15. READINESS OF THE HEALTHCARE SYSTEM FOR SCREENING, DIAGNOSING, AND SUPPORTING THE TREATMENT OF HEARING LOSS FOR THE OLDER ADULTS IN THE HUE CITY

Tran Dai Tri Han1, Nguyen Hoang Thuy Linh1
1 Hue University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: Assessing the readiness of the healthcare system for screening, diagnosing, and supporting the treatment of hearing loss for the older adults in Hue city, Vietnam.


Subjects and Research Methods: A mixed-methods study was conducted with representatives of 15 healthcare facilities in Hue City. A portion of the Service Availability and Readiness Assessment (SARA) toolkit was used. In-depth interviews were conducted with the study participants to further evaluate the advantages and challenges in screening, diagnosing, and supporting treatment.


Results: Most community health centers are not ready for screening, diagnosing, and supporting treatment. The main obstacles are the lack of guidelines, untrained healthcare staff, and insufficient equipment. Public hospitals/health centers have trained healthcare staff and guidelines, but the guidelines are not standardized, half of the units lack pure-tone audiometers, and only one facility is capable of providing support treatment.


Conclusion: There is a need to enhance the capacity of healthcare facilities to meet the increasing issue of hearing loss in the older adults.

Article Details

References

[1] WHO, Risk reduction of cognitive decline and dementia: WHO guidelines. Geneva: World Health Organization, 2019.
[2] Vietnam Women Union. Viet Nam aging survey (VNAS): Key finding. Hanoi: Women Publishing House, 2012
[3] Han TDT, Nakamura K, Seino K, etc. Do Communication Patterns Affect the Association between Cognitive Impairment and Hearing Loss among Older Adults in Vietnam? Int J Environ Res Public Health, 2021, 18 (4):1603.
[4] Feltner, C., I. F. Wallace, C. E. Kistler, etc. Screening for Hearing Loss in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services, 2021, Task Force. JAMA, 2021, 325 (12): 1202-1215.
[5] WHO. Hearing aid service delivery approaches for low- and middle-income settings, Geneva: World Health Organization; Licence: CC BYNC-SA 3.0 IGO, 2023.
[6] WHO. Service Availability and Readiness Assessment (SARA) - An annual monitoring system for service delivery, 2015.
[7] M. Naeem, W. Ozuem, K. Howell, etc., A Stepby-Step Process of Thematic Analysis to Develop a Conceptual Model in Qualitative Research. International Journal of Qualitative Methods, 2023, vol. 22, p. 16094069231205789.
[8] Wallhagen, M. I., & Strawbridge, W. J., Hearing loss education for older adults in primary care clinics: Benefits of a concise educational brochure. Geriatric nursing (New York, N.Y.), 2017, 38 (6), 527–530.
[9] Bộ Y tế. Hướng dẫn chẩn đoán và điều trị một số bệnh về tai mũi họng, NXB Y học, 2015, Hà Nội.