Provision of dysphagia services in a developing nation: Infrastructural challenges

Kamal, Rahayu Mustaffa, Ward, Elizabeth Celeste, Cornwell, Petrea and Sharma, Shobha (2015) Provision of dysphagia services in a developing nation: Infrastructural challenges. International Journal of Speech-Language Pathology, 17 6: 594-604. doi:10.3109/17549507.2015.1026276


Author Kamal, Rahayu Mustaffa
Ward, Elizabeth Celeste
Cornwell, Petrea
Sharma, Shobha
Title Provision of dysphagia services in a developing nation: Infrastructural challenges
Journal name International Journal of Speech-Language Pathology   Check publisher's open access policy
ISSN 1754-9507
1754-9515
Publication date 2015-04-15
Year available 2015
Sub-type Article (original research)
DOI 10.3109/17549507.2015.1026276
Open Access Status Not yet assessed
Volume 17
Issue 6
Start page 594
End page 604
Total pages 11
Place of publication Abingdon, Oxfordshire, United Kingdom
Publisher Taylor & Francis
Collection year 2016
Language eng
Formatted abstract
Purpose: The purpose of the current study was to explore infrastructure issues that may be barriers to the establishment and improvement of dysphagia services in Malaysia compared to settings with established dysphagia management services (i.e. Queensland, Australia).

Method: A mixed method design incorporating quantitative and qualitative data was used to increase credibility, validity and comprehensiveness of the results. Thirty-eight hospitals (Malaysia = 21, Queensland = 17) participated in Phase 1 (quantitative component) of the study involving completion of an infrastructure checklist by a speech-language pathologist from each hospital regarding availability of networking and communication, staffing and financial support, facilities and documentation of guidelines for dysphagia management. Subsequently, eight sub-samples from each cohort were then involved in Phase 2 (qualitative component) of the study involving a semi-structured interview on issues related to the impact of infrastructure availability or constraints on service provision.

Result: The current study reveals that multiple challenges exist with regard to dysphagia services in Malaysian government hospitals compared to Queensland public hospitals.

Conclusion
: Overall, it was identified that service improvement in Malaysia requires change at a systems and structures level, but also, more importantly, at the individual/personal level, particularly focusing on the culture, behaviour and attitudes among the staff regarding dysphagia services.
Keyword Infrastructure
Dysphagia management
Speech-language pathologist
Service provision
Developing nation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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