Audiology at the Intersection of Labor, Revenue, and Professional Taxonomy.

Q2 Health Professions
Seminars in Hearing Pub Date : 2026-10-06 eCollection Date: 2026-05-01 DOI:10.1055/s-0046-1825787
Victor Bray
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引用次数: 0

Abstract

A healthcare profession's economic position is determined not only by its educational preparation or clinical scope, but also by how its services are classified, reimbursed, and translated into professional labor demand. This article examines audiology through the integrated framework of professional taxonomy, revenue generation, and labor economics to explain the structural factors underlying the profession's current economic position within the U.S. healthcare system. Drawing on principles of labor economics and evidence synthesized from companion analyses of workforce supply and professional earnings, the manuscript characterizes how regulatory classification, reimbursement authority, and prevailing revenue models interact to shape the valuation and deployment of audiologic labor. The analysis argues that audiology occupies a hybrid position spanning diagnostic, therapeutic, and product-linked models without achieving full economic recognition within any of them. This structural misalignment limits independent billing authority, constrains pricing power, weakens the relationship between clinical expertise and professional revenue, and contributes to compressed earnings, restricted workforce growth, and limited scalability of service delivery. Understanding these interdependent structural relationships provides an explanatory framework for interpreting audiology's workforce and economic challenges and establishes a foundation for evaluating future policy, reimbursement, and practice model reforms intended to strengthen the profession's long-term sustainability.

劳动、收入和专业分类交叉的听力学。
医疗保健专业的经济地位不仅取决于其教育准备或临床范围,还取决于其服务的分类、报销和转化为专业劳动力需求的方式。本文通过专业分类学、创收和劳动经济学的综合框架来考察听力学,以解释该专业在美国医疗保健系统中当前经济地位的结构性因素。根据劳动经济学的原则和从劳动力供应和专业收入的伴随分析合成的证据,手稿描述了监管分类、报销权限和现行收入模型如何相互作用,以塑造听力学劳动的估值和部署。分析认为,听力学在诊断、治疗和产品关联模式中占据混合地位,但在其中任何一种模式中都没有获得充分的经济认可。这种结构性错位限制了独立的计费权限,限制了定价权,削弱了临床专业知识和专业收入之间的关系,并导致收入压缩、劳动力增长受限和服务交付的可扩展性受限。理解这些相互依存的结构关系,为解释听力学的劳动力和经济挑战提供了一个解释性框架,并为评估未来的政策、报销和旨在加强该专业长期可持续性的实践模式改革奠定了基础。
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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来源期刊
Seminars in Hearing
Seminars in Hearing Health Professions-Speech and Hearing
CiteScore
3.30
自引率
0.00%
发文量
29
期刊介绍: Seminars in Hearing is a quarterly review journal that publishes topic-specific issues in the field of audiology including areas such as hearing loss, auditory disorders and psychoacoustics. The journal presents the latest clinical data, new screening and assessment techniques, along with suggestions for improving patient care in a concise and readable forum. Technological advances with regards to new auditory devices are also featured. The journal"s content is an ideal reference for both the practicing audiologist as well as an excellent educational tool for students who require the latest information on emerging techniques and areas of interest in the field.
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