Abstract
The study was designed to assess the impact of hearing impairment on communication between older hospital patients and medical staff and to see whether intervention to improve hearing influences perceived communication. Structured interviews were held with 200 mentally alert elderly hospital in-patients before and after the introduction of voice amplifiers and acetate cards depicting a hearing problem. Prior to intervention 22% of patients rated communication with their doctor as poor or unsatisfactory. Following intervention there was a significant improvement (Chi-square p=0.006), with only 6% of patients reporting communication with their doctor as poor or unsatisfactory. Most of the patients who felt communication was unsatisfactory could not hear what was being said. We conclude that simple measures can improve the number of older patients hearing what their doctor says and improve their perception of communication with the hospital doctor. Keywords: communication; elderly; hearing
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Selected References
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- Davis D. A., Thomson M. A., Oxman A. D., Haynes R. B. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995 Sep 6;274(9):700–705. doi: 10.1001/jama.274.9.700. [DOI] [PubMed] [Google Scholar]
- Meryn S. Improving doctor-patient communication. Not an option, but a necessity. BMJ. 1998 Jun 27;316(7149):1922–1922. doi: 10.1136/bmj.316.7149.1922. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morgan R., King D., Prajapati C., Rowe J. Views of elderly patients and their relatives on cardiopulmonary resuscitation. BMJ. 1994 Jun 25;308(6945):1677–1678. doi: 10.1136/bmj.308.6945.1677a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ohta R. J., Carlin M. F., Harmon B. M. Auditory acuity and performance on the mental status questionnaire in the elderly. J Am Geriatr Soc. 1981 Oct;29(10):476–478. doi: 10.1111/j.1532-5415.1981.tb01753.x. [DOI] [PubMed] [Google Scholar]
- Qureshi K. N., Hodkinson H. M. Evaluation of a ten-question mental test in the institutionalized elderly. Age Ageing. 1974 Aug;3(3):152–157. doi: 10.1093/ageing/3.3.152. [DOI] [PubMed] [Google Scholar]
- Richards T. Chasms in communication. BMJ. 1990 Dec 22;301(6766):1407–1408. doi: 10.1136/bmj.301.6766.1407. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SCHUKNECHT H. F. FURTHER OBSERVATIONS ON THE PATHOLOGY OF PRESBYCUSIS. Arch Otolaryngol. 1964 Oct;80:369–382. doi: 10.1001/archotol.1964.00750040381003. [DOI] [PubMed] [Google Scholar]
- van den Brink R. H., Wit H. P., Kempen G. I., van Heuvelen M. J. Attitude and help-seeking for hearing impairment. Br J Audiol. 1996 Oct;30(5):313–324. doi: 10.3109/03005369609076779. [DOI] [PubMed] [Google Scholar]