Disparities in access to pediatric hearing health care
Matthew L Bush1, Michael R Kaufman, Beth N McNulty
1Department of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Insights
Children with hearing loss face care disparities, with delays in diagnosis and treatment impacting communication outcomes. Innovations in screening and remote services aim to improve access to timely pediatric hearing healthcare.
Area of Science:
- Pediatric Audiology
- Healthcare Disparities
- Public Health
Background:
- Significant disparities exist in healthcare delivery for children with hearing loss.
- Timely identification and treatment are crucial to prevent lifelong language complications.
Purpose of the Study:
- Assess current disparities in pediatric hearing healthcare delivery.
- Describe barriers to efficient and effective pediatric hearing healthcare.
- Explore innovations to improve pediatric hearing healthcare delivery.
Main Methods:
- Literature review of current disparities, barriers, and innovations.
- Analysis of patient, parental, and provider factors influencing care access.
Main Results:
- Children from certain geographic regions or ethnic backgrounds experience significant delays in diagnosis and treatment.
- Barriers include patient characteristics, parental factors (insurance, socioeconomic status, education, travel), and provider challenges (shortages).
- Advances like improved screening and remote services show promise in reducing disparities.
Conclusions:
- Timely intervention for pediatric hearing loss is critical for optimal communication outcomes.
- Vulnerable populations, including rural residents, face substantial care disparities.
- Addressing barriers through culturally acceptable interventions is essential to improve care for all children.
Purpose Of Review:
There are significant disparities in care facing children with hearing loss. The objective of this review is to assess the current disparities in pediatric hearing healthcare delivery, describe the barriers of efficient and effective pediatric hearing health care, and explore the innovations to improve pediatric hearing healthcare delivery.
Recent Findings:
Children with hearing loss from certain geographic regions or ethnic background are significantly delayed in diagnosis and treatment. Multiple patient characteristics (presentation of hearing loss), parental factors (insurance status, socioeconomic status, educational status, and travel distance to providers), and provider barriers (specialist shortage and primary care provider challenges) prevent the delivery of timely hearing health care. Advances, such as improved screening programs and the expansion of care through remote services, may help to ameliorate these disparities.
Summary:
Timely identification and treatment of pediatric hearing loss is critical to prevent lifelong language complications. Children from vulnerable populations, such as rural residents, face significant disparities in care. Careful assessment of these barriers and implementation of culturally acceptable interventions are paramount to maximize communication outcomes of children with hearing loss.
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