Abstract:
BACKGROUND:Significant growth in the U.S. population over the next 30 yr will likely increase the demand for hearing-care services. In addition, increased accessibility to hearing-care services may be realized due to increased insurance coverage associated with health-care reform efforts. In order to meet this demand, the supply of audiologists will have to keep pace. The U.S. Department of Health and Human Services has developed a Physician Supply Model to predict the necessary number of physicians needed in the future to meet demand. This model is adopted for predicting whether the supply of audiologists will be adequate over the next 30 yr. PURPOSE:To apply the Physician Supply Model to the audiology profession and then determine if the predicted supply of audiologists will meet the demand for audiologists over the next 30 yr. DATA COLLECTION AND ANALYSIS:The Physician Supply Model was modified to account for variables unique to the profession of audiology, and the future supply of audiologists is predicted. The predicted demand for audiology was developed based on changes in population demographics over the next 30 yr. The results of the demand calculations and the supply calculations were compared. RESULTS:The current growth rate for audiologists was determined by examining the difference between the number of graduates entering the field and the number leaving. One of the unexpected variables is that the past attrition of graduates, that is, the number of persons who voluntarily leave audiology at some point after graduation, is approximately 40%. The attrition rate combined with the retirement rate results in more persons exiting the profession than entering. Lowering the attrition rate to 20% will result in a positive growth rate. However, even with an attrition rate of 0%, the supply of audiologists will not meet demand. CONCLUSIONS:To meet demand, the number of persons entering the field will have to increase by 50% beginning immediately. In addition, the attrition rate will have to be lowered to 20%. Any combination of increased graduation rate and lowered attrition will improve the opportunities to meet demand. Additional strategies could include increasing the capacity of current practitioners or allowing internationally trained audiologists to practice in the United States.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Windmill IM,Freeman BAdoi
10.3766/jaaa.24.5.7subject
Has Abstractpub_date
2013-05-01 00:00:00pages
407-416issue
5eissn
1050-0545issn
2157-3107journal_volume
24pub_type
杂志文章,评审abstract:BACKGROUND:The acceptable noise level (ANL) serves to accurately predict the listener's likelihood of success with amplification. It has been proposed as a pre-hearing aid fitting protocol for hearing aid selection and counseling purposes. The ANL is a subjective measure of the listener's ability to accept background n...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.23.7.5
更新日期:2012-07-01 00:00:00
abstract::Recent advances in endoscopic optics and miniature video camera technology have made video otoscopy (VO) accessible to audiologists in a practical way. Seven categories of VO applications are presented with clinical examples: (1) general examination of the earcanal and tympanic membrane, (2) physician communication/te...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::A digital, wireless telephone system, the Global System for Mobile Communications (GSM), was introduced in Australia in 1993. Studies were conducted at the National Acoustic Laboratories to determine how the use of GSM mobile telephones (i.e., wireless telephones) causes interference in hearing aids and how hearing ai...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:The Auditec of St. Louis and the Department of Veterans Affairs (VA) recorded versions of the Northwestern University Auditory Test No. 6 (NU-6) are in common usage. Data on young adults with normal hearing for pure tones (YNH) demonstrate equal recognition performances on the two versions when the VA versio...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.17135
更新日期:2019-05-01 00:00:00
abstract::The Gaps-In-Noise (GIN) test is a new procedure used in the diagnosis of central auditory processing disorders. Performance on the GIN is recorded as approximate gap detection threshold and percent correct. In order to utilize the GIN test clinically, it is important to know how presentation level influences performan...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18.2.6
更新日期:2007-02-01 00:00:00
abstract::The Abbreviated Profile of Hearing Aid Benefit (APHAB) is a self-report questionnaire that is used to quantify the impact of a hearing problem on an individual's daily life. In this investigation, the relationships were explored between typical clinical audiometric data and the four subscale scores of the APHAB admini...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Prescriptive methods have been at the core of modern hearing aid fittings for the past several decades. Every decade or so, there have been revisions to existing methods and/or the emergence of new methods that become widely used. In 2001 Byrne et al provided a comparison of insertion gain for generic prescr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.22.7.5
更新日期:2011-07-01 00:00:00
abstract::The masking-level difference (MLD) was investigated in children aged 3.9 to 9.5 years and in an adult control group in order to examine the development of the MLD with age. A three-alternative forced-choice adaptive tracking procedure was used for all listeners. MLDs were determined for a 500-Hz pure-tone signal prese...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::The Fusion at Inferred Threshold (FIT) test is a clinically useful procedure for assessing air-conduction pure-tone thresholds in any ear that may not be tested by conventional procedures with masking. It has not been widely reported in the literature. This article describes the FIT test procedure and provides four ca...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:The bilateral contralateral routing of signals (BICROS) system has provided limited benefit for speech recognition in noise for patients with asymmetric sensorineural hearing loss, even when an automatic adaptive multichannel directional microphone (DM) is in the receiver (Rx) and an omnidirectional micropho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.15031
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Wideband reflectance (WBR) provides important information about middle ear function and can explain variations in how the middle ear receives, absorbs, and transmits sound energy across a wide range of frequencies. However, as of yet, few normative studies have been published to guide clinicians in the pract...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.5.4
更新日期:2008-05-01 00:00:00
abstract::Central deafness has been linked historically to bihemispheric involvement of the temporal lobe, with more recent findings suggesting that compromise of other cortical and subcortical structures can also result in this disorder. The present investigation extends our understanding of the potential anatomical correlates...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15.2.4
