Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5370
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dc.contributor.authorBurns, Clare Len
dc.contributor.authorWard, Elizabeth Cen
dc.contributor.authorGray, Amyen
dc.contributor.authorBaker, Lisaen
dc.contributor.authorCowie, Brookeen
dc.contributor.authorNatalie Winteren
dc.contributor.authorRusch, Rukmanien
dc.contributor.authorSaxon, Robynen
dc.contributor.authorBarnes, Sarahen
dc.contributor.authorTurvey, Jodieen
dc.date.accessioned2023-08-31T04:05:18Z-
dc.date.available2023-08-31T04:05:18Z-
dc.date.issued2019-
dc.identifier.citationBurns CL, Ward EC, Gray A, Baker L, Cowie B, Winter N, Rusch R, Saxon R, Barnes S, Turvey J. Implementation of speech pathology telepractice services for clinical swallowing assessment: An evaluation of service outcomes, costs and consumer satisfaction. J Telemed Telecare. 2019 Oct;25(9):545-551. doi: 10.1177/1357633X19873248. PMID: 31631757.en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/5370-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Natalie Winter, Rukmani Ruschen
dc.description.abstractTimely assessment of swallowing disorders (dysphagia) by speech pathologists helps minimise patient risk, optimise quality of life, and limit healthcare costs. This study involved a multi-site implementation of a validated model for conducting adult clinical swallowing assessments via telepractice and examined its service outcomes, costs and consumer satisfaction. Five hub-spoke telepractice services, encompassing 18 facilities were established across a public health service. Service implementation support, including training of the telepractice speech pathologists (T-SP) and healthcare support workers in each site, was facilitated by an experienced project officer. New referrals from spoke sites were managed by the hub T-SP as per published protocols for dysphagia assessments via telepractice. Data was collected on existing service models prior to implementation, and then patient demographics, referral information, session outcomes, costs and patient and T-SP satisfaction when using telepractice. The first 50 sessions were analysed. Referrals were predominantly for inpatients at spoke sites. Telepractice assessments were completed successfully, with only minor technical issues. Changes to patient management (i.e. food/fluid changes post assessment) to optimise safety or progress oral intake, was required for 64% of patients. Service and cost efficiencies were achieved with an average 2-day reduction in waiting time and an average cost benefit of $218 per session when using the telepractice service over standard care. High clinician and patient satisfaction was reported. Telepractice services were successfully introduced across multiple sites, and achieved service and cost benefits with high consumer satisfaction.en
dc.description.sponsorshipFunding for this study was received from the Allied Health Professions Office of Queensland: Collaborative Grant and HP Research Grant.en
dc.language.isoenen
dc.relation.ispartofJournal of Telemedicine and Telecareen
dc.subjectSwallowing assessmenten
dc.subjectDysphagiaen
dc.subjectTelepracticeen
dc.subjectTelehealthen
dc.subjectCost analysisen
dc.titleImplementation of speech pathology telepractice services for clinical swallowing assessment: An evaluation of service outcomes, costs and consumer satisfactionen
dc.typeArticleen
dc.identifier.doi10.1177/1357633X19873248-
dc.identifier.pmid31631757-
item.fulltextWith Fulltext-
item.grantfulltextopen-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.openairetypeArticle-
Appears in Sites:Cairns & Hinterland HHS Publications
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