{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:07:50Z","timestamp":1784300870262,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Healthc Risk Manag"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Effective risk management is central to patient safety, regulatory compliance, and organizational sustainability in healthcare. In South Africa, audiology and speech therapy practitioners operate within a system characterized by resource constraints, regulatory complexity, and socio\u2010economic inequality, resulting in differentiated risk exposure across practice settings. This study explored risks encountered by practitioners and the strategies used to mitigate these risks. A qualitative design was employed in 2025 with 92 practitioners. Data were analyzed thematically, supported by descriptive and inferential analyses. Four interrelated risk domains emerged, with sectoral differences reflected across thematic and quantitative findings. Public sector practitioners reported significantly higher clinical risk, including diagnostic errors (65%) and delayed treatment (70%), particularly in rural settings (\n                    <jats:italic>\u03c7<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = 18.21,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.01). Additionally, operational risks such as staff shortages (75%) and equipment failure (70%) were also more prevalent. In contrast, private practitioners reported greater financial risk related to income volatility and overhead costs (70%;\n                    <jats:italic>t<\/jats:italic>\n                    = 3.12,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.01). Legal and regulatory risks were evident across both sectors, while mitigation strategies included telehealth adoption and community partnerships. These findings demonstrate structurally produced risk, highlighting the need for integrated, context\u2010sensitive risk governance frameworks in resource\u2010constrained health systems.\n                  <\/jats:p>","DOI":"10.1002\/jhrm.70030","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:33:16Z","timestamp":1781843596000},"page":"25-32","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mitigating risk in audiology and speech therapy practice: Essential risk management and control strategies for private and public practices in resource\u2010constrained health systems"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6220-9606","authenticated-orcid":false,"given":"Katijah","family":"Khoza\u2010Shangase","sequence":"first","affiliation":[{"name":"Department of Audiology, School of Human and Community Development University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"issue":"6","key":"e_1_2_14_2_1","first-page":"2096","article-title":"Strategies for effective health management and risk mitigation","volume":"7","author":"Althomali SMO","year":"2024","journal-title":"Int Crisis Risk Commun Res"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000947"},{"key":"e_1_2_14_4_1","volume-title":"Professional issues in speech\u2010language pathology and audiology","author":"Hudson MW","year":"2023"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_PERS-19-00007"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781800887565.00028"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.15342\/ijms.2025.747"},{"issue":"2","key":"e_1_2_14_8_1","first-page":"77","article-title":"Ensuring public safety and professional integrity: the vital role of healthcare regulators in South Africa","volume":"18","author":"Sobuwa S","year":"2025","journal-title":"S Afr J Bioeth Law"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1504\/IJISD.2020.106237"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2019.1665402"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1108\/IJQRM-06-2023-0210"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S366759"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-022-00886-3"},{"issue":"1","key":"e_1_2_14_14_1","first-page":"1","article-title":"Defining exploratory\u2010descriptive qualitative (EDQ) research and considering its application to healthcare","volume":"4","author":"Hunter D","year":"2019","journal-title":"J. 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