Evidence-Based Audiology A Response Letter to the Editor
Letter to the Editor  |   November 01, 1995
Evidence-Based Audiology
 
Author Affiliations & Notes
  • Lawrence J. Deutsch
    New York City
Article Information
Hearing Disorders / Research Issues, Methods & Evidence-Based Practice / Letters to the Editor
Letter to the Editor   |   November 01, 1995
Evidence-Based Audiology
American Journal of Audiology, November 1995, Vol. 4, 89-a-90. doi:10.1044/1059-0889.0403.89b
 
American Journal of Audiology, November 1995, Vol. 4, 89-a-90. doi:10.1044/1059-0889.0403.89b
It is hard to debate Dr. Bess’ laudable concept that the audiologist whose clinical practice is based on a firm understanding of the underlying scientific evidence is in a position to provide the best level of care. Virtually everything else in his opinion paper is arguable at best, speculative, not subject to investigation by “evidence-based audiology,” or simply uncorrelated to the real world of clinical practice and patient care.
The concept that somehow the practice of high quality “evidence-based audiology” is related to, let alone a prerequisite of, efficient and cost effective hearing health care, is a leap of faith that I, for one, am unable to make. For example, Maxon et al., in the July 1995 Journal of the American Academy of Audiology, in a well done evidence-based study of TEOAEs in 4,253 infants, conclude that in today’s environment a cost of $4378 per hearing loss identified is a more than reasonable and prudent expenditure of limited health care dollars. HMOs, the new true arbiters of efficiency in health care, want hearing loss assessed by the lowest level competent person who can manage pure tone thresholds and appear to be, at least so far, unimpressed with the power of evidence-based audiology as a method of controlling “the spiraling costs of health care.”
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