7
Advantages Disadvantages
• Relatively quick • Dependent upon patient's
perception of own hearing status
• Dependent upon clinician
inquiring independent of patient's
chief complaint
• Automatic prompting for inquiry
• Relatively quick
• Dependent upon patient's
perception of own hearing status
• Screening fatigue (both from
patient perspective and with
prompting alert in EMR from
provider perspective)
• Inexpensive
• Positive screen related to higher rate of
referrals to hearing health specialist
• Increased time requirement vs
single-question screening
• Inexpensive
• Positive screen related to higher rate of
referrals to hearing health specialist
• Relative decreased time requirement vs
HHIE
• Lower sensitivity (under-reports
hearing loss specifically in
comparison to single-question
screening )
• Increased time requirement vs
single-question screening
• Relatively quick
• Inexpensive
• Dependent upon patient's
perception of own hearing status
• Relative decreased time requirement
compared to the longer 25-question
Quantified Denver Scale, but just as reliable
• Not as sensitive as the HHIE-S
• Increased objectivity vs questioning
• Efficient
• Cost of equipment (although
relatively low)
• Practical
• Cost effective for detecting significant
hearing loss
• Can be administered by trained office
personnel
• Well accepted by patients
• Cost of equipment (although
relatively low)
• Increased objectivity vs questioning
• High sensitivity
• Operator dependent-Imprecise
