The telehealth surge: Speech-language pathology mode of service delivery and consumer characteristics during COVID-19.

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY International Journal of Speech-Language Pathology Pub Date : 2024-09-01 DOI:10.1080/17549507.2024.2388061
Vincent Learnihan, Sue-Ellen Hogg, Kimberley Davis
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Abstract

Purpose: To examine the characteristics of speech-language pathology (SLP) consumers prior to and during the COVID-19 pandemic, with respect to the mode of service delivery within a local health district in New South Wales, Australia, to inform future health service planning.

Method: Observational study examining SLP occasions of service data pre-COVID-19 (2019-2019; n = 6413) and during the COVID-19 pandemic (2020-2021; n = 6908). Spatial mapping and multilevel models were used to examine associations between sociodemographic characteristics, telehealth utilisation, and videoconferencing.

Result: During COVID-19, SLP occasions of service increased by 7.7% compared to pre-COVID-19. Model 1 found odds of adopting telehealth (telephone or videoconference) during COVID-19 were significantly higher for those aged 0-4 and 5-17 years compared to older age groups. Consumers in inner regional areas were significantly less likely to adopt telehealth than in major city areas, whereas females were significantly more likely to adopt telehealth. Those living in areas experiencing higher relative disadvantage were less likely to use telehealth. Model 2 found odds of adopting videoconferencing only were also significantly higher for the younger age groups (0-4 and 5-17 years) and females.

Conclusion: A rapid transition to a virtual model of care was critical to the successful delivery of SLP services during COVID-19. Immediate prioritisation and integration of targeted models of care, where suitability is high and benefits most likely to be experienced, is feasible.

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远程医疗浪潮:COVID-19 期间的语言病理学服务提供模式和消费者特征。
目的:研究澳大利亚新南威尔士州一个地方卫生区在 COVID-19 大流行之前和期间与服务提供模式有关的言语病理学(SLP)消费者的特征,为未来的卫生服务规划提供信息:观察研究:检查 COVID-19 前(2019-2019 年;n = 6413)和 COVID-19 大流行期间(2020-2021 年;n = 6908)的 SLP 服务场合数据。利用空间映射和多层次模型研究了社会人口特征、远程医疗利用率和视频会议之间的关联:结果:在 COVID-19 期间,SLP 服务次数比 COVID-19 前增加了 7.7%。模型 1 发现,在 COVID-19 期间,0-4 岁和 5-17 岁年龄组采用远程保健(电话或视频会议)的几率明显高于较大年龄组。内陆地区的消费者采用远程保健的几率明显低于大城市地区的消费者,而女性采用远程保健的几率明显更高。生活在相对弱势地区的人使用远程保健的可能性较低。模型 2 发现,年龄较小(0-4 岁和 5-17 岁)和女性仅采用视频会议的几率也明显较高:在 COVID-19 期间,迅速过渡到虚拟医疗模式对成功提供 SLP 服务至关重要。立即优先考虑和整合目标护理模式是可行的,因为这些模式非常适合,而且最有可能产生效益。
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来源期刊
International Journal of Speech-Language Pathology
International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.10
自引率
16.70%
发文量
73
审稿时长
>12 weeks
期刊介绍: International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.
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