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英国关于互联听力健康技术和服务交付模式的共识:德尔菲综述。

Consensus on connected hearing health technologies and service delivery models in the UK: a Delphi review.

机构信息

National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre (BRC), Nottingham, UK.

Department of Communication Sciences and Disorders, College of Health Sciences, University of Kentucky, Lexington, KY, USA.

出版信息

Int J Audiol. 2022 Apr;61(4):344-351. doi: 10.1080/14992027.2021.1936223. Epub 2021 Jun 28.

DOI:10.1080/14992027.2021.1936223
PMID:34182863
Abstract

OBJECTIVE

To develop a consensus among hearing healthcare professionals in the UK on connected hearing health technologies and service delivery models.

DESIGN

A three-round, electronic Delphi review was developed using a participatory-design approach. This included ten open-ended questions (round one) that informed 69 Likert-scaled statements (rounds two and three).

STUDY SAMPLE

An expert panel of 34 hearing health professionals representing all geographic regions of the UK from either the publicly funded National Health Service ( = 22) or independent sector ( = 12).

RESULTS

The majority of statements (61%) showed ≥80% consensus, highlighting that there was broad agreement amongst professionals on connected hearing health technologies. For example, there was consensus that adults who report communication difficulties and have no medical contraindications would be ideal candidates. Furthermore, it was unanimously agreed that connected technologies could result in delays in diagnosis of treatable medical conditions, as well as result in inadequate amplification. Overall, the expert panel concurred that connected technologies could serve as "gateway products" that lead to earlier hearing aid uptake.

CONCLUSIONS

This Delphi review identified overarching areas of agreement that may serve as a blueprint for future implementation of connected hearing health technologies through either conventional or new service delivery models in the UK.

摘要

目的

在英国的听力保健专业人员中就互联听力健康技术和服务交付模式达成共识。

设计

采用参与式设计方法开发了三轮电子德尔菲审查。这包括十个开放式问题(第一轮),为 69 个李克特量表陈述(第二轮和第三轮)提供信息。

研究样本

来自英国所有地理区域的 34 名听力保健专业人员的专家小组,他们代表公共资助的国民保健服务( = 22)或独立部门( = 12)。

结果

大多数(61%)陈述显示出≥80%的一致性,这表明专业人员在互联听力健康技术方面存在广泛共识。例如,共识认为报告有沟通困难且没有医学禁忌症的成年人将是理想的候选人。此外,一致认为互联技术可能导致可治疗的医疗条件的诊断延迟,以及放大不足。总体而言,专家组一致认为,互联技术可以作为“入门产品”,促使更早地采用助听器。

结论

这项德尔菲审查确定了总体上的共识领域,这些共识领域可能成为英国通过传统或新的服务交付模式实施互联听力健康技术的蓝图。

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