Effective Hearing Loss Screening in Primary Care: The Early Auditory Referral-Primary Care Study.

Abstract:

PURPOSE:Hearing loss, the second most common disability in the United States, is under-diagnosed and under-treated. Identifying it in early stages could prevent its known substantial adverse outcomes. METHODS:A multiple baseline design was implemented to assess a screening paradigm for identifying and referring patients aged ≥55 years with hearing loss at 10 family medicine clinics in 2 health systems. Patients completed a consent form and the Hearing Handicap Inventory for the Elderly (HHI). An electronic alert prompted clinicians to screen for hearing loss during visits. RESULTS:The 14,877 eligible patients during the study period had 36,701 encounters. Referral rates in the family medicine clinics increased from a baseline rate of 3.2% to 14.4% in 1 health system and from a baseline rate of 0.7% to 4.7% in the other. A general medicine comparison group showed referral rate increase from the 3.0% baseline rate to 3.3%. Of the 5,883 study patients who completed the HHI 25.2% (n=1,484) had HHI scores suggestive of hearing loss; those patients had higher referral rates, 28% vs 9.2% (P <.001). Of 1,660 patients referred for hearing testing, 717 had audiology data available for analysis: 669 (93.3%) were rated appropriately referred and 421 (58.7%) were considered hearing aid candidates. Overall, 71.5% of patients contacted felt their referral was appropriate. CONCLUSION:An electronic alert used to remind clinicians to ask patients aged ≥55 years about hearing loss significantly increased audiology referrals for at-risk patients. Audiologic and audiogram data support the effectiveness of the prompt. Clinicians should consider adopting this method to identify patients with hearing loss to reduce its known and adverse sequelae.

journal_name

Ann Fam Med

authors

Zazove P,Plegue MA,McKee MM,DeJonckheere M,Kileny PR,Schleicher LS,Green LA,Sen A,Rapai ME,Mulhem E

doi

10.1370/afm.2590

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

520-527

issue

6

eissn

1544-1709

issn

1544-1717

pii

18/6/520

journal_volume

18

pub_type

杂志文章
  • Unexplained gastrointestinal symptoms after abuse in a prospective study of children at risk for abuse and neglect.

    abstract:PURPOSE:Unexplained gastrointestinal symptoms are more common in adults who recall abuse as a child; however, data available on children are limited. The aim of this study was to investigate the association of childhood maltreatment and early development of gastrointestinal symptoms and whether this relation was mediat...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1053

    authors: van Tilburg MA,Runyan DK,Zolotor AJ,Graham JC,Dubowitz H,Litrownik AJ,Flaherty E,Chitkara DK,Whitehead WE

    更新日期:2010-03-01 00:00:00

  • Functional trajectories in the year before hospice.

    abstract:PURPOSE:We undertook a study to identify distinct functional trajectories in the year before hospice, to determine how patients with these trajectories differ according to demographic characteristics and hospice diagnosis, and to evaluate the association between these trajectories and subsequent outcomes. METHODS:From...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1720

    authors: Stabenau HF,Morrison LJ,Gahbauer EA,Leo-Summers L,Allore HG,Gill TM

    更新日期:2015-01-01 00:00:00

  • Children with hearing loss and increased risk of injury.

    abstract:PURPOSE:Few studies have tested the hypothesis that children with sensory disabilities such as deafness may be at increased risk of injuries. To test this hypothesis, this study compared rates of emergency department or hospital treatment for injury among Medicaid-insured South Carolina children with and without a diag...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.740

    authors: Mann JR,Zhou L,McKee M,McDermott S

    更新日期:2007-11-01 00:00:00

  • Disease Course of Lower Respiratory Tract Infection With a Bacterial Cause.

    abstract:PURPOSE:Bacterial pathogens are assumed to cause an illness course different from that of nonbacterial causes of acute cough, but evidence is lacking. We evaluated the disease course of lower respiratory tract infection (LRTI) with a bacterial cause in adults with acute cough. METHODS:We conducted a secondary analysis...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1370/afm.1974

    authors: Teepe J,Broekhuizen BD,Loens K,Lammens C,Ieven M,Goossens H,Little P,Butler CC,Coenen S,Godycki-Cwirko M,Verheij T,GRACE Consortium.

    更新日期:2016-11-01 00:00:00

  • Enhance your team-based qualitative research.

    abstract:PURPOSE:Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience, and skill. This article discusses teamwork issues and tools and techniques used to improv...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.290

    authors: Fernald DH,Duclos CW

    更新日期:2005-07-01 00:00:00

  • The unsustainable US health care system: a blueprint for change.

    abstract::As a family physician, I have become increasingly uncomfortable being associated with the US health care system. While shiny, new buildings go up each day, there is still little movement toward a model that will shore up the crumbling foundation. The current delivery system and financing structures are unsustainable. ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.837

    authors: DeVoe J

    更新日期:2008-05-01 00:00:00

  • Number needed to benefit from information (NNBI): proposal from a mixed methods research study with practicing family physicians.

    abstract:PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1565

    authors: Pluye P,Grad RM,Johnson-Lafleur J,Granikov V,Shulha M,Marlow B,Ricarte IL

