Disparities in access to pediatric hearing health care.
Disparities in access to pediatric hearing health care.
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DOI：
10.1097/moo.0000000000000388
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发表时间：
2017-10
影响因子：
1.6
通讯作者：
McNulty BN
中科院分区：
文献类型：
--
作者：
Bush ML;Kaufman MR;McNulty BN
听力损失儿童面临的护理存在显著差异。本综述的目的是评估目前儿童听力保健服务的差距，描述高效和有效的儿童听力保健的障碍，并探讨改善儿童听力保健服务的创新。来自某些地理区域或种族背景的听力损失儿童在诊断和治疗方面明显延迟。多种患者特征（听力损失的表现）、父母因素（保险状况、社会经济状况、教育状况和到提供者的距离）和提供者障碍（专家短缺和初级保健提供者的挑战）阻碍了及时提供听力保健。诸如改进筛查方案和通过远程服务扩大护理等进步可能有助于改善这些差距。及时识别和治疗儿童听力损失对于预防终身语言并发症至关重要。来自弱势群体的儿童，如农村居民，在护理方面面临着巨大的差异。仔细评估这些障碍并实施文化上可接受的干预措施对于最大限度地提高听力损失儿童的沟通效果至关重要。
There are significant disparities in care facing children with hearing loss. The objective of this review is to assess the current disparities in pediatric hearing healthcare delivery, describe the barriers of efficient and effective pediatric hearing healthcare, and explore the innovations to improve pediatric hearing healthcare delivery. Children with hearing loss from certain geographic regions or ethnic background are significantly delayed in diagnosis and treatment. Multiple patient characteristics (presentation of hearing loss), parental factors (insurance status, socioeconomic status, educational status, and travel distance to providers), and provider barriers (specialist shortage and primary care provider challenges) prevent the delivery of timely hearing healthcare. Advances such as improved screening programs and the expansion of care through remote services may help to ameliorate these disparities. Timely identification and treatment of pediatric hearing loss is critical to prevent lifelong language complications. Children from vulnerable populations, such as rural residents, face significant disparities in care. Careful assessment of these barriers and implementation of culturally-acceptable interventions are paramount to maximize communication outcomes of children with hearing loss.