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初级保健中老年人的常规听力查:患者和诊所人员的见解
Mina Silberberg1,2, Anisha Singh3, Janet Prvu Bettger4,5
1Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina, USA.
The Gerontologist
|August 23, 2024
概括
在初级保健中,常规的听力查受到患者的青,但诊所工作人员引用了工作流的挑战. 解决这些障碍,包括报销和专家参与,是改善老年人听力健康的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 听力学 听力学是指听力学.
背景情况:
- 在老年人中,听力损失往往未被诊断和治疗,导致严重的健康问题.
- 尽管有诊断和治疗方面的好处,但初级保健机构对例行听力查的使用不足.
研究的目的:
- 探索患者和初级保健人员对老年人常规听力查的态度.
- 确定将听力查纳入初级保健中的障碍和促进因素.
主要方法:
- 使用焦点小组和采访初级保健人员 (n=38) 和患者 (n=24) 的定性研究.
- 通过比较不同听力查协调方法的更大研究,探索了经验.
主要成果:
- 大多数患者有未解决的听力问题;缺乏紧迫性是查的主要障碍.
- 患者倾向于进行常规的初级保健查,而工作人员发现时间,空间,工作流程和报销方面的挑战.
- 家庭和朋友的经历影响了患者对听力损失和治疗的态度.
结论:
- 在初级保健中,听力查的更大例行化得到了研究结果的支持.
- 建议包括改善补偿,加强专家和初级保健人员的参与,以及向公众宣传.
- 需要对初级保健中听力查的特定整合模型进行进一步研究.
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