Expanding Access to Hearing Healthcare for Adults: How Interprofessional Collaboration Can Promote Care Equity From Clinics to Communities.

Sarah E Hughes, Clinton R Brenner, Bryan Facione, Erin J Ross, Carrie L Nieman, Michael M McKee, Devin L McCaslin, Milisa Manojlovich, Margaret I Wallhagen, Michael J Brenner
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Abstract

Age-related hearing loss (ARHL) is a prevalent yet often overlooked public health challenge that requires interprofessional teamwork and advocacy to implement evidence-based interventions. ARHL impacts quality of life, cognitive function, and social well-being, yet access to hearing care remains limited due partly due to socioeconomic disparities, stigma, and gaps in interprofessional collaboration. This paper explores strategies to expand equitable access to hearing healthcare through interprofessional collaboration, policy advocacy, and community outreach. Nurses, otolaryngologists, audiologists, primary care providers, and public health professionals play keys roles in integrating hearing screenings into routine care, facilitating timely interventions, and addressing disparities. By leveraging electronic health record prompts, social determinants of health screenings, and interdisciplinary teamwork, healthcare systems can improve early detection and intervention for ARHL. Strengthening nurse-physician communication and fostering interprofessional collaboration ensures that hearing loss is recognized and addressed as a critical component of patient-centered care. Beyond conventional clinical settings, community-based initiatives and policy reforms can further enhance access to hearing services. Expanding insurance coverage for hearing aids, advocating for inclusive healthcare policies, and fostering partnerships with local organizations can bridge existing gaps in care. Additionally, educational campaigns aimed at reducing stigma and increasing public awareness are essential for promoting the adoption of hearing interventions. By emphasizing collaborative approaches to hearing health, this article highlights the importance of addressing ARHL as a clinical and public health priority. A coordinated, equity-driven framework can expand access to care and reduce the long-term consequences of untreated hearing loss in aging adults.

扩大成人听力保健:跨专业合作如何促进从诊所到社区的护理公平。
年龄相关性听力损失(ARHL)是一种普遍但经常被忽视的公共卫生挑战,需要跨专业团队合作和宣传来实施循证干预措施。ARHL影响生活质量、认知功能和社会福祉,但由于社会经济差距、耻辱感和专业间合作的差距,获得听力保健的机会仍然有限。本文探讨了通过跨专业合作、政策倡导和社区外展来扩大公平获得听力保健的策略。护士、耳鼻喉科医生、听力学家、初级保健提供者和公共卫生专业人员在将听力筛查纳入常规护理、促进及时干预和解决差异方面发挥着关键作用。通过利用电子健康记录提示、健康筛查的社会决定因素和跨学科团队合作,医疗保健系统可以改善ARHL的早期发现和干预。加强护士与医生的沟通,促进跨专业合作,确保听力损失作为以患者为中心的护理的一个重要组成部分得到承认和解决。在传统的临床环境之外,基于社区的倡议和政策改革可以进一步提高获得听力服务的机会。扩大助听器的保险覆盖范围、倡导包容性医疗保健政策以及促进与地方组织的伙伴关系,可以弥补现有护理方面的差距。此外,旨在减少耻辱感和提高公众意识的教育运动对于促进采用听力干预措施至关重要。通过强调听力健康的合作方法,本文强调了将ARHL作为临床和公共卫生优先事项的重要性。一个协调、公平驱动的框架可以扩大获得护理的机会,并减少老年人听力损失未经治疗的长期后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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