Audiologists' perspective on the treatment of ear-related ear, nose, and throat conditions in rural Victoria

Abstract

Objectives: To understand the experience of audiologists in managing and treating ear-related ear, nose and throat conditions in rural areas, and to identify the compounding factors that influence patient outcomes and potential targets for intervention.

Design: A focus group was conducted using a qualitative descriptive approach. Responses were audio-recorded, transcribed and thematically analysed.

Setting: The focus group was conducted in the rural town of Mildura in the state of Victoria, Australia.

Participants: A sample of 19 audiologists from Victoria participated, of which 14 were rurally based and 5 were metropolitan-based. The length of participants' professional experience ranged from 1 to 43 years.

Results: Long wait lists, and a lack of locally based ear, nose and throat surgeons were identified as barriers to the treatment of ear-related ear, nose and throat conditions. Open communication between health services and efficient care for time-sensitive conditions were seen as outcomes of good practice. Hand hygiene, nose-blowing, reducing tobacco smoke exposure and promoting the use of noise protective equipment were the 4 community health campaigns mentioned to support ear care for those residing in rural areas. Additional themes of ear conditions, treatment, management and primary health care were identified.

Conclusion: Improving referral pathways for the treatment of ear-related ear, nose and throat conditions, and providing education about ear, nose and throat assessment and treatment in primary health care settings could increase appropriate referrals, improve patient outcomes and reduce wait periods for treatment.

Keywords: ear; ear health; focus group; nose and throat; primary health care; rural health; secondary health care.