The five leading issues identified, in order of importance, were 1. The need for treatment outcome and efficacy data. 2. The need for changes in clinical and academic preparation of entry-level practitioners. 3. The lack of inclusion or use of services for communication and related disorders in public and private health care programs. 4. The need for greater professional autonomy within the health care system. 5. The need to improve services to underserved populations with communication and related disorders. This report was forwarded to key National Office staff and appropriate ASHA boards, councils, and committees for the purposes of determining its feasibility and developing a national plan for action. The feasibility and action plan will detail completed, ongoing and future activities of the Association related to each issue, recommendation, and strategy. Periodic review of the actions taken and progress achieved will be monitored by the Executive Board, other appropriate boards and councils, and designated National Office staff. The plan represents a progressive view of needed change for the professions of speech-language pathology and audiology within the context of the broader health care delivery system.
确定的五个主要问题，按重要性排序如下：1. 需要治疗结果和疗效数据。2. 需要改变入门级从业者的临床和学术准备情况。3. 在公共和私人医疗保健项目中，缺乏对沟通及相关障碍服务的纳入或使用。4. 需要在医疗保健系统内获得更大的专业自主权。5. 需要改善对患有沟通及相关障碍的服务不足人群的服务。本报告已转发给国家办公室的主要工作人员以及美国言语语言听力协会的相关委员会、理事会和委员会，以确定其可行性并制定国家行动计划。可行性和行动计划将详细说明协会与每个问题、建议和策略相关的已完成、正在进行和未来的活动。执行委员会、其他相关委员会和理事会以及指定的国家办公室工作人员将对所采取的行动和取得的进展进行定期审查。该计划代表了在更广泛的医疗保健提供系统背景下，对言语病理学和听力学专业所需变革的渐进式观点。
