Coutts Kim A
Department of Speech Pathology, University of the Witwatersrand, Johannesburg.
S Afr J Commun Disord. 2019 Jul 18;66(1):e1-e5. doi: 10.4102/sajcd.v66i1.615.
Performing community service is a necessity prior to practising speech language therapy in South Africa. This system allows for improved access to these specialised services in the more rural areas. The current challenges of practising in complex settings with little access to mentorship can result in these community service therapists feeling underprepared to assess and manage patients presenting with adult dysphagia (swallowing disorders). This paper explores this topic through the theoretical lens of decision-making, from both clinical and academic perspectives. It aims to pose potential solutions on how to better transform the current practices to be contextually responsive to these challenges.
在南非，从事言语语言治疗之前进行社区服务是一项必要条件。该系统有助于在农村地区更方便地获得这些专业服务。目前，在难以获得指导的复杂环境中开展工作面临诸多挑战，这可能导致这些社区服务治疗师在评估和管理患有成人吞咽困难（吞咽障碍）的患者时感到准备不足。本文从临床和学术角度，通过决策的理论视角探讨这一主题。其目的是就如何更好地转变当前做法以应对这些挑战提出潜在解决方案。
