Resubmssion: Management of Severe Hearing Loss in the Veterans Health Administration

听力损失是最常见的与服务相关的残疾之一，可能有 对生活质量和健康有重大影响。全面听证健康服务任务 根据听力损失程度和患者为个人提供量身定做的治疗 偏好。VA是研究重度听力损失管理的理想环境，因为这是一种 退伍军人的流行状况和来自听力资料库的数据可用于 允许识别与接收特定信息相关的患者、系统和提供者因素 治疗策略。使用访谈的顺序说明性设计将与 包括退伍军人和供应商在内的各种利益攸关方。这一试点的结果将提供新的 关于严重听力损失处理的障碍和促进者的信息。教育性 将开发材料以开发和测试实现最佳效果的实施方法 治疗重度听力损失的实践。

Hearing loss is one of the most common service-connected disabilities and may have a significant impact on quality of life and health. Comprehensive hearing health services mandate tailored treatments offered for individuals based on degree of hearing loss and patient preferences. The VA is the ideal setting to study management of severe hearing loss as this is a prevalent condition among veterans and data from the Audiometric Repository is available to allow identification of patient, system and provider factors associated with receipt of particular treatment strategies. A sequential explanatory design using interviews will be conducted with various stakeholders including Veterans and providers. Results from this pilot will provide new information on barriers and facilitators of management of severe hearing loss. Educational materials will be developed to develop and test an implementation approach to achieve best practices in the treatment of severe hearing loss.