Potential barriers and facilitators for implementation of an integrated care pathway for hearing-impaired persons: an exploratory survey among patients and professionals

Grutters, Janneke P.C.; Horst, Frans van der; Joore, Manuela A.; Verschuure, Hans; Dreschler, Wouter A.; Anteunis, Lucien J. C.

doi:10.1186/1472-6963-7-57

Cited by 9 publications

(10 citation statements)

References 21 publications

(18 reference statements)

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“…Patients who had more self‐recognition and acceptance of the hearing problem were more willing to use a hearing device . Healthcare providers also play an important role in the process of seeking hearing care . Otolaryngologists are frequently the initial contact in motivating a patient to seek intervention for hearing problems, and two‐thirds of patients recommended to undergo audiological assessment proceed with the recommendation …”

Section: Resultsmentioning

confidence: 99%

“…24,29,30 Healthcare providers also play an important role in the process of seeking hearing care. 31 Otolaryngologists are frequently the initial contact in motivating a patient to seek intervention for hearing problems, and two-thirds of patients recommended to undergo audiological assessment proceed with the recommendation. 32 Nonaudiological patient behavioral factors were also identified as motivators in seeking hearing healthcare.…”

Section: Motivatorsmentioning

confidence: 99%

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Factors involved in access and utilization of adult hearing healthcare: A systematic review

et al. 2016

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Objective/Hypothesis Hearing loss is a public health concern yet hearing healthcare disparities exist and influence utilization of rehabilitation services. The objective of this review was to systematically analyze the published literature on motivators, barriers, and compliance factors affecting adult patient access and utilization of hearing rehabilitation healthcare. Data Sources and Study Eligibility Criteria Pubmed, PsychINFO, CINAHL, Web of Science were searched for relevant articles. Eligible studies were those containing original, peer-reviewed research in English pertaining to factors affecting adult hearing healthcare access and utilization of hearing aids and cochlear implantation. The search encompassed 1990-2015. Study Appraisal and Synthesis Methods Two investigators independently reviewed all articles and extracted data. Specific variables regarding access to care and compliance to recommended care were extracted from each study. Results Thirty articles were reviewed. The factors affecting access and utilization of hearing rehabilitation could be classified into motivators, barriers, and compliance in treatment or device use. The key motivators to seek care include degree of hearing loss, self-efficacy, family support, and self-recognition of hearing loss. The primary barriers to care were financial limitations, stigma of hearing devices, inconvenience, competing chronic health problems, and unrealistic expectations. Compliance is most affected by self-efficacy, education level, and engagement in the rehabilition process. Conclusion Accessing hearing healthcare is complicated by multiple factors. Considering the current climate in healthcare policy and legislation towards improved access of care, a deeper understanding of motivators, barriers and compliance factors can aid in delivery of effective and efficient hearing healthcare.

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Section: Resultsmentioning

confidence: 99%

Section: Motivatorsmentioning

confidence: 99%

Factors involved in access and utilization of adult hearing healthcare: A systematic review

et al. 2016

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“…Direct hearing aid provision by private dispensers can be perceived as both favorable and unfavorable, depending on patients' individual preferences. In a previous study [25] we asked persons with hearing complaints to grade direct hearing aid provision and provision by referral. We found that 42% of the respondents preferred hearing aid provision by referral; 39% preferred direct hearing aid provision, and 18% graded them equally.…”

Section: Methodsmentioning

confidence: 99%

Willingness to Accept versus Willingness to Pay in a Discrete Choice Experiment

Grutters¹,

Kessels²,

Dirksen³

et al. 2008

Value in Health

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“…Grutters et al . [9,10] found that both persons with hearing complaints and professionals in the area of hearing rehabilitation are receptive to transferring elements of hearing aid provision from the medical sector to private dispensers. One of the conditions most professionals stated as necessary for shared care in hearing aid provision was that clear guidelines be available to distinguish between patients and clients.…”

Section: Discussionmentioning

confidence: 99%