结论：现有的服务似乎没有满足利益相关者的需求。需要采取行动，改善言语语言病理学的等候名单和获得服务的机会，并尽量减少对利益攸关方可能造成的后果。
Abstract Purpose: High demand for speech-language pathology services is reflected in long waiting lists. Waiting can be active or passive and has implications for stakeholders, including consumers, professionals, and organisations. The present study explored experiences and perspectives regarding waiting for speech-language pathology services through analysis of stakeholders’ written submissions to an Australian Government Senate Inquiry. Method: Written submissions (n = 337) were screened for terms related to waiting. Included submissions (n = 133) were written by organisations (36.8%), speech-language pathologists (29.3%), parents (27.8%), individuals with communication and/or swallowing difficulties (5.3%), and others. Result: Inductive thematic analysis identified three themes. (1) Duration. Consistently described as long. (2) Consequences. Consumers’ consequences included: burden on physical health, finances, time, emotional wellbeing, and relationships, reduced continuity of care, and increased intervention needs. Professional consequences included: stress and burnout impacting job satisfaction, and reduced effectiveness. Societal consequences included: social and ethical burden, and a drain on health and legal systems. (3) Actions. Consumers advocated and sought alternatives (e.g. threats to harm their child, relocation to a capital city), professionals implemented service delivery and policy actions, and organisations lacked effective system-wide strategies. Conclusion: Existing services did not appear to meet stakeholders’ needs. Action is needed to improve speech-language pathology waiting lists and access to services, and minimise possible consequences for stakeholders.
DOI：
--
发表时间：
2006
期刊：
第2回国際ユニヴァーサルデザイン会議proceedings
影响因子：
--
作者：
平井康之;冨本浩一郎;Rama Gheerawo
通讯作者：
Rama Gheerawo
DOI：
10.1177/0046958017739527
发表时间：
2017-01
期刊：
Inquiry : a journal of medical care organization, provision and financing
影响因子：
--
作者：
Xie Z;Or C
通讯作者：
Or C