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Updated: Sep 24, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Change Resistance and Clinical Practice Strategies in Audiology.

Jessica R Wince1, Diana C Emanuel1, Nhung T Hendy2

  • 1Department of Speech-Language Pathology and Audiology, Towson University, Towson, Maryland.

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Summary

Audiologists are increasingly adopting hybrid pricing and audiology assistants, with experienced professionals leading these changes. Lower resistance to change and more experience correlate with positive views on organizational culture.

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Area of Science:

  • Audiology
  • Healthcare Management
  • Organizational Behavior

Background:

  • The audiology profession faces market pressures necessitating changes in practice.
  • Understanding resistance to change and organizational culture is key to facilitating professional evolution.

Purpose of the Study:

  • To investigate audiologists' resistance to change (RTC).
  • To examine the influence of organizational culture on clinical practices.
  • To analyze practices related to hearing aid pricing and the use of audiology assistants.

Main Methods:

  • Cross-sectional, nonexperimental survey design.
  • Survey of 205 U.S. audiologists across diverse settings.
  • Utilized Resistance to Change (RTC) scale and Organizational Culture Profile (OCP).

Main Results:

  • 52% of audiologists use bundled pricing, with 42% planning to unbundle. Hybrid pricing is rising.
  • 41% utilize service-extender personnel; 32% anticipate employing audiology assistants in the future.
  • Lower RTC and more experience correlated with positive organizational culture perceptions; pricing linked to experience.

Conclusions:

  • Bundled pricing is declining, hybrid pricing and audiology assistant employment are increasing.
  • Experienced audiologists are more inclined towards unbundled and hybrid pricing models.
  • Professional adaptation is influenced by experience, resistance to change, and organizational culture.