A qualitative investigation of decision making during help-seeking for adult hearing loss
A qualitative investigation of decision making during help-seeking for adult hearing loss
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DOI：
10.1080/14992027.2016.1202455
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发表时间：
2016-01-01
影响因子：
2.7
通讯作者：
Clark, Elizabeth
中科院分区：
文献类型：
--
作者：
Pryce, Helen;Hall, Amanda;Clark, Elizabeth
目的：英国国家卫生服务体系中的任何合格提供者框架已经改变了英国成人听力学服务的提供方式。在新规定下，患者可以在地理位置和听力提供者方面进行选择。这项研究的目的是探索如何提供治疗选择，并确定患者在寻求听力损失帮助时需要哪些信息。设计：本研究采用了人种学观察和焦点小组访谈的定性方法，以确定求助前和求助期间所需的信息。观察数据和焦点组数据采用扎根理论中的恒定比较法进行分析。研究样本：参与者是从英格兰西部的一个社区健康和社会关怀信托基金招募的。这项服务包括听力学和听力治疗服务。27名参与者参加了焦点小组或访谈。结果：受试者得到的信息除了助听器的详细信息外很少。参与者报告的信息很少与助听器的使用没有直接关系。结论：参与者的喜好没有被探究，有限的信息导致了由临床医生主导的决定。信息方面的差距反映了以前关于临床医生沟通的数据，并突显了需要关于一系列干预措施的一致信息来管理听力损失。
Objective: The Any Qualified Provider framework in the National Health Service has changed the way adult audiology services are offered in England. Under the new rules, patients are being offered a choice in geographical location and audiology provider. This study aimed to explore how choices in treatment are presented and to identify what information patients need when they are seeking help with hearing loss. Design: This study adopted qualitative methods of ethnographic observations and focus group interviews to identify information needed prior to, and during, help-seeking. Observational data and focus group data were analysed using the constant comparison method of grounded theory. Study sample: Participants were recruited from a community Health and Social Care Trust in the west of England. This service incorporates both an Audiology and a Hearing Therapy service. Twenty seven participants were involved in focus groups or interviews. Results: Participants receive little information beyond the detail of hearing aids. Participants report little information that was not directly related to uptake of hearing aids. Conclusions: Participant preferences were not explored and limited information resulted in decisions that were clinician-led. The gaps in information reflect previous data on clinician communication and highlight the need for consistent information on a range of interventions to manage hearing loss.