直接面向消费者的听力保健服务交付的挑战和机遇:范围审查。

IF 2.2 4区 医学 Q2 REHABILITATION
Harini Madhu, Millie R Kirkwood, Amir Hussain, Alison Porter-Armstrong, Adele M Goman
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引用次数: 0

摘要

尽管世界范围内听力损失的患病率不断上升,但助听器的利用仍然不足。直接面向消费者(DTC)的听力服务已经成为解决传统听力学服务障碍的潜在解决方案。本综述调查了听力学中与直接面向消费者的服务交付相关的挑战和机遇。本综述遵循Arksey和O'Malley以及PRISMA-ScR指南。系统地检索了四个数据库和灰色文献,确定了12034条记录。2015年1月至2024年10月期间发表的英文研究,如果从18岁或以上听力损失用户或医疗保健提供者的角度探讨DTC听力保健服务提供的挑战或机遇,则纳入其中。经过筛选和全文审查,纳入了24项研究。确定的障碍包括缺乏专业指导、安全问题、用户意识有限和信任问题。机会包括改善可及性、成本效益、将DTC纳入听力学实践、跨专业合作、患者教育以及比较DTC和传统服务模式的研究。虽然DTC模型可以提高听力保健的可及性,但克服用户教育、信任和专业参与等挑战至关重要。将任务转移给其他医疗保健提供者已成为提高服务效率的关键战略。研究结果强调需要一种协作的、多学科的方法来优化DTC服务的提供,并为未来的政策和实践提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges and opportunities in direct-to-consumer hearing healthcare service delivery: a scoping review.

Despite the rising prevalence of hearing loss worldwide, underutilization of hearing aids persists. Direct-to-consumer (DTC) hearing services have emerged as a potential solution to address barriers in conventional audiology services. This scoping review investigates the challenges and opportunities associated with direct-to-consumer service delivery in audiology. This review followed the Arksey and O'Malley and PRISMA-ScR guidelines. A systematic search of four databases and gray literature identified 12,034 records. Studies published in English between January 2015 and October 2024 were included if they explored challenges or opportunities in DTC hearing care service delivery from the perspectives of users aged 18 years or older with hearing loss or healthcare providers. After the screening and full-text review, 24 studies were included. The identified barriers included lack of professional guidance, safety concerns, limited user awareness and trust issues. Opportunities included improved accessibility, cost-effectiveness, integration of DTC into audiological practice, interprofessional collaboration, patient education and research comparing DTC and traditional service models. While DTC models can enhance access to hearing healthcare, overcoming challenges such as user education, trust, and professional involvement is crucial. Task shifting to other healthcare providers has emerged as a crucial strategy for enhancing service efficiency. The findings emphasise the need for a collaborative, multi-disciplinary approach to optimize DTC service delivery and inform future policy and practice.

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来源期刊
CiteScore
5.70
自引率
13.60%
发文量
128
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