Outcomes from an extended scope of practice speech-language pathology service for low risk ENT outpatients : A 5-year service review

Journal article


Schwarz, Maria, Ward, Elizabeth C., Seabrook, Marnie, Davis, Jennifer and Whitfield, Bernard C. S.. (2022). Outcomes from an extended scope of practice speech-language pathology service for low risk ENT outpatients : A 5-year service review. International Journal of Speech-Language Pathology. 24(1), pp. 3-11. https://doi.org/10.1080/17549507.2021.1916592
AuthorsSchwarz, Maria, Ward, Elizabeth C., Seabrook, Marnie, Davis, Jennifer and Whitfield, Bernard C. S.
Abstract

Purpose: Early evidence supports the safety and efficiency of extended scope speech-language pathology (SLP) clinics designed to manage low risk ear nose and throat (ENT) outpatient referrals, however long-term data is lacking. The aim of this study was to complete a 5-year audit of clinical outcomes, including rates of re-referral, for a SLP Allied Health Practitioner (SLP AHP) led dysphagia and dysphonia service within an Integrated Specialist ENT Service.

Method: A retrospective audit was undertaken of all patients referred with non-urgent dysphonia and/or dysphagia symptoms over a 5-year period since establishment of the SLP AHP service. Clinical outcomes, rates and reasons for re-referral to the specialist ENT waiting list were investigated.

Result: Of 616 patient referrals, 462 patients were seen by the SLP AHP service. Most (72%, n = 333) received all required management through the clinical model, with only 28% (n = 129) requiring additional ENT intervention, consistent with previously published data. Only 36 of the 616 (6%) were re-referred/re-presented within 12 months of first presentation, of which only 12 were referred for same condition as initial referral. No adverse outcomes were recorded on the clinical database during this 5-year period.

Conclusion: Results provide further evidence that the SLP AHP service is a safe and efficient method for managing low risk ENT outpatient referrals.

Keywordsdysphonia; dysphagia; ENT; extended scope of practice
Year2022
JournalInternational Journal of Speech-Language Pathology
Journal citation24 (1), pp. 3-11
PublisherTaylor & Francis
ISSN1754-9507
Digital Object Identifier (DOI)https://doi.org/10.1080/17549507.2021.1916592
Scopus EID2-s2.0-85107520811
Page range3-11
FunderAllied Health Professions Office of Queensland
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online02 Jun 2021
Publication process dates
Deposited19 Oct 2023
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