Domiciliary versus Clinic diagnostic Paedaitric
audiology service following referral from neonatal
hearing screening program (nhsp).
Paediatric Audiology, Reading
Aim: We present our domiciliary diagnostic paediatric
audiology service adopted by West Berkshire for
audiological assessment following referral from the
community model nhsp.
Domiciliary
vs
Clinic
Advantages
Electric/acoustic screened env.
Access to other equpt if required
Other professionals available
Day time appointments only
ASSR testing can always be
performed if required
Patient choice of appt
3 X week (day/evening)
Child relaxed in home
No need for child care
Freedom for parents
Both parents present
No parking/travel problems
No time constraints
(possibility to perform TB ABR,
OAE, tymps and ASSR)
Abolishes DNA rates
Disadvantages
Electrical interference
1 session a week - 2 slots
Intrusive into patients home DNA rates = 10% (over 2005)
Parking/travel
Child minding difficulties
Satisfaction: Satisfaction questionnaire revealed
parents found home appointment easier than clinic
96%