| Management of tinnitus in English NHS audiology departments: an evaluation of current practice. | |
| | |
MedLine Citation:
|
PMID: 21087449 Owner: NLM Status: In-Data-Review |
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 |
Related Documents
:
|
16225319 - Building an efficient supply chain. 15369939 - Trends in compliance with the national colposcopy guidelines. 10842509 - Practical hospital pharmacy management: management strategies and methods. 1958909 - The oclc-serhold connection: an evolution in health sciences union listing. 12375499 - Medico-legal knowledge of general practitioners: disjunctions, errors and uncertainties. 8899409 - Intraoperative enteroscopy. indications and techniques. 12902429 - The birth of nuclear medicine instrumentation: blumgart and yens, 1925. 1807619 - Intelligent management of epidemiologic data. 10120059 - Becoming an effective clinical engineering or biomedical technology manager. |
Publication Detail:
|
Type: Journal Article 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: - Revised Date: - |
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:
|
Research Fellow Research Associate Lead Scientist, NIHR National Biomedical Research Unit in Hearing, School of Clinical Sciences, The University of Nottingham, Nottingham, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The transcriptomics of sympatric dwarf and normal lake whitefish (Coregonus clupeaformis spp., Salmo...
Next Document: Quality of pathological reporting for renal cell cancer: implications for systemic therapy, prognost...