Burns Clare L, Ward Elizabeth C, Hill Anne J, Kularatna Sanjeewa, Byrnes Joshua, Kenny Lizbeth M
Speech Pathology and Audiology Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.
Head Neck. 2017 May;39(5):932-939. doi: 10.1002/hed.24706. Epub 2017 Feb 22.
The purpose of this study was to present our evaluation of a new speech pathology telepractice service supporting the swallowing and communication management of patients with head and neck cancer.
A multicenter randomized controlled trial was conducted within a large public cancer service. Referrals from speech pathologists at 3 regional sites (spoke sites) were managed by a specialist clinician from a cancer center (hub site) either via standard care (phone/email support/appointments at the hub site) or a newly established telepractice service (online consultation between the hub site and spoke site).
Eighty-two referrals (39 for standard care and 43 for telepractice care) were managed. Service efficiency favoring the telepractice model was reported with a significant reduction in the number (p = .004) and duration (p = .024) of contact events required to manage the referrals. Higher consumer and clinician satisfaction was also reported for the telepractice service.
A speech pathology telepractice service benefits both the patient and health provider through higher service efficiency and treatment satisfaction. © 2017 Wiley Periodicals, Inc. Head Neck 39: 932-939, 2017.
本研究旨在展示我们对一项新的言语病理学远程医疗服务的评估，该服务为头颈癌患者的吞咽和沟通管理提供支持。
在一个大型公共癌症服务机构内进行了一项多中心随机对照试验。来自3个地区站点（分支站点）的言语病理学家的转诊病例，由癌症中心（中心站点）的一名专科临床医生通过标准护理（电话/电子邮件支持/在中心站点预约）或新设立的远程医疗服务（中心站点与分支站点之间的在线咨询）进行管理。
共处理了82例转诊病例（39例接受标准护理，43例接受远程医疗护理）。报告显示，远程医疗模式的服务效率更高，处理转诊所需的联系事件数量（p = .004）和持续时间（p = .024）显著减少。远程医疗服务的消费者和临床医生满意度也更高。
言语病理学远程医疗服务通过提高服务效率和治疗满意度，使患者和医疗服务提供者都受益。© 2017威利期刊公司。《头颈》39: 932 - 939, 2017。
