Abstract:
Introduction: To reduce the transmission of COVID-19, a rapid response was required
from governments around the world. Subsequently a lockdown strategy was
implemented in New Zealand. This meant audiological services, had to change their
provision of care from almost exclusively face-to-face care to almost all care being
provided via teleaudiology. Historically, audiologists have shown reluctance towards the
implementation and use of teleaudiology.
Aim and Objectives: This study aims to document changes in audiology practice as a
consequence of COVID-19 restrictions and to assess audiologists’ opinion about
teleaudiology.
Methods: A survey consisting about closed- and open-set questions were used to assess
the working practices during COVID-19 restrictions and audiologists’ perception of
teleaudiology
Results: Forty-three percent of audiologists indicated no use of remote care before
COVID-19 level 3 and 4 restrictions, while at the time the survey was completed, 80%
had already offered a remote care appointment. Prior non-use of remote care was
attributable to clinical limitations/needs, lack of infrastructure and clinical training, and
patient and clinician preference. Respondents indicated the benefits of teleaudiology to
be increased accessibility, convenience, improved travel, flexibility in scheduling and
that it will have little to no impact on satisfaction and quality of care. However, they
believed teleaudiology to negatively impact personal interactions. Participants were
particularly concerned about communication, the inability to conduct certain clinical
procedures remotely, and the usability and accessibility of technology.
Conclusions: Participants’ have found benefits with teleaudiology for clinicians and
patients alike. However, improvements are needed for remote care infrastructure and
clinical training. Furthermore, as many procedures cannot be conducted remotely, it will
always be necessary to have hybrid-care pathways accessible.