Prudent healthcare in practice: integration of audiology services into primary care

Loescher, Timothy; Allum, Jack; Phillips, Nicola

doi:10.1136/bmjoq-2022-001884

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Alternatively, placing hearing services in primary care settings may offer potential for easier access to hearing care. Primary care audiology services have been successfully piloted in Wales and have shown potential to increase accessibility by reducing waiting times and simplifying patient referral pathways, while improving clinical outcomes through earlier intervention 63 64…”

Section: Discussionmentioning

confidence: 99%

Association between hearing loss and deprivation among Welsh adults: a cross-sectional observational study

et al. 2023

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ObjectiveTo index levels of hearing loss with respect to area-level indices of deprivation in a Welsh population.DesignA cross-sectional observational study of all adults (aged >18) that attended Abertawe Bro Morgannwg University (ABMU) Health Board audiology services between 2016 and 2018. Service access, first hearing aid fitting appointment rates and hearing loss at time of first hearing aid provision were used to index population hearing loss versus area-level indices of deprivation based on patient postcode.SettingPrimary and secondary care.Participants59 493 patient entries met the inclusion criteria. Patient entries were grouped by age (18–30, 31–40, 41–50, 51–60, 61–70, 71–80, >80 years) and deprivation decile.ResultsThe interaction between age group and deprivation decile predicted access rate to ABMU audiology services (b=−0.24, t(6858) = −2.86, p<0.01) with audiology services accessed more frequently by the most deprived versus the least deprived decile in every age group (p<0.05), except the >80 years. First hearing aid fitting rates were highest among the most deprived in the four youngest age groups (p<0.05). Severity of hearing loss at the time of first hearing aid fitting was worse among the most deprived in the five oldest age groups (p<0.01).ConclusionsHearing health inequalities are prevalent among adults accessing ABMU audiology services. Our findings suggest that deprivation increases the likelihood of developing hearing loss, brings earlier onset of hearing loss and is linked to delays in getting help for hearing problems. However, it is not possible to know the true scale of these disparities without knowing the hearing health of the Welsh adult population including those who do not seek help for hearing problems.

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Section: Discussionmentioning

confidence: 99%

Association between hearing loss and deprivation among Welsh adults: a cross-sectional observational study

et al. 2023

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“…Fetal outcomes include small for gestational age (defined as birthweight < 10th percentile), FGR (fetal weight below the third percentile), macrosomia (birthweight >4,000 g), meconium-stained amniotic fluid, preterm birth (defined as < 37 weeks of gestation), fetal distress, umbilical cord factors (umbilical cord around the neck or umbilical cord knot), congenital malformation, chromosomal abnormalities, low Apgar score (< 7 after 5 min), admissions to medium care unit and neonatal intensive care unit, and stillbirth (24 weeks of gestation to 7 days after delivery). All outcome measures are based on previous large-scale studies on comparative programs and national guidelines ( 24 , 25 ).…”

Section: Methodsmentioning

confidence: 99%

Rational use of drugs to alleviate adverse outcomes caused by COVID-19 quarantine in women with intrahepatic cholestasis of pregnancy

Cai,

Li,

Yang

et al. 2023

Front. Med.

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PurposeThis study aimed to investigate the impacts of home quarantine on pregnancy outcomes of women with intrahepatic cholestasis of pregnancy (ICP) during the COVID-19 outbreak and whether the rational use of drugs will change these impacts.MethodsThis multi-center study was conducted to compare the pregnancy outcomes in women with ICP between the home quarantine group and the non-home quarantine group in southwest China. Propensity score matching was performed to confirm the pregnancy outcomes of the medication group and the non-medication group in women with ICP during the epidemic period.ResultsA total of 3,161 women with ICP were enrolled in this study, including 816 in the home quarantine group and 2,345 in the non-home quarantine group. Women with ICP in the home quarantine group had worse pregnancy outcomes, such as a growing risk of gestational diabetes mellitus A1, fetal growth restriction, pre-eclampsia, preterm delivery, and even stillbirth. Drug therapy could alleviate some adverse pregnancy outcomes caused by home quarantine, including pre-eclampsia, preterm delivery, and meconium-stained amniotic fluid.ConclusionCOVID-19 quarantine would increase the incidence of ICP and lead to adverse pregnancy outcomes in women with ICP. The rational use of drugs reduced some obstetrical complications and improved partial pregnancy outcomes. Our findings suggested that the government and hospitals should enhance their management and life guidance for women with ICP and speed up developing home quarantine guidelines.

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“…Comprehensive guidance is offered via the National Institute for Health and Care Excellence (NICE) [ 44 , 45 ] and the Royal College of General Practitioner’s [ 46 , 47 ]. Furthermore, an innovative service delivery model highlights the benefits of integrating audiology triage into primary care [ 48 ]. Finally, the World Health Organization ‘World Report on Hearing’ [ 9 ] was developed to aid integration of ear and hearing care into its’ Member States national health plans.…”

Section: Looking Forward: a New Horizon In Hearing Conditionsmentioning

confidence: 99%

New horizons in hearing conditions

Henshaw,

Calvert,

Heffernan

et al. 2023

Age and Ageing

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Hearing conditions such as hearing loss, tinnitus and hyperacusis are highly prevalent in the population and can severely impact communication and quality of life. Hearing is affected by multiple factors, including heredity, noise exposure, age, sex, ear disorders and lifestyle factors. Globally, hearing loss affects over 80% of adults aged 80 years and older, is often experienced in combination with other long-term health conditions and is a mid-life risk factor for dementia. To form a themed collection, we searched Age and Ageing for articles on hearing conditions published from 2000 onwards. This resulted in 22 articles included within the collection. They examined a range of important topics related to hearing healthcare and research, including noise-induced hearing loss, health service quality and safety, psychological and psychosocial consequences of hearing loss and co-morbidities of hearing loss. All articles reported on hearing loss; there were no published articles with a primary focus on other hearing conditions such as tinnitus or hyperacusis, on the health of older people from the Deaf community or on users of Cochlear implants, suggesting key gaps in knowledge and targets for future research. This New Horizons article highlights novel directions in research and practice and takes a forward look at how research into hearing conditions may develop in years to come. It highlights opportunities for the growth of patient-centred research and hearing healthcare supported by the better integration of health and care services as well as cross-speciality working to include common co-morbid health conditions.

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Prudent healthcare in practice: integration of audiology services into primary care

Cited by 3 publications

References 6 publications

Association between hearing loss and deprivation among Welsh adults: a cross-sectional observational study

Association between hearing loss and deprivation among Welsh adults: a cross-sectional observational study

Rational use of drugs to alleviate adverse outcomes caused by COVID-19 quarantine in women with intrahepatic cholestasis of pregnancy

New horizons in hearing conditions

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