Rural Adult Perspectives on Impact of Hearing Loss and Barriers to Care

Powell, Whitney L.; Jacobs, J. A.; Noble, Wayne; Bush, Matthew L.; Snell‐Rood, Claire

doi:10.1007/s10900-019-00656-3

Cited by 37 publications

(28 citation statements)

References 24 publications

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“…This is significant as decreased access to personal or public transportation, which is more common among non-white racial and ethnic groups, directly affects utilization of healthcare and thereby overall health. 57 58 When hearing specialists neither live nor physically work within these neighborhoods, those community members lack a sense of trust, connection, and engagement with overall hearing healthcare. This physical neighborhood disconnect with cochlear implant centers is difficult to overcome, but opportunities are present to proactively engage key stakeholders and community members to be a part of making meaningful linkages with hearing healthcare teams.…”

Section: Social Determinants Of Healthmentioning

confidence: 99%

Defining Disparities in Cochlear Implantation through the Social Determinants of Health

Schuh

Bush

2021

Semin Hear

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Hearing loss is a global public health problem with high prevalence and profound impacts on health. Cochlear implantation (CI) is a well-established evidence-based treatment for hearing loss; however, there are significant disparities in utilization, access, and clinical outcomes among different populations. While variations in CI outcomes are influenced by innate biological differences, a wide array of social, environmental, and economic factors significantly impact optimal outcomes. These differences in hearing health are rooted in inequities of health-related socioeconomic resources. To define disparities and advance equity in CI, there is a pressing need to understand and target these social factors that influence equitable outcomes, access, and utilization. These factors can be categorized according to the widely accepted framework of social determinants of health, which include the following domains: healthcare access/quality, education access/quality, social and community context, economic stability, and neighborhood and physical environment. This article defines these domains in the context of CI and examines the published research and the gaps in research of each of these domains. Further consideration is given to how these factors can influence equity in CI and how to incorporate this information in the evaluation and management of patients receiving cochlear implants.

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Section: Social Determinants Of Healthmentioning

confidence: 99%

Defining Disparities in Cochlear Implantation through the Social Determinants of Health

Schuh

Bush

2021

Semin Hear

Self Cite

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“…10,11 Adult patients list inadequate access to qualified providers in rural areas as a major barrier to audiologic care. 12 Urban children are more likely to see a physician for routine health screenings, whereas rural children are more likely to present for evaluation of acute otitis media. 13 An increase in chronic suppurative otitis media in rural pediatric patients has been associated with factors such as family income and size, housing status, and bathing habits.…”

Section: Introductionmentioning

confidence: 99%

“…Increased commute times to audiologic specialists, delay in acquisition of hearing aids, and interim increased job loss has been reported for rural patients 10,11 . Adult patients list inadequate access to qualified providers in rural areas as a major barrier to audiologic care 12 . Urban children are more likely to see a physician for routine health screenings, whereas rural children are more likely to present for evaluation of acute otitis media 13 .…”

Section: Introductionmentioning

confidence: 99%

Rural–Urban Disparities in Otolaryngology: The State of Illinois

Urban

Wojcik²,

Eggerstedt

et al. 2020

The Laryngoscope

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Objectives/Hypothesis To highlight rural–urban disparities in otolaryngology, and to quantify the disparities in access to otolaryngology specialist care across Illinois. Several studies across disciplines have shown increased prevalence and severity of disease in rural communities, relative to their urban counterparts. There is very little published quantifying a disparity in rural access to otolaryngologists. Study Design Population study. Methods Counties in Illinois were classified based on urbanization level on a scale from I (most urban) to VI (least urban) using the 2013 National Center for Health Statistics (NCHS) Urban–Rural Classification scheme. The six urbanization levels include four metropolitan (I–IV) and two nonmetropolitan levels (V and VI). The name and practice location of all registered otolaryngologists in Illinois were collected using the American Academy of Otolaryngology website (http://entnet.org). Population data were recorded from the most recent US Census (2010). Results Two hundred seventy‐eight academy‐registered otolaryngologists were identified in Illinois. One hundred fifty‐one of these providers were located in a single county categorized as a level I by the NCHS scheme. There are over 18,000 square miles and 600,000 persons living in NCHS level VI counties in Illinois with zero registered otolaryngologists. Overall, metropolitan counties (I–IV) averaged 1.32 otolaryngologists per 100,000 population, whereas nonmetropolitan counties (V and VI) averaged 0.46 otolaryngologists per 100,000 (P < .01). Conclusions There is a paucity of academy‐certified otolaryngologists with primary practice locations in rural counties of Illinois. There is a significant rural population and massive land area with limited spatial access to otolaryngologic specialist care. Level of Evidence NA Laryngoscope, 131:E70–E75, 2021

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“…Thus, it begs the question-what most contributes to the lack of care, and how can this be improved? While reasons vary from community-to-community and from individualto-individual, common factors include cost of services (18)(19)(20), a shortage of clinical providers/specialized services (21)(22)(23)(24)(25)(26), inconvenience of travel (24,27), communication barriers (28,29), and racial/ethnic disparities (30)(31)(32)(33)(34)(35). The COVID-19 pandemic, with its associated lockdowns and social distancing requirements, led to mass disruption in the delivery of healthcare services worldwide.…”

Section: Introductionmentioning

confidence: 99%

Tele-Audiology: Current State and Future Directions

D'Onofrio

Zeng

2022

Front. Digit. Health

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The importance of tele-audiology has been heightened by the current COVID-19 pandemic. The present article reviews the current state of tele-audiology practice while presenting its limitations and opportunities. Specifically, this review addresses: (1) barriers to hearing healthcare, (2) tele-audiology services, and (3) tele-audiology key issues, challenges, and future directions. Accumulating evidence suggests that tele-audiology is a viable service delivery model, as remote hearing screening, diagnostic testing, intervention, and rehabilitation can each be completed reliably and effectively. The benefits of tele-audiology include improved access to care, increased follow-up rates, and reduced travel time and costs. Still, significant logistical and technical challenges remain from ensuring a secure and robust internet connection to controlling ambient noise and meeting all state and federal licensure and reimbursement regulations. Future research and development, especially advancements in artificial intelligence, will continue to increase tele-audiology acceptance, expand remote care, and ultimately improve patient satisfaction.

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Rural Adult Perspectives on Impact of Hearing Loss and Barriers to Care

Cited by 37 publications

References 24 publications

Defining Disparities in Cochlear Implantation through the Social Determinants of Health

Defining Disparities in Cochlear Implantation through the Social Determinants of Health

Rural–Urban Disparities in Otolaryngology: The State of Illinois

Tele-Audiology: Current State and Future Directions

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