Chung Winnie, Sanchez-Gomez Maria C
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
Veterans Health Care System of the Ozarks, Fayetteville, AR.
J Early Hear Detect Interv. 2021;6(2):79-86. doi: 10.26077/df10-2c4d.
To describe an evaluation conducted by 39 state Early Hearing Detection and Intervention (EHDI) programs on the reporting process and system usability for audiologists when reporting the hearing test results to the EHDI program and the barriers encountered during reporting.
Each author independently extracted numbers, percentages, and texts from the evaluation reports into an Excel spreadsheet, which then became the dataset. Authors then compared and cross-checked the datasets before coding. Texts conveying similar concepts were coded with the same name and organized into categories. Finally, thematic identification and analysis were performed when a theme(s) or concept(s) that pertained to similar challenges encountered by audiologists was identified and organized under a higher-order domain.
Some audiologists reported no barriers when reporting hearing test results to the state EHDI programs. Among those audiologists who reported barriers, the most recurrent barrier was a non-user-friendly data system design. The second most recurrent barrier was not having adequate administrative time to report data as a busy clinician. The third most recurrent barrier was an incomplete understanding of the state EHDI reporting requirements. Finally, the method audiologists were required to use when reporting results also posed some challenges, such as no internet connection in rural areas when required to report via an internet portal.
Because of the wide variety of barriers faced by audiologists, multiple strategies to improve the reporting process would likely be beneficial.
描述39个州的早期听力检测与干预(EHDI)项目对听力学家向EHDI项目报告听力测试结果时的报告流程和系统可用性,以及报告过程中遇到的障碍所进行的一项评估。
每位作者独立地从评估报告中提取数字、百分比和文本,录入到一个Excel电子表格中,该表格随后成为数据集。作者们在编码之前对数据集进行了比较和交叉核对。传达相似概念的文本用相同的名称进行编码,并组织成类别。最后,当识别出与听力学家遇到的类似挑战相关的一个或多个主题或概念,并将其组织在一个更高层次的领域下时,进行主题识别和分析。
一些听力学家报告在向州EHDI项目报告听力测试结果时没有遇到障碍。在那些报告了障碍的听力学家中,最常见的障碍是数据系统设计不便于用户使用。第二常见的障碍是作为忙碌的临床医生没有足够的管理时间来报告数据。第三常见的障碍是对州EHDI报告要求的理解不完整。最后,听力学家在报告结果时被要求使用的方法也带来了一些挑战,比如在需要通过互联网门户报告时农村地区没有网络连接。
由于听力学家面临各种各样的障碍,多种改进报告流程的策略可能会有所帮助。