The rise of teleaudiology in the time of COVID-19: practices and opinions of audiologists in New Zealand.

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.