Kirk Katrine Rosenquist, Bille Michael, Jensen Ramon Gordon
Department of Otorhinolaryngology, Head, and Neck Surgery & Audiology, Rigshospitalet, Copenhagen, Denmark.
Int J Circumpolar Health. 2025 Dec;84(1):2550809. doi: 10.1080/22423982.2025.2550809. Epub 2025 Aug 29.
Hearing disability constitutes a major health care issue especially among indigenous populations and in low- and middle-income countries (LMIC). The authors are engaged in organising audiological services in Greenland, where the geographical challenges highlight the potential of tele-audiology. The search strategy was created in the PubMed database combining keywords and MeSH Terms with "OR" in each domain: "Hearing" and "Telemedicine" and then combined using "AND". Telerehabilitation was defined as: . The search was reproduced in Cochrane. The final search resulted in a total of 2,273 articles. After screening, 32 articles were reviewed. The included studies cover a broad variety of study designs, age groups, and countries. All included studies were analysed and summarised according to themes of relevance to an arctic setting. The review concludes that the technological development in tele-audiology has come far. Importantly, none of the studies reviewed provided clear evidence that tele-audiology delivers an inferior service, though further high-quality research is needed to confirm this. However, the evidence level in the studies was generally low. The usability of tele-audiology in cross-cultural settings and LMICstill need further investigation.
听力残疾是一个重大的医疗保健问题，尤其是在土著人口以及低收入和中等收入国家（LMIC）中。作者们正在格陵兰岛组织听力服务，当地的地理挑战凸显了远程听力诊断的潜力。检索策略是在PubMed数据库中创建的，在每个领域将关键词和医学主题词（MeSH Terms）用“OR”组合：“听力”和“远程医疗”，然后用“AND”进行组合。远程康复被定义为：……检索在Cochrane中重复进行。最终检索共得到2273篇文章。筛选后，对32篇文章进行了综述。纳入的研究涵盖了广泛的研究设计、年龄组和国家。所有纳入的研究都根据与北极环境相关的主题进行了分析和总结。该综述得出结论，远程听力诊断的技术发展已经取得了很大进展。重要的是，所综述的研究中没有一项提供明确证据表明远程听力诊断提供的服务较差，不过仍需要进一步的高质量研究来证实这一点。然而，这些研究的证据水平总体较低。远程听力诊断在跨文化环境和低收入和中等收入国家的可用性仍需要进一步研究。
