Patient-centred hearing care in Malaysia: what do audiologists prefer and to what extent is it implemented in practice?

Akmaliza Ali, Carly Meyer, Louise Hickson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: The preferences and practices of audiologists in Malaysia towards patient-centred care (PCC) in audiological management of adult patients was investigated using a sequential mixed-method study design. Method: In Phase 1, the Patient-Practitioner Orientation Scale questionnaire (PPOS) investigated audiologists’ preferred extent of control and authority over adult patients in audiological management. In Phase 2, individual semi-structured interviews explored the nature of patient-centred hearing care. A total of 111 audiologists (mean age = 29.77 years, SD = 4.34) were involved in Phase 1; and eight audiologists (mean age = 28.9 years, SD = 3.76) were involved in Phase 2. Results: The overall PPOS score (M = 3.95, SD = 0.10) indicated that the audiologists preferred patient-centred audiological management for their adult patients. However, further analysis revealed that audiologists preferred to lead discussions and be in control of appointment sessions. Findings from the interviews revealed the focus of audiological management was on addressing patients’ biomedical needs, with hearing aids being the only rehabilitation option offered. Furthermore, while the audiologists encouraged patients’ families to be involved in audiological management, the families were mainly given a passive role in the patients’ rehabilitation. Conclusion: In general, despite audiologists in Malaysia having positive attitudes towards PCC in audiological management, their practice was typically clinician-centred and biomedically focused.

Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalSpeech, Language and Hearing
DOIs
Publication statusAccepted/In press - 5 Oct 2017

Fingerprint

Patient-Centered Care
Malaysia
Hearing
management
rehabilitation
questionnaire
Rehabilitation
interview
Interviews
Audiologists
Hearing Aids
Practice Management
Appointments and Schedules

Keywords

  • Adults
  • attitudes of audiologists
  • audiological management
  • decision-making
  • hearing impairment
  • patient-centred care
  • PPOS

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Linguistics and Language
  • Speech and Hearing

Cite this

Patient-centred hearing care in Malaysia : what do audiologists prefer and to what extent is it implemented in practice? / Ali, Akmaliza; Meyer, Carly; Hickson, Louise.

In: Speech, Language and Hearing, 05.10.2017, p. 1-11.

Research output: Contribution to journalArticle

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