Speech-Language Therapist Staffing for the Rehabilitation of Adult and Paediatric In/Outpatients in Chilean Public Hospitals.

Introduction. Speech and language therapists are key in health teams; health institutions must have enough staff for quality care. Objective. To determine the professional provision of speech and language therapy staffing required for in-and-outpatient care of adult and paediatric patients in public...

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Publicado en:Revista de Investigación e Innovación en Ciencias de la Salud (RIICS) Vol. 7; no. 2; pp. 1 - 15
Autores principales: Rosales Lillo, Felipe Gonzalo, Abarca, Patricia Castro, Barrionuevo, Antonia Villalón, Aguilera Soto, Haranni Antonella, Andrade, Teresita Bravo
Formato: research tables/charts Journal Article
Publicado: Fundacion Universitaria Maria Cano 2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Speech-Language Therapist Staffing for the Rehabilitation of Adult and Paediatric In/Outpatients in Chilean Public Hospitals.
      aug:
        au:
          Rosales Lillo, Felipe Gonzalo
          Abarca, Patricia Castro
          Barrionuevo, Antonia Villalón
          Aguilera Soto, Haranni Antonella
          Andrade, Teresita Bravo
        affil: Centro de Estudios e Investigación en Salud y Sociedad, Facultad de Ciencias Médicas, Universidad Bernardo O’Higgins, Santiago, Chile.
      sug:
        subj:
          Speech-Language Pathologists Chile
          Personnel Staffing and Scheduling
          Hospitals, Public Administration
          Hospitalization
          Outpatient Service In Infancy and Childhood
          Rehabilitation, Speech and Language In Adulthood
          Needs Assessment
          Personnel Shortage
          Human
          Child
          Adult
          Chile
          Nonexperimental Studies
          Descriptive Research
          Cross Sectional Studies
          Critical Care
          Beds and Mattresses
          Pediatric Care
          Child: 6-12 years
          Adult: 19-44 years
      ab:
        Introduction. Speech and language therapists are key in health teams; health institutions must have enough staff for quality care. Objective. To determine the professional provision of speech and language therapy staffing required for in-and-outpatient care of adult and paediatric patients in public hospitals of the Chilean healthcare network. Method. An observational, descriptive, cross-sectional study was carried out, which included clinical beds of Chilean public hospitals. The calculation was performed according to the Chilean Ministry of Health guidance for estimating the rehabilitation human resources required for in-and-outpatient care, according to the number and type of clinical beds (basic, medium and critical care) available in each public health institutions. Results. 189 hospitals were included, with 23,677 clinical beds analysed. 81% and 19% of them were for adult and paediatric patient care respectively. 28,950 hours per week of speech and language therapy staffing in public hospitals for in-and-outpatient care is required: 85% for adult patients and 15% for paediatric ones. The Magallanes and Ñuble Regions require the highest percentage of hours —92 and 91%, respectively— for adult patients. The Tarapacá, Metropolitana, and Aysén regions need 18% of hours for paediatric patients. The Metropolitana Region needs almost 35% of the total national hours, followed by Biobío (10.29%) and Valparaíso (9.87%) regions. Conclusion. Hospitals should review these results to ensure a correct planning of professionals, and consider the proposal for non-working days for the care of hospitalised patients, to optimise their clinical results and quality of life, and the management results of each centre. It is necessary to continue generating evidence in favour of patient care, resource optimisation, and the well-being of clinical professionals.
        Introducción. Los fonoaudiólogos son clave en los equipos de salud; las instituciones de salud deben contar con personal suficiente para una atención de calidad. Objetivo. Determinar la dotación profesional de fonoaudiología requerida para la atención abierta y cerrada de pacientes adultos y pediátricos en hospitales públicos de la red asistencial chilena. Método. Estudio observacional, descriptivo, transversal, que incluyó camas de hospitales públicos chilenos. El cálculo se realizó de acuerdo a la guía del Ministerio de Salud de Chile para la estimación de los recursos humanos en rehabilitación requeridos para atención hospitalaria y ambulatoria, según el número y tipo de camas clínicas (básicas, medias y críticas) disponibles en cada institución de salud pública. Resultados. 189 hospitales fueron analizados, con 23.677 camas clínicas, 81% para la atención de pacientes adultos y 19% para pacientes pediátricos. A nivel nacional, se requieren 28.950 horas semanales de fonoaudiología en los hospitales públicos para la atención abierta y cerrada: 85% para pacientes adultos y 15% para pediátricos. Las regiones de Magallanes y Ñuble concentran el mayor porcentaje de requerimiento para pacientes adultos (92 y 91%). Las regiones de Tarapacá, Metropolitana y Aysén, por su parte, requieren 18% para pacientes pediátricos (18%). La Región Metropolitana contempla cerca del 35% del requerimiento nacional, seguido del Biobío (10,29%) y Valparaíso (9,87%). Conclusión. Se sugiere que cada hospital revise estos resultados para garantizar una planificación adecuada de profesionales. También se debe considerar la propuesta para días inhábiles para atención de pacientes hospitalizados, y así optimizar los resultados clínicos, los aspectos de calidad de vida y de gestión institucional. Es necesario continuar generando evidencia a favor de la atención, la optimización de recursos y el bienestar de los profesionales clínicos.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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