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Speech and language therapy caseloads in seven districts in the UK.

Journal of management in medicine 1999年第1期13卷 23-32页

作者： van der Gaag, A. McLoone, P. Reid, D. Department of Speech and Language Therapy University of Strathclyde Scotland United Kingdom

This paper provides managers and clinicians with an analysis of routine data collected by seven speech and language therapy services in the UK. Managers in seven districts in the UK of varying size and location were asked to provide information on referrals, waiting times and attendances during the six month period, and to give a breakdown of the types of intervention offered and type of clients seen. These data were aggregated and comparisons were made with existing data on speech and language therapy services. The results revealed considerable variations in prevalence, staffing ratios and client management practices. The implications for service planning are discussed.

关键词：人员配备和时间安排/统计学和数值数据转诊和会诊/利用言语疗法/组织和管理言语疗法/统计学和数值数据公费医疗/利用时间和运动研究预约名单工作负荷量/统计学和数值数据男(雄)性

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Addressing the needs of a clinical service in the operational constraints of commissioning

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 66-71页

作者： Kot, Anne Hanchet, Sarah City and Hackney Community Services NHS Trust St. Leonard's Primary Care Centre London N1 5LZ Nuttall Street United Kingdom

Limited resources, increased demand and current commissioning structures has put the rationalisation of health care high on the agenda. Any prioritisation process needs to be clinically led and client driven so reactive ad hoc arrangements are minimised and structures for good practice enabled. This paper argues that the current context be used as an opportunity to critically evaluate the services speech and language therapy aim to provide. By defining our aims and demonstrating the range and boundaries of our effect we can be proactive in structuring our services appropriately. Such an exercise currently underway in City and Hackney is outlined which aims to: describe an optimum structure for provision and the resources required, propose possible models within current resource and highlight the gap between the two. © 1998 Royal College of Speech & Language Therapists.

关键词：临床工作能力语言疗法/组织和管理语言疗法/标准卫生保健质量言语疗法/组织和管理言语疗法/标准儿童人类

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Prioritisation in Speech and Language Therapy departments in Scotland and Malaysia

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 102-107页

作者： Santiago, Cecilia Stansfield, Jois Department of Speech and Language Sciences Queen Margaret College Edinburgh EH12 8TS Clerwood Terrace United Kingdom

This study investigates how prioritisation in health services have influenced speech and language therapy (SLT) services in Scotland in prioritising their caseload. Additionally, it evaluates how current prioritisation systems may contribute towards the development of the SLT service in Malaysia. Health, education and social agencies in Malaysia were contacted and a literature review was conducted. Information on prioritisation systems used in Malaysia was unavailable. Prioritisation systems from seven SLT departments within Scotland were investigated, of which three SLT managers took part in semi-structured interviews. The findings show that prioritisation is influenced by a combination of factors and that the principles could only be applied to the Malaysian SLT service if consideration is given to the political, economical, social, geographical and cultural factors. © 1998 Royal College of Speech & Language Therapists.

关键词：卫生工作重点卫生服务易得程度语言疗法/组织和管理马来西亚病人遴选苏格兰言语疗法/组织和管理人类

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Setting speech and language therapy priorities: Theory and practice

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 90-95页

作者： Rice, Ann Portsmouth HealthCare NHS Trust St. Mary's Hospital Milton Portsmouth PO3 6AD United Kingdom

Within speech and language therapy (SLT) systems for prioritising treatment waiting lists are emerging in response to demand exceeding resources and difficult decisions having to be made. This study evaluates the theoretical issues, the methods and criteria SLTs use to prioritise caseloads and the relationship between priority setting at the clinical, provider and purchaser levels. The results indicate that there is consensus about the priority criteria SLTs use and that the criteria can be ethically defended. Consensus is also found between SLTs and the purchasers and provider interviewed regarding the priority criteria that are valued but the relatively 'sophisticated' systems that exist at the clinical level are not reflected at these levels of the organisation. Three criteria are identified as being of relatively more importance and a framework for good practice is proposed. © 1998 Royal College of Speech & Language Therapists.

关键词：伦理学职业语言疗法/组织和管理语言疗法/标准病人遴选言语疗法/组织和管理言语疗法/标准人类

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Case weighting in a speech and language therapy service

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 176-179页

作者： Papathanasiou, Ilias Heron, Chris National Hospital for Neurology and Neurosurgery London E9 6SR United Kingdom Institute of Neurology University of London London E9 6SR United Kingdom Homerton Hospital NHS Trust London E9 6SR Homerton Row United Kingdom

This study present an approach designed to calculate input provided by a speech and language therapy service. A case weighting system was developed in order to evaluate the cost of services, predict the need for intervention, balance and prioritise the caseload among therapists. It is suggested that this approach can be use widely in clinical practice. © 1998 Royal College of Speech & Language Therapists.

关键词：脑血管障碍/康复评价研究语言疗法/经济学语言疗法/组织和管理言语疗法/经济学言语疗法/组织和管理治疗结果工作负荷量人类

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Three into one will go! Collaborative practice in practice

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 72-74页

作者： Le May, Mandy Dodsley, Isobell Anderson, Helen Department of Speech and Language Therapy Crown House Cannock Staffordshire WS11 1JP Beecroft Road United Kingdom

This paper is concerned with three speech and language therapy services from neighbouring NHS trusts and the single education authority they all share. The authors have always been committed to working collaboratively with local services but found the competitive health care environment of the late 1980s and early 1990s often made this difficult. It describes how the three services came together to identify common service issues for children of school-age with speech and language difficulties and how these were addressed. © 1998 Royal College of Speech & Language Therapists.

关键词：年龄因素英格兰预测职业间关系语言疗法/组织和管理言语疗法/组织和管理公费医疗/经济学公费医疗/组织和管理儿童人类

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