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Journal of Community Health
Published in: Journal of Community Health 4/2015

01-08-2015 | Original Paper

Pediatric Hearing Healthcare in Kentucky’s Appalachian Primary Care Setting

Authors: Matthew L. Bush, David Alexander, Bryce Noblitt, Cathy Lester, Jennifer B. Shinn

Published in: Journal of Community Health | Issue 4/2015

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Abstract

Diagnosis and intervention for infant hearing loss is often delayed in areas of healthcare disparity, such as rural Appalachia. Primary care providers play a key role in timely hearing healthcare. The purpose of this study was to assess the practice patterns of rural primary care providers (PCPs) regarding newborn hearing screening (NHS) and experiences with rural early hearing diagnosis and intervention programs in an area of known hearing healthcare disparity. Cross sectional questionnaire study. Appalachian PCP’s in Kentucky were surveyed regarding practice patterns and experiences regarding the diagnosis and treatment of congenital hearing loss. 93 Appalachian primary care practitioners responded and 85 % reported that NHS is valuable for pediatric health. Family practitioners were less likely to receive infant NHS results than pediatricians (54.5 versus 95.2 %, p < 0.01). A knowledge gap was identified in the goal ages for diagnosis and treatment of congenital hearing loss. Pediatrician providers were more likely to utilize diagnostic testing compared with family practice providers (p < 0.001). Very rural practices (Beale code 7–9) were less likely to perform hearing evaluations in their practices compared with rural practices (Beale code 4–6) (p < 0.001). Family practitioners reported less confidence than pediatricians in counseling and directing care of children who fail newborn hearing screening. 46 % felt inadequately prepared or completely unprepared to manage children who fail the NHS. Rural primary care providers face challenges in receiving communication regarding infant hearing screening and may lack confidence in directing and providing rural hearing healthcare for children.
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Metadata
Title
Pediatric Hearing Healthcare in Kentucky’s Appalachian Primary Care Setting
Authors
Matthew L. Bush
David Alexander
Bryce Noblitt
Cathy Lester
Jennifer B. Shinn
Publication date
01-08-2015
Publisher
Springer US
Published in
Journal of Community Health / Issue 4/2015
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-015-9997-0

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