Service delivery approaches related to hearing aids in low- and middle-income countries or resource-limited settings: A systematic scoping review.
Autor: | Dillard LK; Department of Otolaryngology- Head & Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, United States of America., Der CM; Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland., Laplante-Lévesque A; Health Workforce and Service Delivery Unit, Division of Country Health Policies and Systems, World Health Organization Regional Office for Europe, Copenhagen, Denmark.; Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden., Swanepoel W; Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.; Department of Otolaryngology-Head & Neck Surgery, University of Colorado School of Medicine, Aurora, Colorado, United States of America., Thorne PR; Section of Audiology and Eisdell Moore Centre, University of Auckland, Auckland, New Zealand., McPherson B; Centre for Hearing Research, School of Health & Rehabilitation Sciences, University of Queensland, Brisbane, Australia., de Andrade V; Department of Speech Pathology and Audiology School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa., Newall J; Department of Linguistics, Macquarie University, Sydney, Australia., Ramos HD; Master in Clinical Audiology Program, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines., Kaspar A; ENT Clinic, Tupua Tamasese Meaole Hospital, Apia, Samoa., Nieman CL; Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America., Clark JL; University of Texas at Dallas-AuD Program, Dallas, Texas, United States of America., Chadha S; Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland. |
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Jazyk: | angličtina |
Zdroj: | PLOS global public health [PLOS Glob Public Health] 2024 Jan 24; Vol. 4 (1), pp. e0002823. Date of Electronic Publication: 2024 Jan 24 (Print Publication: 2024). |
DOI: | 10.1371/journal.pgph.0002823 |
Abstrakt: | Hearing loss is an important global public health issue which can be alleviated through treatment with hearing aids. However, most people who would benefit from hearing aids do not receive them, in part due to challenges in accessing hearing aids and related services, which are most salient in low- and middle-income countries (LMIC) and other resource-limited settings. Innovative approaches for hearing aid service delivery can overcome many of the challenges related to access, including that of limited human resources trained to provide ear and hearing care. The purpose of this systematic scoping review is to synthesize evidence on service delivery approaches for hearing aid provision in LMIC and resource-limited settings. We searched 3 databases (PubMed, Scopus, Ovid MEDLINE) for peer-reviewed articles from 2000 to 2022 that focused on service delivery approaches related to hearing aids in LMIC or resource-limited settings. Fifteen peer-reviewed articles were included, which described hospital-based (3 studies), large-scale donation program (1 studies), community-based (7 studies), and remote (telehealth; 4 studies) service delivery approaches. Key findings are that hearing aid services can be successfully delivered in hospital- and community-based settings, and remotely, and that both qualified hearing care providers and trained non-specialists can provide quality hearing aid services. Service delivery approaches focused on community-based and remote care, and task sharing among qualified hearing care providers and trained non-specialists can likely improve access to hearing aids worldwide, thereby reducing the burden of untreated hearing loss. Competing Interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests. Author De Wet Swanepoel declares: Consultation, equity and potential royalties, hearX Group, Pretoria, South Africa. Author Carrie Nieman declares: Volunteer membership on the nonprofit board of directors for the Hearing Loss Association of America and Access HEARS. No other authors have competing interests to declare. (Copyright: © 2024 Dillard et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
Databáze: | MEDLINE |
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