Case study of a hearing rehabilitation service in the City of São Paulo

• Autor(a) principal: Ragusa-Mouradian, Cláudia Aparecida
• Data de Publicação: 2021
• Outros Autores: Momensohn-Santos, Teresa Maria
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/18633
• topic: Fonoaudiologia; Audiologia; Audição; Aparelhos auditivos; Reabilitação auditiva; Centros de reabilitação; Gestão de serviços de saúde.; Logopedia; Audiología; Audiencia; Audífonos; Rehabilitación auditiva; Centros de rehabilitación; Administración de servicios de salud.; Speech Therapy; Audiology; Hearing; Hearing aids; Auditory rehabilitation; Rehabilitation centers; Health service management.

To present a case study of a hearing rehabilitation service in the city of São Paulo. Reorganization of the patient's auditory rehabilitation process, proposed by the Technical Area of The Person of Disability of the Municipal Health Department, introducing the Shared Multiprofessional Reception, with a view to the one established in the Care Line and the Singular Therapeutic Project. Previously, patients in the region scheduled for diagnosis complied with the following Protocol: 1. ENT physician - Service Entry; 2. Audiological Evaluation; 3. Otorhinolaryngologist - diagnosis and conduct; 4. Audiologist - pre-mold and pre-selection of the device; 5. Audiologist - Test and definition of the Device and 6. Delivery/Dispensing of the Device. This process of entry to the concession of hearing aids took up to 12 months. The reorganization took place in 4 Phases: 1. (April/2015) - scheduling for the realization of Steps 1, 2 and 3 of the Protocol; 2. (October/2015) - inclusion of Stage 4 (1 otorhinolaryngologist and 2 audiologists); 3. (January/2017) - inclusion according to otorhinolaryngologist and only way of entering the service; 4. (April/2017) - inclusion of Social Work. With this operating model, it was observed a reduction in the number of returns, optimization of schedules, improvement of access to the service and reduction of time between the first consultation and the granting of hearing devices from twelve (12) to four (4) months. The patient's process for auditory rehabilitation within the Service was all restructured and described, constituting a model to be replicated. The reorganization was a successful experience.