    更新日期:2013-11-01 00:00:00

  • Evaluation of physical activity counseling in primary care using direct observation of the 5As.

    abstract:BACKGROUND:The 5As (ask, advise, assess, assist, arrange) are recommended as a strategy for brief physical activity counseling in primary care. There is no reference standard for measurement, however, and patient participation is not well understood. This study's objectives were to (1) develop a coding scheme to measur...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1299

    authors: Carroll JK,Antognoli E,Flocke SA

    更新日期:2011-09-01 00:00:00

  • Are Low-Income Peer Health Coaches Able to Master and Utilize Evidence-Based Health Coaching?

    abstract:PURPOSE:A randomized controlled trial found that patients with diabetes had lower HbA1c levels after 6 months of peer health coaching than patients who did not receive coaching. This paper explores whether the peer coaches in that trial, all low-income patients with diabetes, mastered and utilized an evidence-based hea...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.1756

    authors: Goldman ML,Ghorob A,Hessler D,Yamamoto R,Thom DH,Bodenheimer T

    更新日期:2015-08-01 00:00:00

  • Influence of shared medical appointments on patient satisfaction: a retrospective 3-year study.

    abstract:PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1660

    authors: Heyworth L,Rozenblum R,Burgess JF Jr,Baker E,Meterko M,Prescott D,Neuwirth Z,Simon SR

    更新日期:2014-07-01 00:00:00

  • Dad's Last Week.

    abstract::I had intended to spend our spring break week in Montana with my kids and my dad, going to parks and museums together. Instead, I spent the week in the hospital, helping my dad make end-of-life choices and learning more about the importance of communication in health care settings and the preciousness of close relatio...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1908

    authors: DeVoe JE

    更新日期:2016-05-01 00:00:00

  • The Day I Died.

    abstract::When I began experiencing chest pain that was different from my usual heartburn symptoms, I denied I could possibly be having a heart attack, but chewed 4 baby aspirin just in case. Despite years of community education about the need to call 911 and seek immediate emergency care when experiencing signs and symptoms of...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2170

    authors: Stausmire JM,Greenbaum MG,Morelli-Greenbaum M

    更新日期:2018-01-01 00:00:00

  • The myth of the lone physician: toward a collaborative alternative.

    abstract::Cultural values and beliefs about the primary care physician bolster the myth of the lone physician: a competent professional who is esteemed by colleagues and patients for his or her willingness to sacrifice self, accept complete responsibility for care, maintain continuity and accessibility, and assume the role of l...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1353

    authors: Saba GW,Villela TJ,Chen E,Hammer H,Bodenheimer T

    更新日期:2012-03-01 00:00:00

  • Prehypertension and cardiovascular morbidity.

    abstract:PURPOSE:The Seventh Report of the Joint National Commission (JNC 7) on High Blood Pressure established prehypertension (120 to 139 mm Hg systolic or 80 to 89 mm Hg diastolic) as a new risk category. We aim to determine the risk of major cardiovascular events associated with blood pressure in the prehypertensive range i...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.312

    authors: Liszka HA,Mainous AG 3rd,King DE,Everett CJ,Egan BM

    更新日期:2005-07-01 00:00:00

  • Supporting Patient Behavior Change: Approaches Used by Primary Care Clinicians Whose Patients Have an Increase in Activation Levels.

    abstract:PURPOSE:We aimed to identify the strategies used to support patient behavior change by clinicians whose patients had an increase in patient activation. METHODS:This mixed methods study was conducted in collaboration with Fairview Health Services, a Pioneer Accountable Care Organization. We aggregated data on the chang...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1904

    authors: Greene J,Hibbard JH,Alvarez C,Overton V

    更新日期:2016-03-01 00:00:00

  • The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity.

    abstract::Tobacco use, lack of physical activity and poor diet, and alcohol consumption are leading causes of death in the United States. We estimated screening and counseling rates by using a nationally representative sample of adults aged 35 years and older with a preventive care supplement to the 2014 Medical Expenditure Pan...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2363

    authors: Shafer PR,Borsky A,Ngo-Metzger Q,Miller T,Meyers D

    更新日期:2019-03-01 00:00:00

  • Screening mammography and Pap tests among older American women 1996-2000: results from the Health and Retirement Study (HRS) and Asset and Health Dynamics Among the Oldest Old (AHEAD).

    abstract:BACKGROUND:We wanted to determine the frequency of self-reported receipt of screening mammography and Papanicolaou (Pap) tests in older women and investigate important predictors of utilization, based on 2 national longitudinal surveys. METHODS:This cohort study includes participants from 4 waves (1994-2000) of the He...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.54

    authors: Ostbye T,Greenberg GN,Taylor DH Jr,Lee AM

    更新日期:2003-11-01 00:00:00

  • Getting the news.

    abstract::Modern medical care is a 2-edged sword. Technical advances have improved our ability to diagnosis and treat disease, but they can also create a frightening, painful and bewildering environment for the patient seeking care. In this essay, the author shares his recent encounter with a life-threatening disease, emphasizi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.93

    authors: Rosenblatt RA

    更新日期:2004-03-01 00:00:00

  • A Structured Approach to Detecting and Treating Depression in Primary Care: VitalSign6 Project.

