Current State of Dysphagia Treatment: Survey Results by The Osaka ENT Association

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  • Kitano Mutsukazu
    Department of Otolaryngology, Faculty of Medicine, Kindai University
  • Tayama Niro
    Department of Otorhinolaryngology-Head & Neck Surgery, National Center for Global Health and Medicine
  • Nishihara Misako
    Department of Otolaryngology, Faculty of Medicine, Kindai University
  • Shiraishi Ko
    Department of Otolaryngology, Faculty of Medicine, Kindai University
  • Sato Mitsuo
    Department of Otolaryngology, Faculty of Medicine, Kindai University
  • Hayamizu Kosuke
    Department of Otolaryngology, Faculty of Medicine, Kindai University
  • Fujiwara Ryohei
    Department of Otolaryngology, Faculty of Medicine, Kindai University
  • Doi Katsumi
    Department of Otolaryngology, Faculty of Medicine, Kindai University

Bibliographic Information

Other Title
  • 嚥下障害診療の現状について
  • 嚥下障害診療の現状について : 大阪府耳鼻咽喉科医会アンケート調査より
  • エンカ ショウガイ シンリョウ ノ ゲンジョウ ニ ツイテ : オオサカフ ジビ インコウカイカイ アンケート チョウサ ヨリ
  • ─大阪府耳鼻咽喉科医会アンケート調査より─

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Abstract

<p>We conducted a questionnaire survey to clarify the current state of dysphagia treatment in Osaka prefecture. The survey results revealed the following challenges. 1) Adoption of videoendoscopic evaluation of swallowing (VE) and scoring systems: Only a limited proportion of private practitioners conducted VE (22%), and scoring systems remain inadequate, with adoption rates at 57% for hospital physicians and 14% for private practitioners. This finding highlights the need for dynamic awareness activities. 2) Collaboration with speech therapists (ST): Only 1% of private practitioners had designated STs, making ST-led dysphagia rehabilitation difficult. It is important to perceive the larger community as a team ─ such as liaising with STs from visiting nurse stations ─ and to establish a structure that allows for collaborative dysphagia treatment. 3) Information dissemination: When asked whether any facilities or departments within the community offer dysphagia evaluations, the majority of responses were either “none” or “unclear.” These highlight difficulties in identifying facilities that offer evaluations. Dysphagia is a functional disorder that can occur from various diseases, so information about the various facilities and types of evaluations on offer should be made available, especially to facilitate liaisons between patient consultation, other relevant departments, and STs. To achieve this, active dissemination of information is imperative. 4) Engaging in and promoting home medical care: Despite the promotion of home medical care, this service is not offered by hospital physicians and only 5.2% of private practitioners offer swallowing function evaluation through house visits. Ear, nose, and throat physicians should also actively engage in home medical care.</p>

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