Barriers and facilitators to tele-audiology service delivery in Australia during the COVID-19 pandemic: perspectives of hearing healthcare clinicians

Int J Audiol. 2023 Dec;62(12):1145-1154. doi: 10.1080/14992027.2022.2128446. Epub 2022 Oct 4.

Abstract

Objective: To explore the utilisation, safety, cost, and patient outcomes of delivering tele-audiology services during the COVID-19 pandemic.

Design: A national cross-sectional self-report online survey asking participants to reflect on interactions with hearing services between April and October 2020. Data were analysed using descriptive statistics. The COM-B model of behaviour change guided survey creation and the presentation of a subset of the results.

Study sample: 249 Australia-based hearing healthcare clinicians (age range 23-74 years; 162 female).

Results: Clinicians reported an increase in the use of tele-audiology services, with key drivers relating to keeping their patients safe and keeping businesses running. Clinicians generally viewed the provision of tele-audiology services as successful and resulting in improved patient outcomes. Overall, clinicians were highly motivated to provide tele-audiology services, and they expressed being confident in their knowledge and understanding of tele-audiology service delivery. Barriers to providing tele-audiology services included concerns about the reliability of the results obtained from remote assessments, as well as concerns around information security and privacy issues.

Conclusions: Clinicians' motivations to use tele-audiology services appeared to be driven by their desire to maintain COVID-safe practices during the pandemic and by the COVID-driven increase in availability of funding for tele-audiology services.

Keywords: Hearing; audiology; tele-audiology.

MeSH terms

  • Adult
  • Aged
  • Audiology* / methods
  • Australia / epidemiology
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Delivery of Health Care
  • Female
  • Hearing
  • Humans
  • Middle Aged
  • Pandemics
  • Reproducibility of Results
  • Telemedicine* / methods
  • Young Adult