Parving A, Christensen B, Sørensen M S
Department of Audiology, Bispebjerg Hospital, Copenhagen Hospital Corporation, Denmark.
Scand Audiol. 1996;25(4):253-8. doi: 10.3109/01050399609074963.
This study was undertaken in the Valby health district in Copenhagen in order to evaluate the activities and attitudes of GPs concerning hearing problems in their elderly patients. Among 55 GPs offering health services to the 2915 residents > or = 80 years of age in the district, 76% (n = 42) responded to a structured questionnaire or personal interview, evaluating their line of action concerning hearing problems, and their knowledge and attitudes towards hearing aids (HAs). Among the responding GPs, 7% always seek information on the hearing ability of their elderly patients at the defined age, whereas 14% never focus on the hearing; 45% of the GPs always refer to an ENT specialist when hearing problems are present, which causes further delay in the rehabilitation process and increases costs within the primary health care sector. GPs' attitudes to HAs seem to be changing in a positive way, 91% of them revealing a positive attitude to HAs, and 86% indicating that a HA is capable of ameliorating a hearing problem in the elderly. Irrespective of this positive attitude, the knowledge of types of HAs among GPs seems limited. The study cannot support the idea of making HAs prescribable by GPs unless they are first offered intensive courses on audiology.
本研究在哥本哈根的瓦尔比健康区开展，旨在评估全科医生（GP）针对老年患者听力问题的行为及态度。在为该地区2915名80岁及以上居民提供健康服务的55名全科医生中，76%（n = 42）回复了一份结构化问卷或接受了个人访谈，问卷评估了他们针对听力问题的行动方针，以及他们对助听器（HA）的了解和态度。在做出回复的全科医生中，7%的人总是会在规定年龄询问老年患者的听力情况，而14%的人从不关注听力问题；45%的全科医生在出现听力问题时总是会转诊至耳鼻喉科专家处，这导致康复过程进一步延迟，并增加了初级卫生保健部门的成本。全科医生对助听器的态度似乎正在朝着积极的方向转变，91%的人对助听器持积极态度，86%的人表示助听器能够改善老年人的听力问题。尽管态度积极，但全科医生对助听器类型的了解似乎有限。该研究不支持让全科医生能够开出处方提供助听器的想法，除非他们首先接受听力方面的强化课程培训。
