Tinnitus healthcare: a survey revealing extensive variation in opinion and practices across Europe
| Autor: | Athanasios Bibas, Dimitris Kikidis, Birgit Mazurek, Chistopher R Cederroth, Derek J. Hoare, Arnaud Norena, Haúla Haider, Rilana F. F. Cima, Alec Lapira |
|---|---|
| Přispěvatelé: | Neurosciences sensorielles et cognitives (NSC), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Section Experimental Health Psychology, RS: FPN CPS I |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Zumbido barriers FEAR 03 medical and health sciences Tinnitus 0302 clinical medicine QUALITY-OF-LIFE Surveys and Questionnaires Health care medicine otorhinolaryngologic diseases Effective treatment Humans guidelines tinnitus 030223 otorhinolaryngology ComputingMilieux_MISCELLANEOUS Scope (project management) business.industry pan-European General Medicine Guideline 3. Good health Eastern european Europe Variation (linguistics) Attitude standard of care Family medicine [SCCO.PSYC]Cognitive science/Psychology facilitators Female health-service evaluation Health Services Research medicine.symptom business Europa Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open BMJ Open, BMJ Publishing Group, 2020, 10 (1), pp.e029346. ⟨10.1136/bmjopen-2019-029346⟩ BMJ Open, 2020, 10 (1), pp.e029346. ⟨10.1136/bmjopen-2019-029346⟩ Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP BMJ Open, 10(1):e029346. BMJ Publishing Group |
| ISSN: | 2044-6055 |
| Popis: | Tinnitus remains a scientific and clinical problem whereby, in spite of increasing knowledge on effective treatment and management for tinnitus, very little impact on clinical practice has been observed. There is evidence that prolonged, obscure and indirect referral trajectories persist in usual tinnitus care.ObjectiveIt is widely acknowledged that efforts to change professional practice are more successful if barriers are identified and implementation activities are systematically tailored to the specific determinants of practice. The aim of this study was to administer a health service evaluation survey to scope current practice and knowledge of standards in tinnitus care across Europe. The purpose of this survey was to specifically inform the development process of a European clinical guideline that would be implementable in all European countries.DesignA health service evaluation survey was carried out.SettingThe survey was carried out online across Europe.ParticipantsClinical experts, researchers and policy-makers involved in national tinnitus healthcare and decision-making.Outcome measuresA survey was developed by the study steering group, piloted on clinicians from the TINNET network and underwent two iterations before being finalised. The survey was then administered to clinicians and policy-makers from 24 European countries.ResultsData collected from 625 respondents revealed significant differences in national healthcare structures, use of tinnitus definitions, opinions on characteristics of patients with tinnitus, assessment procedures and particularly in available treatment options. Differences between northern and eastern European countries were most notable.ConclusionsMost European countries do not have national clinical guidelines for the management of tinnitus. Reflective of this, clinical practices in tinnitus healthcare vary dramatically across countries. This equates to inequities of care for people with tinnitus across Europe and an opportunity to introduce standards in the form of a European clinical guideline. This survey has highlighted important barriers and facilitators to the implementation of such a guideline. |
| Databáze: | OpenAIRE |
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