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Tinnitus referral pathways within the National Health Service in England: a survey of their perceived effectiveness among audiology staff (Record no. 2786)

MARC details
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fixed length control field nam a22 7a 4500
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control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20170818153850.0
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fixed length control field 170818b xxu||||| |||| 00| 0 eng d
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Transcribing agency National Acoustics Laboratories
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Title Tinnitus referral pathways within the National Health Service in England: a survey of their perceived effectiveness among audiology staff
520 3# - SUMMARY, ETC.
Summary, etc Background: In the UK, audiology services deliver the majority of tinnitus patient care, but not all patients<br/>experience the same level of service. In 2009, the Department of Health released a Good Practice Guide to inform<br/>commissioners about key aspects of a quality tinnitus service in order to promote equity of tinnitus patient care in<br/>UK primary care, audiology, and in specialist multi-disciplinary centres. The purpose of the present research was to<br/>evaluate utilisation and opinions on pathways for the referral of tinnitus patients to and from English Audiology<br/>Departments.<br/>Methods: We surveyed all audiology staff engaged in providing tinnitus services across England. A 36-item<br/>questionnaire was mailed to 351 clinicians in all 163 National Health Service (NHS) Trusts identified as having a<br/>tinnitus service. 138 clinicians responded. The results presented here describe experiences and opinions of the<br/>current patient pathways to and from the audiology tinnitus service.<br/>Results: The most common referral pathway was from general practice to a hospital-based Ear, Nose & Throat<br/>department and from there to a hospital-based audiology department (64%). Respondents considered the NHS<br/>tinnitus referral process to be generally effective (67%), but expressed needs for improving GP referral and patients’<br/>access to services. ‘Open access’ to the audiology clinic was rarely an option for patients (9%), nor was the<br/>opportunity to access specialist counselling provided by clinical psychology (35%). To decrease the number of<br/>inappropriate referrals, 40% of respondents called for greater awareness by referrers about the audiology tinnitus<br/>service.<br/>Conclusions: Respondents in the present survey were generally satisfied with the tinnitus referral system. However,<br/>they highlighted some potential targets for service improvement including 1] faster and more appropriate referral<br/>from GPs, to be achieved through education on tinnitus referral criteria, 2] improved access to psychological<br/>services through audiologist training, and 3] ongoing support from tinnitus support groups, national charities, or<br/>open access to the tinnitus clinic for existing patients.
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Personal name Phillip E Gander
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Relationship information 2011, 11:162
Title BMC Health Services Research
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Uniform Resource Identifier <a href="https://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/723/Tinnitus%20referral%20pathways.pdf?sequence=1&isAllowed=y">https://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/723/Tinnitus%20referral%20pathways.pdf?sequence=1&isAllowed=y</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Universal Decimal Classification
Koha item type Journal article

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