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Identifying prioritised actions for improving dysphagia services in Singapore: Insights from concept mapping with patients and caregivers.
- Source :
- International Journal of Language & Communication Disorders; May2024, Vol. 59 Issue 3, p1018-1031, 14p
- Publication Year :
- 2024
-
Abstract
- Background: Personācentred services are inherently related to patients/caregivers' needs. However, the extent to which dysphagia services within Singapore meet consumer needs is largely unknown. Involving patients/caregivers in service evaluation/redesign deepens the understanding of consumer needs. This process also increases the success of implementing service enhancements through relevant and meaningful change. Aim: This study aimed to identify aspects of dysphagia services, within acute and subacute settings in Singapore, perceived as highly important and easy to change by patients/caregivers. Methods & Procedures: Using concept mapping methodology, 5 patients and 11 caregivers reflected on their experiences of receiving dysphagia care and proposed 59 unique suggestions to improve dysphagia services within Singapore. Then, each individual sorted the suggestions into groups based on similarity and rated each statement for its perceived importance and changeability for service enhancement. Data were analysed using multidimensional scaling, hierarchical cluster analysis, and bivariate analysis to generate clusters of conceptually similar suggestions and a prioritised list of suggestions for service enhancement. Results: Twelve clusters were identified, with most rated as more important than changeable for service improvement. Participants prioritised 23 (39%) of the suggestions as highly important and easy to change, and these focused on ensuring effective communication among consumers and healthcare team, enhancing patients and carers' access to support at home, increasing patients and carers' access to educational resources, and improving service quality and access through technology. Conclusion: These findings provide future directions on how to develop and implement dysphagia services in Singapore to better meet the needs of patients/caregivers. WHAT THIS PAPER ADDS: What is already known on this subject: Little is known about patients and caregivers' experiences and expectations of receiving dysphagia services in Singapore. Consulting them in service review and improvement deepens understanding of their needs and increases the success of implementing meaningful service enhancements. What this study adds to existing knowledge: This study shows that patients and caregivers in Singapore identified a wide range of dysphagia service issues and prioritised a list of suggestions for service improvement. They prioritised four key areas for service optimisation: ensuring effective communication among consumers and healthcare team, enhancing patients and carers' access to support at home, increasing patients and carers' access to educational resources, and improving service quality and access through technology. What are the clinical implications of this work?: This research highlights the importance of considering the consumers' perspectives in service review and redesign. Patients and caregivers in Singapore identified four prioritised areas for service enhancements. These findings provide future directions on how to develop and implement dysphagia services in Singapore to better meet the needs of patients and caregivers. [ABSTRACT FROM AUTHOR]
- Subjects :
- RISK factors of pneumonia
HEALTH services accessibility
RISK assessment
PATIENT education
THERAPEUTICS
MALNUTRITION
THREE-dimensional imaging
MEDICAL personnel
MEDICAL quality control
HEALTH policy
HOSPITALS
FUNCTIONAL status
DESCRIPTIVE statistics
MOTIVATION (Psychology)
PATIENT-centered care
EXPERIENCE
INTERNATIONAL relations
RESEARCH methodology
MULTIDIMENSIONAL scaling
COMMUNICATION
STATISTICS
VIDEOCONFERENCING
DEGLUTITION
QUALITY assurance
PSYCHOLOGY of caregivers
NEEDS assessment
COMPARATIVE studies
DEGLUTITION disorders
CONCEPT mapping
SPEECH therapy
HEALTH care teams
CRITICAL care medicine
PSYCHOSOCIAL factors
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 13682822
- Volume :
- 59
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of Language & Communication Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 177114447
- Full Text :
- https://doi.org/10.1111/1460-6984.12977