Hearing aid fitting at SUS (Brazilian Public Health Care System) compared with a compact fitting model |
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| Authors: | Maria Cecília Bevilacqua Orozimbo Alves Costa Filho Eliane Aparecida Techi Castiquini Ticiana Cristina de Freitas Zambonatto Marina Morettin Adriane Lima Mortari Moret Regina Célia Bortoleto Amantini |
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| Affiliation: | 1. Full Professor - University of São Paulo - Bauru Campus; Professor - Department of Speech and Hearing Therapy at FOB/USP; Coordinator of the Audiological Research Center - CPA- HRAC/USP, Bauru Campus.;2. Full Professor - University of São Paulo, Bauru Campus. Professor - Department of Speech and Hearing Therapy at FOB/USP; Coordinator of the Audiological Research Center - CPA - HRAC/USP, Bauru Campus.;3. MSc. in Communication Disorders; Speech and Hearing Therapist - Hearing Health Division - Craniofacial Anomalies Rehabilitation Hospital (HRAC/USP).;4. MSc in Rehabilitation Sciences; Speech and Hearing Therapist - Hearing Health Division - Craniofacial Anomalies Rehabilitation Hospital (HRAC/USP).;5. MSc in Public Health; Speech and Hearing Therapist; Laboratory Specialist - Speech and Hearing Department - School of Dentistry - FOB/USP; Researcher - Center of Audiological Research - CPA/USP- Bauru.;6. PhD in Human Communication Disorders; Professor at the Department of Speech and Hearing Therapy - FOB/USP; Vice-Coordinator at the Center of Audiological Research - CPA - HRAC/USP - Bauru Campus.;7. PhD in Human Communication Disorders; Administrative Director - Hearing Health Division - Craniofacial Anomalies Rehabilitation Hospital (HRAC/USP). Department of Speech and Hearing Therapy - Dentistry School of Bauru. Audiological Research Center - Craniofacial anomalies Rehabilitation Hospital (HRAC/USP). University of São Paulo, Bauru Campus. |
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| Abstract: | In the present days it is critical to identify the factors that contribute to the quality of the audiologic care provided. The hearing aid fitting model proposed by the Brazilian Unified Health System (SUS) implies multidisciplinary care. This leads to some relevant and current questions.ObjectiveTo evaluate and compare the results of the hearing aid fitting model proposed by the SUS with a more compact and streamlined care.MethodWe conducted a prospective longitudinal study with 174 participants randomly assigned to two groups: SUS group and Streamline group. For both groups we assessed key areas related to hearing aid fitting through the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire, in addition to evaluating the results of Speech Recognition Index (SRI) 3 and 9 months after fitting.ResultsBoth groups had the same improvement related to the speech recognition after nine months of AASI use, and the IOI-HA didn't show any statically significant difference on three and nine months.ConclusionThe two strategies of care did not differ, from the clinical point of view, as regards the hearing aid fitting results obtained upon the evaluation of patients in the short and medium term, thus changes in the current model of care should be considered. |
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| Keywords: | adult hearing hearing aids hearing loss outcome and process assessment (health care) |
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