{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T02:52:02Z","timestamp":1776307922496,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Videofluoroscopic swallow studies (VFSS) are integral to diagnosing and supporting dysphagia management. However, in many countries, only doctors are authorized to complete medical imaging request forms, in accordance with radiation safety regulations. This can impact workflow and timely access to VFSS. Enhanced scope of practice (ESP) models of care exist, where speech and language therapists (SLTs) are authorized to complete VFSS request forms. However, formal evaluations of these ESP models are currently lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The primary aim of this study was to examine service outcomes regarding the safety and efficiency of SLTs completing VFSS request forms compared with the medical referring model (standard care). The secondary aim was to ascertain the impacts on SLTs\u2019 daily workflow and the utility of training for SLTs to complete VFSS requests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>The study involved a mixed\u2010method design. First, referrals completed using standard care versus those completed under the new SLT\u2010led VFSS referring model were compared for efficiency (days to request completion, number of contacts between staff to complete requests and delay to VFSS appointments) and safety (compliance with radiation safety standards for requests, adverse events and change to dysphagia management to justify radiation exposure). Semi\u2010structured interviews were then conducted with SLT referrers (<jats:italic>n<\/jats:italic> = 7) exploring the impacts of the model on daily workflow and the utility of training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>VFSS inpatient requests were examined across a 3\u2010month period (<jats:italic>n<\/jats:italic> = 61 requests) using the standard model, and for 6 months (<jats:italic>n<\/jats:italic> = 109 requests) following the introduction of SLT\u2010led VFSS referring. Regarding efficiency, there was no significant difference between the two models, with most request forms taking less than or equal to 1 day to be completed. Adherence to radiation safety requirements was significantly greater in the SLT\u2010led VFSS referring model compared with the standard model (<jats:italic>p<\/jats:italic> &lt; 0.001) in relation to the overall requisite clinical information being documented on the request forms. No adverse events occurred and 100% of VFSSs led to changed dysphagia management. Interviews of VFSS referring SLTs revealed that completing requests was not complex or onerous, and that the training equipped them well to undertake the role.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>The SLT\u2010led VFSS referring model was feasible for SLTs and resulted in satisfactory efficiency and greater adherence to radiation safety requirements for VFSS request forms than the standard model. Improved information on VFSS request forms provides clearer justification for the radiation procedure and helps optimize the diagnostic yield of VFSS. The evidence supports further widespread adoption of this model.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Models of care permitting selected allied health professionals to refer patients for diagnostic radiology procedures have been established to achieve healthcare efficiencies. Evidence supports the safety and efficiency of physiotherapists referring to radiology. However, limited published outcome data exist regarding models of SLTs referring for radiology procedures, such as VFSS.<\/jats:p>\n<\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study describes the implementation of a SLT\u2010led VFSS inpatient referring model in a quaternary hospital and examines service outcomes. The findings reveal that VFSS request forms completed in the SLT\u2010led referring model had greater adherence to radiation safety standards compared with the standard referring model. Efficiency was similar across both models and there were no adverse events. Completing VFSS requests did not disrupt daily workflow for SLTs and training was effective preparation for the role.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Results demonstrate that the SLT\u2010led VFSS referral model can be safely and appropriately implemented in the inpatient setting. Improved quality of information documented on request forms by SLTs increases adherence with radiation safety standards, providing clearer justification for radiation assessments and potentially eliciting more targeted diagnostic information to inform dysphagia treatment planning. These findings may support other hospital services to establish this type of referring model.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12700","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T06:30:21Z","timestamp":1644474621000},"page":"512-523","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Implementation of a speech and language therapy\u2010led referring model for videofluoroscopic swallow studies: An evaluation of service outcomes"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1514-6833","authenticated-orcid":false,"given":"Shana T.","family":"Taubert","sequence":"first","affiliation":[{"name":"Metro North Hospital and Health Service Royal Brisbane &amp; Women's Hospital  Herston QLD Australia"},{"name":"School of Health &amp; Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9752-1739","authenticated-orcid":false,"given":"Clare L.","family":"Burns","sequence":"additional","affiliation":[{"name":"Metro North Hospital and Health Service Royal Brisbane &amp; Women's Hospital  Herston QLD Australia"},{"name":"School of Health &amp; Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"},{"name":"Centre for Research Excellence in Telehealth The University of Queensland  Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2680-8978","authenticated-orcid":false,"given":"Elizabeth C.","family":"Ward","sequence":"additional","affiliation":[{"name":"School of Health &amp; Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"},{"name":"Centre for Research Excellence in Telehealth The University of Queensland  Brisbane QLD Australia"},{"name":"Metro South Hospital and Health Service Centre for Functioning and Health Research  Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynell","family":"Bassett","sequence":"additional","affiliation":[{"name":"Metro North Hospital and Health Service Royal Brisbane &amp; Women's Hospital  Herston QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Radiation Protection and Nuclear Safety Agency [ARPANSA]. 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