Reviewing the review process: examining decision-making in practice.
A national multi-disciplinary audit showed variation in SLT practice on the decision to review pre-school children or place them on waiting lists following initial assessment. Audit evidence suggests some reasons for these differences and contributing factors are illustrated by case history examples. Current health-care policies encourage practitioners to make decision-making transparent to consumers but this process is problematic if there is a lack of evidence to support principled choice. An outline is presented to enable therapists to gather their own evidence for review outcomes in daily practice.
Anderson
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C
Department of Speech and Language Therapy, University of Strathclyde, Southbrae Drive, Glasgow G13 1PP. carolyn.anderson@strath.ac.uk
van der Gaag
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A
D002675:Child, Preschool; D003657:Decision Making; D006801:Humans; D007223:Infant; D008330:Management Audit; D012017:Referral and Consultation; D013066:Speech-Language Pathology / Q000379:methods*; D006113:United Kingdom