The Evolution of the Evaluation and Treatment of Dysphagia across the Health Care Continuum: A Historical Perspective—Inception to Proliferation

Bonnie Martin-Harris*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The complexity of swallowing has been long appreciated and was described before the development of a sophisticated modality for direct viewing of the swallowing process. This article reviews the history of the discovery of the physiologic principles of swallowing and the development of the evaluation and management of dysphagia. Appropriate diagnostic and treatment tools are described for various environments of care, including acute-care hospitals, subacute facilities, rehabilitation hospitals, ambulatory clinics, and home care. Differences in the delivery of dysphagia services in each setting are discussed. The author challenges dysphagia clinicians to provide care on the basis of patient need rather than reimbursement structure.

Original languageEnglish (US)
Pages (from-to)S13-S20
JournalNutrition in Clinical Practice
Volume14
Issue number5
StatePublished - Oct 1999
Externally publishedYes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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