Identifying and Prioritizing Diseases Important for Detection in Adult Hearing Health Care.
Identifying and Prioritizing Diseases Important for Detection in Adult Hearing Health Care.
复制标题
识别对成人听力保健检测很重要的疾病并确定其优先顺序。
DOI：
10.1044/2016_aja-15-0079
复制
发表时间：
2016
影响因子：
1.8
通讯作者：
Zapala,DavidA
中科院分区：
文献类型：
--
作者：
Kleindienst,SamanthaJ;Dhar,Sumitrajit;Nielsen,DonaldW;Griffith,JamesW;Lundy,LarryB;Driscoll,Colin;Neff,Brian;Beatty,Charles;Barrs,David;Zapala,DavidA
PurposeThe目的的这项研究说明是识别和优先考虑的疾病重要的检测在成人听力保健delivery systems. Methods通过文献回顾和专家咨询，作者确定了195种疾病可能发生在成年人抱怨听力损失。五名神经耳科医生在3个维度上对疾病的重要性进行了评估，这些维度与成人助听器fitting.ResultsRatings之前检测的必要性相关，包括不良健康后果，诊断难度和与这些疾病相关的非耳科症状的存在，导致识别出104种可能对成人助听器fitting.ConclusionsCurrent和不断发展的医疗保健提供系统具有重要意义的疾病。包括直接面向消费者的销售，涉及在设备装配之前的疾病检测警戒手段不一致。确定这些不同的提供方法的安全性的第一步是确定和优先考虑哪些疾病对不良健康结果的风险最大，因此应该在听力保健提供系统中检测到。在这里，作者开发了一种新的多维评级系统来排名疾病的重要性。该排名可用于评估替代检测方法的有效性，并为公共卫生政策提供信息。作者目前正在使用这些信息来验证一份消费者问卷，该问卷旨在准确识别何时应要求助听器患者进行预验配医学评估。
PurposeThe purpose of this research note is to identify and prioritize diseases important for detection in adult hearing health care delivery systems.MethodThrough literature review and expert consultation, the authors identified 195 diseases likely to occur in adults complaining of hearing loss. Five neurotologists rated the importance of disease on 3 dimensions related to the necessity of detection prior to adult hearing aid fitting.ResultsRatings of adverse health consequences, diagnostic difficulty, and presence of nonotologic symptoms associated with these diseases resulted in the identification of 104 diseases potentially important for detection prior to adult hearing aid fitting.ConclusionsCurrent and evolving health care delivery systems, including direct-to-consumer sales, involve inconsistent means of disease detection vigilance prior to device fitting. The first steps in determining the safety of these different delivery methods are to identify and prioritize which diseases present the greatest risk for poor health outcomes and, thus, should be detected in hearing health care delivery systems. Here the authors have developed a novel multidimensional rating system to rank disease importance. The rankings can be used to evaluate the effectiveness of alternative detection methods and to inform public health policy. The authors are currently using this information to validate a consumer questionnaire designed to accurately identify when pre- fitting medical evaluations should be required for hearing aid patients.