Delegation of Technical Aftercare Following Cochlear Implantation.

IF 1.6 4区医学 Q3 OTORHINOLARYNGOLOGY

Laryngo-rhino-otologie Pub Date : 2026-09-08 DOI:10.1055/a-2928-7223

Timo Stöver, Thomas Deitmer, Stefan Dazert, Thomas Karl Hoffmann, Stefan K Plontke, Dirk Beutner, Hans-Jürgen Welkoborsky, Antje Aschendorff, Moritz Eypasch, Thomas Zahnert

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引用次数: 0

Abstract

Abstract: Cochlear implant (CI) care in Germany is standardized through the AWMF Clinical Practice Guideline "Cochlear Implant Care", the CI White Paper of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), and established certification structures.

Abstract: This document, commissioned by the Executive Board of the DGHNO-KHC, provides a professional, organizational, and reimbursement-related framework for the delegation of technical aftercare services based on the CI Clinical Practice Guideline, the CI White Paper, and practical experience from existing guideline-based cooperation models.

Abstract: The analysis demonstrates that technical aftercare services can be delegated in accordance with the guideline, provided that delegation is initiated by the responsible cochlear implant providing department (CIVE) within a formal cooperation agreement, the patient's informed consent has been obtained, and overall responsibility for the treatment process remains with the CIVE.

Abstract: Delegation may cover individual or all components of technical aftercare; an "all-or-none principle" does not apply. Medical and complex audiological aftercare, as well as all audiological and technical services of basic and follow-up therapy, remain non-delegable. External service providers have no independent entitlement to perform technical aftercare. Consent to delegation may be withdrawn at any time by either the CIVE or the patient.

Abstract: Reimbursement for technical aftercare services has not yet been standardized nationwide, mainly because contractual arrangements are still lacking.

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人工耳蜗植入术后技术护理的委托。

摘要：德国通过AWMF临床实践指南“人工耳蜗护理”、德国耳鼻喉头颈外科学会（DGHNO-KHC） CI白皮书以及建立认证结构，对人工耳蜗（CI）护理进行了标准化。摘要：本文件受DGHNO-KHC执行委员会委托，基于CI临床实践指南、CI白皮书和现有基于指南的合作模式的实践经验，为技术护理服务的委托提供了一个专业、组织和报销相关的框架。摘要：分析表明，如果委托由人工耳蜗提供部门（CIVE）在正式的合作协议中发起，获得患者的知情同意，并且对治疗过程的总体责任仍由CIVE承担，则可以按照指南进行技术后续服务的委托。摘要：委托可以涵盖技术善后的个别或全部组成部分；“全有或全无原则”并不适用。医疗和复杂的听力学后护理，以及基本和后续治疗的所有听力学和技术服务仍然不能委托。外部服务提供商没有执行技术售后服务的独立权利。CIVE或患者可在任何时候撤回对委托的同意。摘要：技术善后服务的报销尚未在全国范围内标准化，主要原因是合同安排仍然缺乏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Laryngo-rhino-otologie 医学-耳鼻喉科学

CiteScore

1.00

自引率

30.00%

发文量

1399

审稿时长

6-12 weeks

期刊介绍： Die Laryngo-Rhino-Otologie ist die deutschsprachige Fachzeitschrift für Ärzte in Klinik und Praxis mit Fokus auf die Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie. Die Laryngo-Rhino-Otologie bringt die Themen, die Sie wirklich interessieren und in der täglichen Arbeit unterstützen: Kurze, leicht lesbare Beiträge, interessante Rubriken und Originalarbeiten mit Relevanz für Ihre Arbeit.