关键词: Tele ABR Tele audiology Tele otology

来  源:   DOI:10.1007/s12070-021-02546-4   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Hearing loss is the commonest sensory deficit among humans, affecting 466 million people worldwide. Early detection is the key to hearing rehabilitation, as speech and language develops early in the childhood. Scarcity of human resources and infrastructure in developing countries like India leads to difficulty in implementation of hearing screening programmes. Tele otology is very fruitful methodology in providing health care facility from distant site to the doorsteps of needy individuals. The action initiated in the field of tele otology in India was reviewed at electronic databases: Pubmed, Google scholar, Medline, Cochrane library, science direct and author mapper using the keywords \'tele otology\' and \'tele audiometry\' in January 2021. Eligible studies were those related to tele otology and tele audiometry in India. A total of 16 articles were shortlisted for the present study. Tele hearing testing was satisfactory for the parents in regard to accessibility, testing process and counselling. Tele audiometry surveillance shows better overall follow-up compliance rate then in-person audiological surveillance. During covid 19 pandemic virtual approach to the patient through video calling and telephone calls proved handy approach, ensuring safety profile of both health care professionals and patients. Even Tele ABR conducted in tele van shows similar results as in face-to-face mode ABR. Tele otology should be considered by the service providers and policy makers while planning for hearing screening programmes for both new-born and school going children in view of its reliability, low-cost, non-invasive and portability. The village health workers (VHWs) should be well trained in assisting tele practice and internet connectivity should be well established. Tele otology looks very promising in providing health services through the ever-expanding reach of global connectivity.
摘要:
听力损失是人类最常见的感觉缺陷,影响全球4.66亿人。早期发现是听力康复的关键,随着言语和语言在儿童早期的发展。在印度等发展中国家,人力资源和基础设施的匮乏导致难以实施听力筛查计划。远程耳科学是非常富有成果的方法,可以提供从遥远的地点到有需要的人的家门口的医疗保健设施。在电子数据库中审查了在印度远程耳科领域发起的行动:Pubmed,谷歌学者,Medline,科克伦图书馆,2021年1月,科学直接和作者映射器使用关键词“远程耳科学”和“远程测听”。合格的研究是与印度的远程耳科和远程测听有关的研究。本研究共有16篇文章入围。远程听力测试在无障碍方面对父母来说是令人满意的,测试过程和咨询。远程测听监测显示,总体随访符合率优于现场听力学监测。在covid19大流行期间,通过视频通话和电话向患者提供虚拟方法被证明是方便的方法,确保医疗保健专业人员和患者的安全状况。甚至在电视货车中进行的远程ABR也显示出与面对面模式ABR相似的结果。鉴于其可靠性,服务提供商和政策制定者在计划针对新生和上学儿童的听力筛查计划时,应考虑到远程耳科学,低成本,非侵入性和便携性。乡村卫生工作者(VHW)应在协助远程实践方面接受良好的培训,并应建立良好的互联网连接。通过不断扩大的全球连接范围,远程耳科学在提供医疗服务方面看起来非常有前途。
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