Pathways to paediatric speech pathology services in Australia

Just, Elena; Pearce, Wendy M.; Crosbie, Sharon

doi:10.1080/2050571x.2020.1846837

Cited by 5 publications

(2 citation statements)

References 36 publications

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“…We argue that the design of this PFM does not align with best-available scientific evidence and fails to: (a) achieve optimal healthcare outcomes recommended by the evidence; and (b) maximise returns to the Australian taxpayer in the shortest possible timeframe. The literature supports timely, early intervention [51] , [52] ; a goal which could be achieved through intensifying service delivery. Given the potential chronicity and pervasiveness of communication and swallowing disorders for children and young persons and its direct impact on academic, social and employment outcomes [53] , [54] , we propose increasing the current practice of accessing MBS_CDMP (and other similar PFMs) over long time frames, to a shorter more intensive approach.…”

Section: Discussionmentioning

confidence: 99%

Aligned or misaligned: Are public funding models for speech-language pathology reflecting recommended evidence? An exploratory survey of Australian speech-language pathologists

Nickless,

Davidson,

Finch

et al. 2024

Health Policy OPEN

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Section: Discussionmentioning

confidence: 99%

Aligned or misaligned: Are public funding models for speech-language pathology reflecting recommended evidence? An exploratory survey of Australian speech-language pathologists

Nickless,

Davidson,

Finch

et al. 2024

Health Policy OPEN

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“…Jessup et al (2018) suggest that private hospitals may possess organizational attributes which are enablers to improved health literacy responsiveness and so may clarify some differences between private and public health system access. The identified barrier of long wait times, also found in speech pathology services in Australia, can further delay diagnosis and prevent timely access to treatment, which has been identified as a concern by parents (Just et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

‘We manage, but yeah, it's challenging’: A mixed‐methods study of enablers and barriers to hearing assessments for parents of children in metropolitan and regional Australia

Zussino,

Zupan,

Preston

2023

Intl J Lang & Comm Disor

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BackgroundEarly identification and intervention for hearing loss is important for supporting language development. Despite this, parents are required to overcome barriers to access hearing assessments for their children.AimsTo identify the enablers and barriers to accessing hearing assessments for Australian children identified by their parents, and to compare between metropolitan, regional and rural areas.Methods & ProceduresThis sequential, explanatory mixed‐methods study was undertaken online and included participants in metropolitan, regional and rural area of Queensland, New South Wales, Victoria, South Australia, Western Australia and the Northern Territory. A total of 56 participants participated in the surveys, and 10 participated in semi‐structured interviews.Outcomes & ResultsParticipants in metropolitan areas were more likely to have services in their area; however, access to hearing assessment was related more to individual circumstances (including health literacy skills) rather than geographical location. Many participants experienced long wait times, reduced flexibility, and a lack of audiologists experienced in working with children.Conclusions & ImplicationsBarriers to hearing assessments (which assist with early identification and intervention for hearing loss) should be addressed so that children have access to clear auditory information to assist with their speech and language development.WHAT THIS PAPER ADDSWhat is already known on the subject Poor audiological input can lead to poor speech, language and literacy outcomes for children.What this paper adds to the existing knowledge Although previous research indicates that people in regional and remote locations experience difficulty accessing health services within a reasonable timeframe, in this study barriers were experienced regardless of geographical location, and were dependent on individual circumstances. Many parents are unaware of the impact of hearing on speech and language.What are the potential or actual clinical implications of this work? Further research might examine how health literacy affects access to hearing assessment. Parents shared several potential solutions to these access barriers which should be considered by service providers.

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Luck, our journey, doing the best we could: The experiences of speech-language pathologists, parents, and teachers in service delivery for school-aged children

Ohtaras

McCormack

Dent

2022

International Journal of Speech-Language Pathology

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Pathways to paediatric speech pathology services in Australia

Cited by 5 publications

References 36 publications

Aligned or misaligned: Are public funding models for speech-language pathology reflecting recommended evidence? An exploratory survey of Australian speech-language pathologists

Aligned or misaligned: Are public funding models for speech-language pathology reflecting recommended evidence? An exploratory survey of Australian speech-language pathologists

‘We manage, but yeah, it's challenging’: A mixed‐methods study of enablers and barriers to hearing assessments for parents of children in metropolitan and regional Australia

Luck, our journey, doing the best we could: The experiences of speech-language pathologists, parents, and teachers in service delivery for school-aged children

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