Understanding Tinnitus Clinical Care in the Veterans Health Administration and Department of Defense: Overview of Survey Results.
Amy Boudin-George, Erin Cesario, Catherine Edmonds and 3 others
PMID 39437254WHAT IT FOUND
Veterans Affairs and Defense audiology and ENT clinics mostly reported tinnitus services, but many mental health providers did not know services existed and felt unprepared.
Resources, low priority, and training were the top barriers.
Key findings
01Most AUD (86%) and ENT (90%) respondents reported tinnitus services were offered in their facilities, but only 25% of DOD MH and 49% of VHA MH reported yes; 75% of DOD MH and 41% of VHA MH did not know.
02Most DOD and VHA AUDs were quite or extremely confident providing tinnitus management, while less than 30% of DOD and VHA MH respondents were quite or extremely confident.
03The most reported barriers to tinnitus care were need for resources, low prioritization, and need for training; the most reported PTM facilitators were clinical champion and patient needs.
STILL TO COME
How it was doneWhat they found
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The survey only reached providers who chose to respond, so it may reflect people already interested in tinnitus care. The authors could not count all eligible providers or confirm that mailing lists were complete, so the results cannot be generalized to all VHA and DOD clinicians. Some specialties had very few respondents, especially DOD ENT, DOD mental health, and hearing conservation technicians. Branching and skip logic meant that individual questions had lower response counts than the total sample. Multiple respondents from the same health care system were allowed, so one system could be overrepresented. A clinic-level no does not prove that tinnitus services were unavailable elsewhere in the same health system.
Declared interests
The authors declared no competing financial or nonfinancial interests. No funding source is reported in the article text.
The easy way to misread this
Do not read these percentages as national coverage or proof that tinnitus care is adequate. The survey reached only providers who chose to answer, was sent through specialty mailing lists that may have been incomplete, and did not know the total number of eligible providers.