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In the entirety of training and in further practice, we are instilled with the premise of patient-centred care and individualised management plans based on informed consent. The question in the new age of telehealth/e-health is how to mimic that personalisation factor and how far is too far in virtual care? How are risk factors assessed? And does it actually meet the needs of all? Be it a video appointment, use of remote computerised systems such as hearWHO, JABRA or Tinnibot, or use of apps to adjust hearing aids on patient request. The opening scoping review of this edition of Seminars in Hearing looks at the rise of virtual user-led services, whittling it down to three articles for qualitative synthesis to establish a framework, for the what, the where and the how. Blended and virtual care is definitely here to stay but, with the increasingly diverse range of pathway choices when it comes to hearing, how can the optimum be found? Is it all changing too fast to track? Where will it lead? Or are we all in the matrix with the veil slowly slipping?

Scoping Review for a Global Hearing Care Framework: Matching Theory with Practice.
Brice S, Saunders E, Edwards B.
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Jennifer K Stott

Royal Berkshire, NHS Foundation Trust, UK.

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