{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T15:23:35Z","timestamp":1787930615522,"version":"build-2784847793"},"reference-count":28,"publisher":"American Speech Language Hearing Association","funder":[{"name":"Australian Government Department of Health, Disability and Aging"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The aim of this study was to identify factors that influence family physicians' (FPs') referral behaviors when referring adult patients for hearing assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      A qualitative study was conducted in which FPs were recruited for 30-min semistructured interviews. The interview schedule was developed using a topic schedule approach and analyzed using reflexive thematic analysis. Nine FPs with clinical experience ranging from 4 to 32 years (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      = 25 years) were recruited.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>When referring adult patients, FPs consider overall patient health, potential benefits and risks of hearing assessments, reported symptoms, medical history, physical examinations, and observed behaviors indicating hearing loss. Government and clinical protocols, personal experiences with hearing loss, and relevant education programs also influence referral practices. FPs consider contraindications such as medical reasons, patient motivation, limited specialist services, and logistical challenges for patients in regional and remote areas. They expressed a desire for increased involvement of audiologists in primary care and sought education on the hearing assessment process, interpretation of audiology results, and hearing rehabilitation options.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Multiple factors influenced FPs' referral behaviors for hearing assessments. Further research is needed to understand these factors and to implement findings to expand knowledge and develop effective referral tools for FPs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1044\/2026_aja-25-00318","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:46:18Z","timestamp":1787928378000},"page":"1-16","source":"Crossref","is-referenced-by-count":0,"title":["Why Family Physicians Refer (or Don't) for Adult Hearing Assessment: A Qualitative Interview Study"],"prefix":"10.1044","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3124-8469","authenticated-orcid":false,"given":"Jessica","family":"Tsiolkas","sequence":"first","affiliation":[{"name":"National Acoustic Laboratories, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0456-4498","authenticated-orcid":false,"given":"Jermy","family":"Pang","sequence":"additional","affiliation":[{"name":"National Acoustic Laboratories, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8383-5318","authenticated-orcid":false,"given":"Padraig","family":"Kitterick","sequence":"additional","affiliation":[{"name":"National Acoustic Laboratories, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"issue":"3","key":"e_1_3_2_2_1","first-page":"39","article-title":"A review of key paradigms: Positivism VS interpretivism","volume":"2","author":"Alharahsheh H. 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(2022 March 25). 715 health check. https:\/\/www.health.gov.au\/news\/715-health-check"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3152131"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJA-19-00090"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-020-01157-2"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJA-21-00272"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2011.601468"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3181c8e902"},{"key":"e_1_3_2_12_1","unstructured":"Hearing Australia. (2021 December 31). Demographic details of young Australians aged less than 26 years with a hearing loss who have been fitted with a hearing aid or cochlear implant at 31 December 2021. https:\/\/www.hearing.com.au\/Hearing-loss\/Children-young-adults"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/1059-0889(2012\/12-0016)"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1642616"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-015-0262-5"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)01406-X"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30367-6"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/308509"},{"key":"e_1_3_2_19_1","unstructured":"National Rural Health Alliance. (2024). Fact Sheet: Hearing loss in rural Australia. https:\/\/www.ruralhealth.org.au\/wp-content\/uploads\/2024\/11\/NRHA-Hearing-Loss-in-Rural-Australia-Factsheet.pdf [PDF]"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423617000792"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2022.2129853"},{"key":"e_1_3_2_23_1","unstructured":"Australian Medical Association. (2022 June 17). General practice facts. https:\/\/www.ama.com.au\/articles\/general-practice-facts-0"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019623"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03395.x"},{"issue":"495","key":"e_1_3_2_26_1","first-page":"798","article-title":"Factors associated with patients' trust in their general practitioner: A cross-sectional survey","volume":"53","author":"Tarrant C.","year":"2003","unstructured":"Tarrant, C., Stokes, T., & Baker, R. (2003). Factors associated with patients' trust in their general practitioner: A cross-sectional survey. 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