Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, Ohio.
Division of Speech Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Semin Speech Lang. 2021 Jan;42(1):54-63. doi: 10.1055/s-0040-1722320. Epub 2021 Feb 17.
For children with voice disorders, access to care has long been a challenge. Reasons for this include the challenge of qualifying children with isolated voice disorders for services within the public-school system as well as a family's geographic proximity to experienced clinicians who are in the healthcare system. Over the past decade, there have been both formal and informal investigations into the use of telepractice to deliver services to communicatively disordered children and adults, including those with voice disorders. Although barriers and obstacles existed, use of telepractice to deliver such services demonstrated both feasibility and, in some studies, effective outcomes. However, prior to spring of 2020, use of telepractice to deliver speech pathology services was not mainstream. This changed when the nation was forced to shut down many of its in-person healthcare and educational delivery due to the COVID-19 pandemic. This article summarizes select relevant literature pertaining to the use of telepractice in speech language pathology over the past decade and provides a case-based discussion of how it was and is currently being used to deliver pediatric voice care.
对于患有语音障碍的儿童来说，获得医疗服务一直是一个挑战。造成这种情况的原因包括：难以将患有孤立性语音障碍的儿童纳入公立学校系统的服务范围，以及家庭与经验丰富的临床医生（他们在医疗保健系统中）的地理位置接近。在过去的十年中，人们对远程实践在为言语障碍儿童和成人提供服务（包括患有语音障碍的儿童）中的应用进行了正式和非正式的调查。尽管存在障碍和困难，但使用远程实践提供此类服务既具有可行性，在某些研究中也取得了有效的成果。然而，在 2020 年春季之前，远程实践在提供言语病理学服务方面还不是主流。由于 COVID-19 大流行，全国许多面对面的医疗和教育服务被迫关闭，这种情况发生了变化。本文总结了过去十年中与远程实践在言语病理学中的应用相关的部分文献，并基于案例讨论了它过去和现在如何用于提供儿科语音护理。
