Parving A
Audiologisk afdeling, Bispebjerg Hospital, København.
Ugeskr Laeger. 1996 Sep 9;158(37):5145-7.
Surveys have shown that the overall prevalence of hearing problems in the adult population is approximately 20% with an increasing prevalence as a function of age, i.e. a prevalence of 40-70% in the population at an age of 70+ years. This survey describes the role of general practitioners (GP) in audiology based on questionnaire evaluations mailed to all GPs in the Copenhagen City and to GPs offering services to persons > or = 80 years of age in the Valby health authority subdistrict. Additionally, an evaluation of hearing-impaired persons referred to the Audiological Department has been performed. Only 10% of GPs indicated that they knew the structure and organization of the hearing health services, resulting in a delay in rehabilitation. Forty-five percent of GPs always refer their elderly patients > or = 80 years of age with hearing problems to otologists in the primary health care sector, which represents unnecessary and additional costs within the local health authority. Among the hearing-impaired only 29% had gone to their GP due to hearing problems. The attitude to hearing aids among the GPs is positive, and 95% consider a hearing aid capable of improving the quality of life. It is suggested that GPs receive training and education within the audiological field before entering general practice, and that postgraduate courses directed towards GPs are established.
调查显示，成年人群中听力问题的总体患病率约为20%，且患病率随年龄增长而上升，即在70岁及以上人群中患病率为40%-70%。本调查基于向哥本哈根市所有全科医生以及瓦尔比卫生当局分区为80岁及以上人群提供服务的全科医生邮寄的问卷评估，描述了全科医生在听力学中的作用。此外，还对转诊至听力学部门的听力受损者进行了评估。只有10%的全科医生表示他们了解听力健康服务的结构和组织，这导致康复延迟。45%的全科医生总是将80岁及以上有听力问题的老年患者转诊至初级卫生保健部门的耳科医生处，这在地方卫生当局内部代表着不必要的额外费用。在听力受损者中，只有29%因听力问题去看过全科医生。全科医生对助听器的态度是积极的，95%的人认为助听器能够改善生活质量。建议全科医生在进入全科医疗之前接受听力学领域的培训和教育，并为全科医生设立研究生课程。