更新日期:2004-02-01 00:00:00
abstract::Hearing and balance problems are prevalent among the elderly. Primary care physicians (PCPs) are important pivotal points of entry for ensuring that patients receive needed audiology services. New Medicare beneficiaries are entitled to one-time preventative examinations including hearing/balance screenings. A 35-item ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.2.7
更新日期:2008-02-01 00:00:00
abstract::The use of tone-burst stimuli for electrocochleography (ECochG) may offer certain advantages over conventional broad-band clicks. Namely, the summating potential (SP) component can be examined at different frequencies and may be easier to define and measure. To apply these findings clinically, it would first be necess...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The binaural interaction component (BIC) of the auditory brainstem response (ABR) and BIC of the frequency-following response (FFR) to tonal stimuli were studied in normal-hearing adults. The ABR and BIC latencies from all subjects were consistently shorter to the click-like sound than to the 2.0 kHz tone burst. Incre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::In studies to date, the effectiveness of the directional microphone has been investigated independently of the signal processing scheme used in the hearing aid. In addition, the number and placement of the background noise speakers can create an advantage for a particular polar pattern (i.e., cardioid, supercardioid, ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this investigation was to determine if adult bilateral cochlear implant recipients could benefit from using a speech processing strategy in which the input spectrum was interleaved among electrodes across the two implants. DESIGN:Two separate experiments were conducted. In both experiments, s...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.21.1.7
更新日期:2010-01-01 00:00:00
abstract::The purpose of this single-subject pilot study was to examine the efficacy of FM amplification for enhancing the discourse skills of a 4-year-old girl with a history of speech-language impairments, otitis media with effusion (OME), and motoric delays. Over a period of several weeks, language treatment sessions were co...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract::This study describes audiologic methodology and results for evaluating potential ototoxicity in a phase I clinical trial of a new glycopeptide. This study was conducted under good clinical practices, which are regulated by the US Food and Drug Administration (FDA) (21 Code of Federal Regulations), and input from the F...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Health behavior theories can provide an understanding of hearing health behaviors and, more importantly, can be used to develop theoretically based strategies to change these health behaviors. PURPOSE:To develop a theory-based brief intervention to increase help-seeking for adult hearing loss and to conduct...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16129
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:There is broad consensus that screening and diagnosis of permanent hearing loss in children must be embedded within a comprehensive, evidence-based, family-centered intervention program. Clinical practice guidelines (CPGs) for pediatric hearing assessment and hearing aid verification aim to reduce variabilit...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15064
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:A model that can accurately predict speech intelligibility for a given hearing-impaired (HI) listener would be an important tool for hearing-aid fitting or hearing-aid algorithm development. Existing speech-intelligibility models do not incorporate variability in suprathreshold deficits that are not well pre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.24.4.5
更新日期:2013-04-01 00:00:00
abstract::Hearing aid fitting for individuals with high-frequency impairment has been difficult because of the limited gain available at those frequencies. Special high-frequency emphasis hearing aids have been developed in an attempt to alleviate this problem. The insertion-gain responses and changes in speech-recognition perf...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::The effect of feedback reduction (FBR) systems on sound quality recorded from two commercially available hearing aids was evaluated using paired comparison judgments by 16 participants with mild to severe sloping hearing loss. These comparisons were made with the FBR systems on and off without audible feedback and whi...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.18.5.5
更新日期:2007-05-01 00:00:00
abstract::In the last few years, a clinical consensus has emerged regarding the necessary components of an early management program for hearing-impaired children. Early detection of hearing loss, a parent-infant and supervised nursery program, and optimal amplification provisions are among these components. This paper explores ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Stickler's syndrome is an autosomal dominant hereditary condition that presents with pathognomonic facial features, dysplasia, myopia and auditory deficits. This paper describes the auditory history of a family with Stickler's syndrome. Given the expressive variability, a complete audiologic and otologic evaluation is...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::Perception of dichotic chords (free recall and directed recall), nonsense syllables (CVs), and three-pair digits was assessed on 24 musicians and 24 nonmusicians. On the dichotic-CV and dichotic-digit free-recall tasks, there was a significant right-ear advantage, but there were no group differences. With the dichotic...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.14.10.2
更新日期:2003-12-01 00:00:00
abstract::Thirty-six parents of 106 children (34% response rate) born between March 2000 and February 2003 retrospectively completed the "Probe of Parents' Perceptions: An Early Hearing Detection and Intervention (EHDI) Outcome Measure" (PPP) assessing their participation in an emerging community-based newborn hearing screening...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,多中心研究
doi:10.3766/jaaa.17.3.6
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:The relation between the auditory steady-state response (ASSR) and behavioral audiometric thresholds requires further clarification in the case of adults with auditory neuropathy/auditory dys-synchrony (AN/AD). PURPOSE:The aim of this study was to compare pure-tone audiometric threshold (PTAT) and ASSR in a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.10.4
更新日期:2009-11-01 00:00:00
abstract::Measures of the sound pressure level (SPL) near the eardrum were determined at discrete frequencies between 500 and 4000 Hz on 50 ears using TDH-39P and ER-3A earphones with the attenuator of an audiometer fixed at 90 dB HL. Results revealed significant differences in the measured SPL between the two earphones at all ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00