Document Detail


Management of tinnitus in English NHS audiology departments: an evaluation of current practice.
MedLine Citation:
PMID:  21087449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE, AIM AND OBJECTIVE: In 2009, the UK Department of Health formalized recommended National Health Service practices for the management of tinnitus from primary care onwards. It is timely therefore to evaluate the perceived practicality, utility and impact of those guidelines in the context of current practice.
METHODS: We surveyed current practice by posting a 36-item questionnaire to all audiology and hearing therapy staff that we were able to identify as being involved in tinnitus patient care in England.
RESULTS: In total, 138 out of 351 clinicians responded (39% response rate). The findings indicate a consensus opinion that management should be tailored to individual symptom profiles but that there is little standardization of assessment procedures or tools in use.
CONCLUSIONS: While the lack of standardized practice might provide flexibility to meet local demand, it has drawbacks. It makes it difficult to ascertain key standards of best practice, it complicates the process of clinical audit, it implies unequal patient access to care, and it limits the implementation of translational research outcomes. We recommend that core elements of practice should be standardized, including use of a validated tinnitus questionnaires and an agreed pathway for decision making to better understand the rationale for management strategies offered.
Authors:
Derek J Hoare; Phillip E Gander; Luke Collins; Sandra Smith; Deborah A Hall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-11-19
Journal Detail:
Title:  Journal of evaluation in clinical practice     Volume:  18     ISSN:  1365-2753     ISO Abbreviation:  J Eval Clin Pract     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-06     Completed Date:  2012-07-19     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9609066     Medline TA:  J Eval Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  326-34     Citation Subset:  IM    
Copyright Information:
© 2010 Blackwell Publishing Ltd.
Affiliation:
NIHR National Biomedical Research Unit in Hearing, School of Clinical Sciences, The University of Nottingham, Nottingham, UK. derek.hoare@nottingham.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Appointments and Schedules
Audiology*
Clinical Competence
Disease Management
England
Focus Groups
Humans
Outcome and Process Assessment (Health Care)*
Physician's Practice Patterns / statistics & numerical data*
Practice Guidelines as Topic
Questionnaires
State Medicine
Statistics, Nonparametric
Tinnitus / diagnosis*,  therapy*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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