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用于改善成人服务提供的远程技术:临床研究视角

Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives.

作者信息

Ferguson Melanie A, Eikelboom Robert H, Sucher Cathy M, Maidment David W, Bennett Rebecca J

机构信息

Ear Science Institute Australia, Perth, Australia.

School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia.

出版信息

Semin Hear. 2023 Jul 21;44(3):328-350. doi: 10.1055/s-0043-1769742. eCollection 2023 Aug.

Abstract

There are many examples of remote technologies that are clinically effective and provide numerous benefits to adults with hearing loss. Despite this, the uptake of remote technologies for hearing healthcare has been both low and slow until the onset of the COVID-19 pandemic, which has been a key driver for change globally. The time is now right to take advantage of the many benefits that remote technologies offer, through clinical, consumer, or hybrid services and channels. These include greater access and choice, better interactivity and engagement, and tailoring of technologies to individual needs, leading to clients who are better informed, enabled, and empowered to self-manage their hearing loss. This article provides an overview of the clinical research evidence-base across a range of remote technologies along the hearing health journey. This includes qualitative, as well as quantitative, methods to ensure the end-users' voice is at the core of the research, thereby promoting person-centered principles. Most of these remote technologies are available and some are already in use, albeit not widespread. Finally, whenever new technologies or processes are implemented into services, be they clinical, hybrid, or consumer, careful consideration needs to be given to the required behavior change of the key people (e.g., clients and service providers) to facilitate and optimize implementation.

摘要

有许多远程技术在临床上行之有效,并为成年听力损失患者带来诸多益处。尽管如此,在2019冠状病毒病大流行开始之前,远程技术在听力保健领域的应用率一直很低且进展缓慢,而新冠疫情已成为全球变革的关键驱动力。现在正是通过临床、消费者或混合服务及渠道利用远程技术所带来的诸多益处的恰当时机。这些益处包括更多的获取途径和选择、更好的互动性和参与度,以及根据个人需求量身定制技术,从而使客户能更好地了解情况、有能力并获得授权来自我管理听力损失。本文概述了听力健康历程中一系列远程技术的临床研究证据基础。这包括定性和定量方法,以确保最终用户的声音处于研究的核心位置,从而促进以人为本的原则。这些远程技术大多已有可用,有些已经在使用,尽管尚未广泛应用。最后,每当将新技术或流程应用于服务中时,无论是临床、混合还是消费者服务,都需要仔细考虑关键人员(如客户和服务提供者)所需的行为改变,以促进并优化实施。

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