Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care
Health-care service delivery models have evolved from a practitioner-centered approach toward a patient-centered ideal. Concurrently, increasing emphasis has been placed on the use of empirical evidence in decision-making to increase clinical accountability. The way in which clinicians use empirical...
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doaj-8c96d345f9394977a3cf52e74e6339352020-11-25T03:45:17ZengSAGE PublishingTrends in Hearing2331-21652017-07-012110.1177/2331216517706397Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered CareIsabelle Boisvert0Jennifer Clemesha1Erik Lundmark2Erica Crome3Caitlin Barr4Catherine M. McMahon5The HEARing CRC, Melbourne, AustraliaThe HEARing CRC, Melbourne, AustraliaDepartment of Business and Economics, Macquarie University, Sydney, AustraliaDepartment of Psychology, Macquarie University, Sydney, AustraliaDepartment of Audiology and Speech Pathology, The University of Melbourne, Melbourne, AustraliaThe HEARing CRC, Melbourne, AustraliaHealth-care service delivery models have evolved from a practitioner-centered approach toward a patient-centered ideal. Concurrently, increasing emphasis has been placed on the use of empirical evidence in decision-making to increase clinical accountability. The way in which clinicians use empirical evidence and client preferences to inform decision-making provides an insight into health-care delivery models utilized in clinical practice. The present study aimed to investigate the sources of information audiologists use when discussing rehabilitation choices with clients, and discuss the findings within the context of evidence-based practice and patient-centered care. To assess the changes that may have occurred over time, this study uses a questionnaire based on one of the few studies of decision-making behavior in audiologists, published in 1989. The present questionnaire was completed by 96 audiologists who attended the World Congress of Audiology in 2014. The responses were analyzed using qualitative and quantitative approaches. Results suggest that audiologists rank clinical test results and client preferences as the most important factors for decision-making. Discussion with colleagues or experts was also frequently reported as an important source influencing decision-making. Approximately 20% of audiologists mentioned utilizing research evidence to inform decision-making when no clear solution was available. Information shared at conferences was ranked low in terms of importance and reliability. This study highlights an increase in awareness of concepts associated with evidence-based practice and patient-centered care within audiology settings, consistent with current research-to-practice dissemination pathways. It also highlights that these pathways may not be sufficient for an effective clinical implementation of these practices.https://doi.org/10.1177/2331216517706397 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Isabelle Boisvert Jennifer Clemesha Erik Lundmark Erica Crome Caitlin Barr Catherine M. McMahon |
spellingShingle |
Isabelle Boisvert Jennifer Clemesha Erik Lundmark Erica Crome Caitlin Barr Catherine M. McMahon Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care Trends in Hearing |
author_facet |
Isabelle Boisvert Jennifer Clemesha Erik Lundmark Erica Crome Caitlin Barr Catherine M. McMahon |
author_sort |
Isabelle Boisvert |
title |
Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care |
title_short |
Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care |
title_full |
Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care |
title_fullStr |
Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care |
title_full_unstemmed |
Decision-Making in Audiology: Balancing Evidence-Based Practice and Patient-Centered Care |
title_sort |
decision-making in audiology: balancing evidence-based practice and patient-centered care |
publisher |
SAGE Publishing |
series |
Trends in Hearing |
issn |
2331-2165 |
publishDate |
2017-07-01 |
description |
Health-care service delivery models have evolved from a practitioner-centered approach toward a patient-centered ideal. Concurrently, increasing emphasis has been placed on the use of empirical evidence in decision-making to increase clinical accountability. The way in which clinicians use empirical evidence and client preferences to inform decision-making provides an insight into health-care delivery models utilized in clinical practice. The present study aimed to investigate the sources of information audiologists use when discussing rehabilitation choices with clients, and discuss the findings within the context of evidence-based practice and patient-centered care. To assess the changes that may have occurred over time, this study uses a questionnaire based on one of the few studies of decision-making behavior in audiologists, published in 1989. The present questionnaire was completed by 96 audiologists who attended the World Congress of Audiology in 2014. The responses were analyzed using qualitative and quantitative approaches. Results suggest that audiologists rank clinical test results and client preferences as the most important factors for decision-making. Discussion with colleagues or experts was also frequently reported as an important source influencing decision-making. Approximately 20% of audiologists mentioned utilizing research evidence to inform decision-making when no clear solution was available. Information shared at conferences was ranked low in terms of importance and reliability. This study highlights an increase in awareness of concepts associated with evidence-based practice and patient-centered care within audiology settings, consistent with current research-to-practice dissemination pathways. It also highlights that these pathways may not be sufficient for an effective clinical implementation of these practices. |
url |
https://doi.org/10.1177/2331216517706397 |
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