Noncongruence between Audiologist and Patient Preferences for Patient-Centeredness

Abstract

Background:

Trends in preferences of both healthcare providers and patients to patient-centeredness have been emphasized in research. However, an understanding of the nature of preferences to patient-centeredness within the context of the audiologist–patient relationship is needed.

Purpose:

The purpose of this study is to explore the congruence between audiologist and patient preferences for patient-centeredness.

Research Design:

A cross-sectional survey design was used to gather data from audiologists and patients with hearing loss.

Study Sample:

Participants included 75 audiologists and 105 consecutive patients with hearing loss.

Data Collection and Analysis:

Participants completed the modified Patient–Practitioner Orientation Scale (PPOS) and provided selected demographic information. Data were analyzed using an independent sample t test to evaluate the differences between audiologist and patient congruence. Regression analysis was performed to evaluate factors contributing to preferences for patient-centeredness.

Results:

Patients had significantly lower scores in PPOS full scale when compared to the audiologists [t ₍₁₇₀₎ = 0.78; p ≤ 0.001] with a very large effect size (Cohen’s d = 1.43). Patients also had significantly lower scores when compared to the audiologists on both the sharing [t ₍₁₇₀₎ = 1.01; p ≤ 0.001] and caring [t ₍₁₇₀₎ = 0.56; p ≤ 0.001] subscales. Statistically significant lower scores were noted for patients when compared to audiologists on 12 items on the PPOS. No relationship between any demographic factors and preferences for patient-centeredness were found.

Conclusions:

The current study results indicated noncongruence in preferences for patient-centeredness among audiologists and patients with hearing loss. Results point toward the need for more research considering the nature and impact of patient-centered audiology practice.

Key Words

audiology - education - hearing health care - patient-centered care - patient-centeredness

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