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

听力损失是最常见的服务相关残疾之一， 对生活质量和健康产生重大影响。全面的听力健康服务授权 根据听力损失的程度和患者的情况为个人提供定制的治疗 喜好VA是研究重度听力损失管理的理想环境，因为这是一个 退伍军人中的普遍情况和来自听力库的数据可用于 允许识别与特定接收相关的患者、系统和提供者因素 治疗策略。采用访谈的顺序解释性设计， 包括退伍军人和供应商在内的各种利益相关者。该试点的结果将提供新的 关于严重听力损失管理的障碍和促进因素的信息。教育 将开发材料，以开发和测试实施方法， 严重听力损失的治疗方法

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.