    abstract:PURPOSE:This report describes outcomes of an ongoing quality-improvement project (VitalSign6) in a large US metropolitan area to improve recognition, treatment, and outcomes of depressed patients in 16 primary care clinics (6 charity clinics, 6 federally qualified health care centers, 2 private clinics serving low-inco...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.2418

    authors: Jha MK,Grannemann BD,Trombello JM,Clark EW,Eidelman SL,Lawson T,Greer TL,Rush AJ,Trivedi MH

    更新日期:2019-07-01 00:00:00

  • Detecting somatoform disorders in primary care with the PHQ-15.

    abstract:PURPOSE:Because recognition and management of patients with somatoform disorders are difficult, we wanted to determine the specificity, sensitivity, and the test-retest reliability of the 15-symptom Patient Health Questionnaire (PHQ-15) for detection of somatoform disorders in a high-risk primary care population. METH...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.985

    authors: van Ravesteijn H,Wittkampf K,Lucassen P,van de Lisdonk E,van den Hoogen H,van Weert H,Huijser J,Schene A,van Weel C,Speckens A

    更新日期:2009-05-01 00:00:00

  • Patients' beliefs about racism, preferences for physician race, and satisfaction with care.

    abstract:PURPOSE:Few studies have attempted to link patients' beliefs about racism in the health care system with how they use and experience health care. METHODS:Using telephone survey data from a national sample of 1,479 whites, 1,189 African Americans, and 983 Latinos, we explored patients' beliefs about racism, their prefe...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.282

    authors: Chen FM,Fryer GE Jr,Phillips RL Jr,Wilson E,Pathman DE

    更新日期:2005-03-01 00:00:00

  • Why Physician Guidance Matters: A Night of Neuralgia, Meningitis, and WebMD.

    abstract::During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2414

    authors: Au A

    更新日期:2019-09-01 00:00:00

  • Preventive services delivery in patients with chronic illnesses: parallel opportunities rather than competing obligations.

    abstract:PURPOSE:Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database d...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1502

    authors: Ornstein SM,Jenkins RG,Litvin CB,Wessell AM,Nietert PJ

    更新日期:2013-07-01 00:00:00

  • Use of chronic care model elements is associated with higher-quality care for diabetes.

    abstract:PURPOSE:In 30 small, independent primary care practices, we examined the association between clinician-reported use of elements of the Chronic Care Model (CCM) and diabetic patients' hemoglobin A(1c) (HbA(1c)) and lipid levels and self-reported receipt of care. METHODS:Ninety clinicians (60 physicians, 17 nurse-practi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.610

    authors: Nutting PA,Dickinson WP,Dickinson LM,Nelson CC,King DK,Crabtree BF,Glasgow RE

    更新日期:2007-01-01 00:00:00

  • Integrating Social and Medical Care: Could it Worsen Health and Increase Inequity?

    abstract::As a result of a large and compelling body of evidence documenting the impacts of social determinants, such as income and education, on health outcomes, health care systems are beginning to incorporate social and economic risk data into health care delivery decisions. But there is a risk that some of these efforts cou...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2339

    authors: Gottlieb LM,Alderwick H

    更新日期:2019-01-01 00:00:00

  • Overcoming challenges in the changing environment of practice-based research.

    abstract:PURPOSE:Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strate...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1370/afm.1809

    authors: Finch SA,Wasserman R,Nabi-Burza E,Hipple B,Oldendick R,Winickoff JP

    更新日期:2015-09-01 00:00:00

  • Does diabetes double the risk of depression?

    abstract:PURPOSE:In this study, we compared the rate of depression diagnoses in adults with and without diabetes mellitus, while carefully controlling for number of primary care visits. METHODS:We matched adults with incident diabetes (n = 2,932) or prevalent diabetes (n = 14,144) to nondiabetic control patients based on (1) a...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.964

    authors: O'Connor PJ,Crain AL,Rush WA,Hanson AM,Fischer LR,Kluznik JC

    更新日期:2009-07-01 00:00:00

  • Perspectives on confidential care for adolescent girls.

    abstract:PURPOSE:We wanted to obtain perspectives of mothers and daughters on facilitators of and barriers to with adolescent girls' timely access to risk-appropriate reproductive care. METHODS:We conducted 5 separate focus groups with Latina and black mothers and their adolescent daughters. All participants resided in impover...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.601

    authors: McKee MD,O'Sullivan LF,Weber CM

    更新日期:2006-11-01 00:00:00

  • Prevalence of Intimate Partner Violence and Beliefs About Partner Violence Screening Among Young Men.

    abstract:PURPOSE:Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IP...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2536

    authors: Walsh TB,Seabrook RC,Tolman RM,Lee SJ,Singh V

    更新日期:2020-07-01 00:00:00

  • Patient-provider racial and ethnic concordance and parent reports of the primary care experiences of children.

    abstract:PURPOSE:Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's pri...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.27

    authors: Stevens GD,Shi L,Cooper LA

    更新日期:2003-07-01 00:00:00