The Patient's Opinion Regarding Different Service Delivery Models for Voice Therapy

2020 ◽  
Vol 29 (3) ◽  
pp. 1466-1474
Author(s):  
Iris Meerschman ◽  
Kristiane Van Lierde ◽  
Sofie Claeys ◽  
Evelien D'haeseleer
Keyword(s):  
Service Delivery ◽  
Individual Therapy ◽  
Voice Therapy ◽  
Voice Disorder ◽  
Short Term ◽  
Online Questionnaire ◽  
Service Delivery Models ◽  
The Voice ◽  
Delivery Models

Purpose The purpose of this study was to compare the voice patient's opinion regarding three service delivery models for voice therapy: a short-term intensive voice therapy with individual sessions (IVT-I), a short-term intensive voice therapy with group sessions (IVT-G), or a long-term traditional voice therapy with individual sessions (TVT). Method Forty-six adult voice patients who followed either IVT-I, IVT-G, or TVT were contacted by e-mail with the request to fill in an online questionnaire reviewing their opinion about the received therapy. Several items concerning satisfaction, progress, time-related variables, transfer, and need for further therapy were scored by means of visual analog scales. Participants were also asked whether or not they continued voice therapy after the study. Results There were no significant differences between the three groups regarding the patients' perception of vocal quality improvement, degree of resolution of the voice disorder, duration of one session, total therapy duration, degree of transfer, need for further therapy, and actual continuation of therapy. A higher satisfaction rate was found for patients of the IVT-I and TVT groups than patients of the IVT-G group. The IVT-I group rated the therapy as too frequent compared with the TVT group who rated the frequency as optimal. Conclusion Results suggest that patients are equally satisfied and perceive a similar progress after individual short-term intensive voice therapy and individual long-term traditional voice therapy. This finding creates flexibility in selecting time-related variables depending on the specific case and situation. Patients who received individual therapy were more satisfied than patients who received group therapy. Future larger scale investigation is needed to confirm these results.

Voice Therapy Telepractice; Voice Care For The 21 st Century

2013 ◽  
Vol 23 (3) ◽  
pp. 74-81 ◽  
Author(s):  
Michael Towey
Keyword(s):  
Insurance Coverage ◽  
Voice Therapy ◽  
Accountable Care ◽  
Significant Cost ◽  
Service Delivery Models ◽  
Voice Treatment ◽  
Bill Gates ◽  
The Voice ◽  
Delivery Models ◽  
Therapy Treatment

“America’s high schools are obsolete […] designed 50 years ago to meet the needs of another age.” – Bill Gates, National Governors’ Conference, 2005. Obsolete and designed for another time—the same could be said for our existing health care system, treatment approaches, and service delivery models. The emergence of outcome-based payment by Accountable Care Organizations, severe restrictions in funding, and limited or absent insurance coverage for voice treatment are powerful drivers for more effective voice therapy treatment. Findings reported from the Voice and Swallowing Center of Maine support significant cost reductions to payers when telepractice is used in voice treatment (Towey, 2012a). This article describes three distinct applications of voice telepractice that expands conventional thinking about voice therapy and voice therapy telepractice. It is believed these presented cases are the first published examples that demonstrate the efficacy of voice telepractice to: (1) assess and fit a device for a laryngectomee; (2) complete virtual musculoskeletal assessment of a voice patient; and (3) provide virtual simultaneous co-treatment in voice therapy.

Outreach Teacher Training Programs: Rural Delivery of Services on Site

1987 ◽  
Vol 81 (1) ◽  
pp. 14-18 ◽  
Author(s):  
V. Sowell ◽  
V. Correa ◽  
K.T. Wardell
Keyword(s):  
Teacher Training ◽  
Service Delivery ◽  
Rural Areas ◽  
Training Programs ◽  
Service Delivery Models ◽  
Teacher Training Programs ◽  
Low Incidence ◽  
Viable Approach ◽  
Delivery Models

The need of rural areas to provide service to students with visual handicaps and other low incidence conditions is extensively documented. Various service delivery models have been developed for meeting these needs; however, the outreach model is a viable approach to providing long-term, responsive, and educationally relevant programs to children in rural areas.

scholarly journals Stuttering Intervention in Three Service Delivery Models (Direct, Hybrid, and Telepractice): Two Case Studies

2015 ◽  
Vol 6 (2) ◽  
pp. 51-64 ◽  
Author(s):  
Daniel T. Valentine
Keyword(s):  
Service Delivery ◽  
Case Studies ◽  
The Other ◽  
Intervention Period ◽  
Fourth Edition ◽  
Short Term ◽  
Service Delivery Models ◽  
Parents And Children ◽  
Before And After ◽  
Delivery Models

