BMJ 1994;308:1454 (4 June)

Editorials

Application of quality standards to hearing aid services

Recent years have seen a welcome increase in emphasis on robust outcome measures to assess the effectiveness of intervention in clinical practice. For diseases that are severe or life threatening the outcomes can be relatively simple and robust (for example, survival rates). For conditions resulting in chronic disability, however, deriving outcomes to assess quality standards is harder. Because of spidemiological evidence that hearing diability in adults is common- and fewer than one third of candidates for hearing aids have one- attention is now turning to the effectiveness of hearing aid services for adults and the assessment of the quality of the devices provided.

Sounds Like Quality, guidelines produced by the National Committee of Profession in Audiology, suggests sensible targets for the delivery of hearing aids and rehabilitation to people with impaired hearing. Notably lacking, however, are recommendations for assessing outcome, either in terms of the ability of hearing aids to . . . [Full text of this article]


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