Accessibility of University Audiology Clinics

Access to hearing health care remains a major issue for people with hearing and balance disorders across the lifespan. University audiology clinics are in a unique position to address these disparities in access, as they serve as training programs for future clinicians and health care centers. This study examined the accessibility of university audiology clinics in various domains including financial barriers, LGBTQ+-inclusive facilities, physical access, scheduling, transportation, financial assistance, and communication.

Data on accessibility domains were collected via structured phone calls with clinic reception staff at university audiology clinics and websites. Distances between the nearest bus stop or rail station and the university audiology clinic were calculated and categorized based on the frequency of service. Responses and public transportation data were analyzed using descriptive statistics.

University audiology clinics had a range of accessibility features, including ways to schedule an appointment, services for patients with limited English proficiency, financial assistance, disability accommodations, availability of gender-neutral restrooms, and extended clinic hours. Most offered standard scheduling by phone, written visit summaries, and accessible physical facilities, but fewer clinics provided services for extended hours, disability accommodations, or language support. Gaps identified include gender-inclusive restrooms, bilingual staffing, and financial assistance options for patients. The mean distance from the university clinic to the nearest bus stop was 0.206 mi, and the mean distance from the university clinic to the nearest rail station was 0.488 mi. Clinics are located in slightly more socially disadvantaged areas compared to the national average.

The findings provide data on the accessibility of university audiology clinics for patients from various backgrounds with differing needs (e.g., financial assistance, language support). Gaps in hearing health care access and areas for improvement of accessibility across areas such as language services, physical facilities, scheduling, and transportation for university audiology clinics are identified and discussed. Recommendations include asking about transportation options, scheduling considerations around transit schedules, installing clear signage, providing staff training, and offering tele-audiology appointments.

https://doi.org/10.23641/asha.31235929.