This study assessed outcomes in stuttering intervention across three service delivery models: direct, hybrid, and telepractice for two 11-year old children who stutter. The goal of the study was to investigate whether short-term goals were maintained through the telepractice sessions. The Stuttering Severity Instrument, Fourth Edition (SSI-4) was administered to each child before and after each intervention period and weekly fluency samples (percentage of stuttered syllables in a monologue) were obtained in each of the 10-week intervention periods. In addition, the Communication Attitudes Test-Revised was used to assess the children’s attitudes toward speaking. Following the telepractice period, parents and children completed a questionnaire concerning the therapy experience via telepractice. Both children continued to improve fluency as measured by the weekly fluency samples. SSI-4 severity ratings improved for one child and remained consistent for the other. These outcomes appear to demonstrate that telepractice is viable for improving and maintaining fluency.

scholarly journals Water Supply in Protracted Humanitarian Crises: Reflections on the sustainability of service delivery models

2020 ◽  
Author(s):  
St John Day ◽  
Tim Forster ◽  
Ryan Schweitzer
Keyword(s):  
Service Delivery ◽  
Wash Water ◽  
Emergency Relief ◽  
Service Delivery Models ◽  
Humanitarian Response ◽  
Sanitation And Hygiene ◽  
Humanitarian Crises ◽  
Sustainable Services ◽  
Delivery Models

UNHCR estimates that the average time spent by a refugee in a camp is 10 years, while the average refugee camp remains for 26 years. WASH (water, sanitation and hygiene) is a crucial component of humanitarian response and longer-term recovery. Humanitarian agencies and host governments face many challenges in protracted situations and complex long-term humanitarian crises. One key issue is how water supplies should be managed in the long term. Who is best placed to operate and manage WASH services and which delivery model is the most viable? At the end of 2019, there were 15.7 million refugees in protracted situations, representing 77% of all refugees. This report takes stock of the various alternative service delivery models, to enable humanitarian and development agencies to work together to smooth the transition from emergency relief to sustainable services.

Reimbursement and Telepractice

2013 ◽  
Vol 3 (2) ◽  
pp. 35-40
Author(s):  
Carol Dudding
Keyword(s):  
Service Delivery ◽  
Healthcare Services ◽  
Speech Language Pathology ◽  
Delivery Method ◽  
Quality Healthcare ◽  
Service Delivery Models ◽  
Private Lives ◽  
Language Pathology ◽  
Delivery Models

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.

scholarly journals Service Delivery Models to Maximize Quality of Life for Older People at the End of Life: A Rapid Review

2019 ◽  
Vol 97 (1) ◽  
pp. 113-175 ◽  
Author(s):  
CATHERINE J. EVANS ◽  
LUCY ISON ◽  
CLARE ELLIS‐SMITH ◽  
CAROLINE NICHOLSON ◽  
ALESSIA COSTA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Service Delivery ◽  
Older People ◽  
End Of Life ◽  
Rapid Review ◽  
Service Delivery Models ◽  
Delivery Models

scholarly journals Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

2021 ◽  
Vol 6 (3) ◽  
pp. e004484
Author(s):  
Helen Burn ◽  
Lisa Hamm ◽  
Joanna Black ◽  
Anthea Burnett ◽  
Matire Harwood ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Service Delivery ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
High Income ◽  
Eye Care ◽  
Service Delivery Models ◽  
Care Services ◽  
Delivery Models ◽  
Improve Access

PurposeGlobally, there are ~370 million Indigenous peoples. Indigenous peoples typically experience worse health compared with non-Indigenous people, including higher rates of avoidable vision impairment. Much of this gap in eye health can be attributed to barriers that impede access to eye care services. We conducted a scoping review to identify and summarise service delivery models designed to improve access to eye care for Indigenous peoples in high-income countries.MethodsSearches were conducted on MEDLINE, Embase and Global Health in January 2019 and updated in July 2020. All study designs were eligible if they described a model of eye care service delivery aimed at populations with over 50% Indigenous peoples. Two reviewers independently screened titles, abstracts and full-text articles and completed data charting. We extracted data on publication details, study context, service delivery interventions, outcomes and evaluations, engagement with Indigenous peoples and access dimensions targeted. We summarised findings descriptively following thematic analysis.ResultsWe screened 2604 abstracts and 67 studies fulfilled our eligibility criteria. Studies were focused on Indigenous peoples in Australia (n=45), USA (n=11), Canada (n=7), New Zealand (n=2), Taiwan (n=1) and Greenland (n=1). The main disease focus was diabetic retinopathy (n=30, 45%), followed by ‘all eye care’ (n=16, 24%). Most studies focused on targeted interventions to increase availability of services. Fewer than one-third of studies reported involving Indigenous communities when designing the service. 41 studies reflected on whether the model improved access, but none undertook rigorous evaluation or quantitative assessment.ConclusionsThe geographical and clinical scope of service delivery models to improve access to eye care for Indigenous peoples in high-income countries is narrow, with most studies focused on Australia and services for diabetic retinopathy. More and better engagement with Indigenous communities is required to design and implement accessible eye care services.

Sign in / Sign up

Export Citation Format

Share Document