Paediatric speech-language pathology service delivery: An exploratory survey of Australian parents
Paediatric speech-language pathology service delivery: An exploratory survey of Australian parents
复制标题
儿科言语病理学服务提供：对澳大利亚父母的探索性调查
DOI：
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发表时间：
2012
影响因子：
1.8
通讯作者：
Natalie Munro
中科院分区：
文献类型：
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作者：
L. Ruggero;P. Mccabe;K. Ballard;Natalie Munro
考虑客户对服务提供的价值和偏好是参与循证实践三角（E3BP）不可或缺的一部分，但迄今为止，这种偏好尚未得到充分研究。这项探索性研究通过对父母的在线调查，对澳大利亚各地的儿科语言病理学服务进行了调查，并将报告的服务交付与偏好、满意度和推荐服务交付的外部研究证据进行了比较。受访者是154对父母，他们有192个孩子，生活在澳大利亚的不同地区和社会经济地位的地区。儿童有一系列的言语和语言障碍。四分之一的儿童等了6个多月才接受初步评估。报告的会话类型、频率和长度与研究建议和家长的愿望不一致。60%的父母对自己的经历感到满意或非常满意，而27%的人不满意。定性回答揭示了以下问题：缺乏可用的、频繁的或当地的服务，等待时间长，资格的截止年龄，出院程序，以及无法负担私人服务。这些发现促使业界积极参与E3BP，包括：认识到基于证据的服务提供文献，让客户了解服务提供政策，个性化服务，并探索其他服务提供方法。
Abstract Consideration of client values and preferences for service delivery is integral to engaging with the evidence-based practice triangle (E3BP), but as yet such preferences are under-researched. This exploratory study canvassed paediatric speech-language pathology services around Australia through an online survey of parents and compared reported service delivery to preferences, satisfaction, and external research evidence on recommended service delivery. Respondents were 154 parents with 192 children, living across a range of Australian locations and socio-economic status areas. Children had a range of speech and language disorders. A quarter of children waited over 6 months to receive initial assessment. Reported session type, frequency, and length were incongruent with both research recommendations and parents’ wishes. Sixty per cent of parents were happy or very happy with their experiences, while 27% were unhappy. Qualitative responses revealed concerns such as; a lack of available, frequent, or local services, long waiting times, cut-off ages for eligibility, discharge processes, and an inability to afford private services. These findings challenge the profession to actively engage with E3BP including; being cognisant of evidence-based service delivery literature, keeping clients informed of service delivery policies, individualizing services, and exploring alternative service delivery methods.