Experience, Attitudes, and Competencies of Audiologic Support Personnel in a Rehabilitation Hospital

Johnson, Carole E.; Clark-Lewis, Sandra; Griffin, Donna

doi:10.1044/1059-0889(1998/020)

Cited by 4 publications

(5 citation statements)

References 1 publication

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“…Information gleaned from the survey will assess the need, content, and preferred format for educational outreach campaigns. The survey was designed using a format employed earlier in assessing related health-care professionals' knowledge and attitudes toward participating in audiologic service delivery (Johnson et al, 1992;Johnson et al, 1998).…”

Section: The Questionnairementioning

confidence: 99%

Hearing and Balance Screening and Referrals for Medicare Patients: A National Survey of Primary Care Physicians

Johnson¹,

Danhauer²,

Koch³

et al. 2008

J Am Acad Audiol

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Hearing and balance problems are prevalent among the elderly. Primary care physicians (PCPs) are important pivotal points of entry for ensuring that patients receive needed audiology services. New Medicare beneficiaries are entitled to one-time preventative examinations including hearing/balance screenings. A 35-item questionnaire was developed to assess physicians' participation in, knowledge about, and attitudes toward hearing/balance screenings and referrals for the elderly. The survey was mailed to 710 PCPs (19 undeliverable; 95 returned; response rate = 13.7%) in major metropolitan areas in the United States. Generally, these PCPs were not conducting hearing/balance screenings, aware of patient self-report screening questionnaires, or likely to screen in the future. They referred to audiologists and otolaryngologists mainly when patients complained of having hearing/balance difficulties, and they stated that these problems were important in the elderly and that the Medicare program was worthy of funding but that they had little time and were not reimbursed appropriately for screening. Therefore, PCPs could benefit from informational outreach campaigns on the prevalence of, negative HRQoL (health-related quality of life) effects from, and screening procedures for hearing/balance disorders in the elderly.

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Section: The Questionnairementioning

confidence: 99%

Hearing and Balance Screening and Referrals for Medicare Patients: A National Survey of Primary Care Physicians

Johnson¹,

Danhauer²,

Koch³

et al. 2008

J Am Acad Audiol

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“…If not, they are instructed to go on to item #13. The NHSPPQ was designed using a format employed earlier in assessing related health-care professionals' knowledge and attitudes toward participating in audiologic service delivery (Johnson and Stein, 1992;Johnson et al, 1998). The questionnaire was designed to assess physicians' knowledge about and attitudes toward NHSPs in order to uncover any misconceptions or biases that could contribute to poor follow-up rates for infants identified as possibly having hearing loss in these programs.…”

Section: The Questionnairementioning

confidence: 99%

A National Survey of Pediatric Otolaryngologists and Early Hearing Detection and Intervention Programs

Danhauer

Johnson²,

Finnegan³

et al. 2006

J Am Acad Audiol

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Follow-up rates for babies identified for hearing loss from early hearing detection and intervention programs (EHDIPs) and newborn hearing screening programs (NHSPs) in the United States do not meet the goals posited by the Centers for Disease Control. Pediatric otolaryngologists (PED-ENTs) play a vital role in EHDIPs and can positively influence parents' compliance with professionals' recommendations for their babies. This national study used a 19-item questionnaire and postal survey to assess PED-ENTs' knowledge about, experience with, and attitudes toward NHSPs. Of 565 surveys mailed (36 were undeliverable), 233 were returned for a 44% response rate. Most of these PED-ENTs had adequate knowledge about, participated in, and expressed positive attitudes toward NHSPs; however, some could benefit from additional information about national EHDI benchmarks and poor follow-up rates. Audiologists should ally with PED-ENTs locally and nationally to strengthen EHDIPs and prevent loss of children with hearing impairment to follow-up.

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“…The results showed that nurses across work settings were not prepared to serve as audiologic support personnel. Also, Johnson et al 34 found that nursing, occupational therapy, and physical therapy staffs were not prepared to serve as audiologic support personnel in a rehabilitation hospital setting. Thus, effective inservice programs are warranted for all alliedhealth professionals who serve as audiologic support personnel.…”

Section: Effective In-service Programsmentioning

confidence: 99%

“…Typically, a nurse liaison visits the patient and family to assist with the transition to the rehabilitation hospital. 34,37 Patients are asked about their hearing status and use of hearing aids. Those who believe that they have a hearing loss are identified and scheduled for a hearing screening upon admission.…”

Section: Rehabilitation Hospitalsmentioning

confidence: 99%

“…In addition, the nurse liaison reminds patients to bring along important personal items for their rehabilitation program (i.e., workout clothes, sneakers, and their hearing aids). 34,37 Upon admission, patients with confirmed hearing loss complete an informedconsent form to participate in the support program, which involves hearing screenings; audiologic evaluations; staff notification of hearing status and needs; hearing aid evaluations, fittings, checks, and monitoring; ALD and communication accessibility information; and short-term rehabilitation. Patients can agree to participate in one or all aspects of the program.…”

Section: Rehabilitation Hospitalsmentioning

confidence: 99%

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Aural Rehabilitation Support Programs for Adults

Johnson¹,

Ccc-A²,

Danhauer³

2000

Semin Hear

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Since the end of World War II, the American health-care system has generally operated under the traditional fee-forservice reimbursement model that provides little incentive for service-care providers to cut costs, resulting in unnecessary care. 1 High volumes of unnecessary care have, in part, driven the cost of health care to at least 20% of the gross domestic product (GDP) by the end of the century. 1 Managed care has been offered as one way to reduce the costs of health care by combining financing, clinical services, and management under one system. 2 Audiologists often participate in managed care by affiliating with a hearing care network consisting of other audiologists in the same geographic area who contract with health-maintenance organizations (HMOs) to provide hearing health-care services to enrollees. 2,3 Many HMOs expect audiologic testing to be capitated under the primarycare physician and contract only for hearing aids. Unfortunately, few hearing plans have provisions for aural rehabilitation beyond the fitting of hearing aids. Many sole-proprietor private practitioners fear hearing networks and feel pressured to either affiliate with networks or lose their patients and/or provide less than adequate care. 4-6 To compete in today's hearing health-care system, audiologists must adopt a proactive approach to managed care and design innovative models of aural rehabilitation to meet the audiologic needs of patients in the new millennium.Innovative models of adult aural rehabilitation are needed to manage the hearing impairments of the 33 million Americans-13% of the population, over the age of 65. 7 ABSTRACT The number of individuals aged 65 years and older is expected to increase dramatically during the next 30 years. The Medicare caps on rehabilitation services experienced in the 1990s may be just a preview of the future limitation of services as an overextended health-care system attempts to provide for an unprecedented number of senior citizens. Innovative audiologic service-delivery models are needed to meet the hearing health-care needs of this population. The purpose of this article is to discuss the establishment of aural rehabilitation support programs in health-care and long-term, residential-care facilities for the elderly.

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Experience, Attitudes, and Competencies of Audiologic Support Personnel in a Rehabilitation Hospital

Cited by 4 publications

References 1 publication

Hearing and Balance Screening and Referrals for Medicare Patients: A National Survey of Primary Care Physicians

Hearing and Balance Screening and Referrals for Medicare Patients: A National Survey of Primary Care Physicians

A National Survey of Pediatric Otolaryngologists and Early Hearing Detection and Intervention Programs

Aural Rehabilitation Support Programs for Adults

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