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扩大成人听力保健服务的可及性:跨专业协作如何促进从诊所到社区的医疗公平性。

Expanding Access to Hearing Healthcare for Adults: How Interprofessional Collaboration Can Promote Care Equity From Clinics to Communities.

作者信息

Hughes Sarah E, Brenner Clinton R, Facione Bryan, Ross Erin J, Nieman Carrie L, McKee Michael M, McCaslin Devin L, Manojlovich Milisa, Wallhagen Margaret I, Brenner Michael J

机构信息

University of Michigan Medical School, Ann Arbor, MI.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI.

出版信息

ORL Head Neck Nurs. 2025;43(2):55-60.

Abstract

Age-related hearing loss (ARHL) is a prevalent yet often overlooked public health challenge that requires interprofessional teamwork and advocacy to implement evidence-based interventions. ARHL impacts quality of life, cognitive function, and social well-being, yet access to hearing care remains limited due partly due to socioeconomic disparities, stigma, and gaps in interprofessional collaboration. This paper explores strategies to expand equitable access to hearing healthcare through interprofessional collaboration, policy advocacy, and community outreach. Nurses, otolaryngologists, audiologists, primary care providers, and public health professionals play keys roles in integrating hearing screenings into routine care, facilitating timely interventions, and addressing disparities. By leveraging electronic health record prompts, social determinants of health screenings, and interdisciplinary teamwork, healthcare systems can improve early detection and intervention for ARHL. Strengthening nurse-physician communication and fostering interprofessional collaboration ensures that hearing loss is recognized and addressed as a critical component of patient-centered care. Beyond conventional clinical settings, community-based initiatives and policy reforms can further enhance access to hearing services. Expanding insurance coverage for hearing aids, advocating for inclusive healthcare policies, and fostering partnerships with local organizations can bridge existing gaps in care. Additionally, educational campaigns aimed at reducing stigma and increasing public awareness are essential for promoting the adoption of hearing interventions. By emphasizing collaborative approaches to hearing health, this article highlights the importance of addressing ARHL as a clinical and public health priority. A coordinated, equity-driven framework can expand access to care and reduce the long-term consequences of untreated hearing loss in aging adults.

摘要

年龄相关性听力损失(ARHL)是一项普遍存在但常被忽视的公共卫生挑战,需要跨专业团队合作及宣传推广来实施循证干预措施。ARHL会影响生活质量、认知功能和社会福祉,但听力保健服务的可及性仍然有限,部分原因是社会经济差距、污名化以及跨专业协作方面的差距。本文探讨了通过跨专业协作、政策宣传和社区推广来扩大听力保健公平可及性的策略。护士、耳鼻喉科医生、听力学家、初级保健提供者和公共卫生专业人员在将听力筛查纳入常规护理、促进及时干预以及解决差异方面发挥着关键作用。通过利用电子健康记录提示、健康筛查的社会决定因素以及跨学科团队合作,医疗系统可以改善对ARHL的早期检测和干预。加强护士与医生之间的沟通并促进跨专业协作,可确保听力损失被视为以患者为中心的护理的关键组成部分并得到解决。除了传统临床环境外,基于社区的举措和政策改革可以进一步提高听力服务的可及性。扩大助听器保险覆盖范围、倡导包容性医疗政策以及与当地组织建立伙伴关系可以弥合现有的护理差距。此外,旨在减少污名化并提高公众意识的教育活动对于促进听力干预措施的采用至关重要。通过强调听力健康的协作方法,本文强调了将ARHL作为临床和公共卫生优先事项加以解决的重要性。一个协调一致、以公平为导向的框架可以扩大护理可及性并减少老年人未经治疗的听力损失的长期后果。

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本文引用的文献

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Reframing Our Health Care System for Patients With Hearing Loss.为听力损失患者重塑我们的医疗保健系统。
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