Bentur N, Valinsky L, Lemberger J, Ben Moshe Y, Heymann A D
Center for Research on Aging, Myers-JDC-Brookdale Institute, Jerusalem, Israel.
J Laryngol Otol. 2012 Jun;126(6):574-9. doi: 10.1017/S0022215112000072. Epub 2012 Apr 12.
To improve audiology screening in general practice, using an intervention programme aiming to empower older adults and their general practitioners.
We conducted a quasi-experimental community study comparing 206 patients and two control groups (the first being 101 people registered with the same general practitioner, and the second 87 people registered with another general practitioner). Outcome measures were: rates of hearing tests in the six months before interview, and screening recommendation by the general practitioner.
Amongst patients, there was a significant increase in numbers undergoing a hearing test, from 19 per cent before the intervention to 49 per cent two years later, while in the two control groups there was little change. Twenty-two per cent of patients and 19 per cent of the first control group reported that their physicians suggested undergoing a hearing test; the second control group subjects (whose general practitioners received no specific educational intervention) showed no change.
The two crucial factors for improving hearing screening uptake in the elderly are general practitioner education and patient empowerment.
通过一项旨在增强老年人及其全科医生能力的干预计划，改善全科医疗中的听力筛查。
我们进行了一项准实验性社区研究，比较了206名患者和两个对照组（第一个对照组为101名在同一位全科医生处注册的人员，第二个对照组为87名在另一位全科医生处注册的人员）。结果指标为：访谈前六个月内的听力测试率，以及全科医生的筛查建议。
在患者中，接受听力测试的人数显著增加，从干预前的19%增至两年后的49%，而两个对照组几乎没有变化。22%的患者和19%的第一个对照组报告称，他们的医生建议进行听力测试；第二个对照组的受试者（其全科医生未接受特定教育干预）则没有变化。
提高老年人听力筛查接受率的两个关键因素是全科医生教育和患者赋权。
