Seminars in Hearing最新文献_第9页

A Broad Examination of Health Policy Barriers to Access and Affordability of Hearing Treatment for Medicare Beneficiaries. 医疗保险受益人获得听力治疗的健康政策障碍和可负担性的广泛检查。

Seminars in Hearing Pub Date : 2022-02-01 DOI: 10.1055/s-0042-1743122

Clarice Myers, Nicholas S Reed, Frank R Lin, Amber Willink

{"title":"A Broad Examination of Health Policy Barriers to Access and Affordability of Hearing Treatment for Medicare Beneficiaries.","authors":"Clarice Myers, Nicholas S Reed, Frank R Lin, Amber Willink","doi":"10.1055/s-0042-1743122","DOIUrl":"https://doi.org/10.1055/s-0042-1743122","url":null,"abstract":"In 2016, the National Academies on Science, Engineering, and Medicine (NASEM) released a report titled, \"Hearing Health Care for Adults,\" which detailed the challenges and provided recommendations for improving the access to affordable hearing care for adults in the United States. Arguably the most significant outcome from this report was the subsequent passage of the Over-the-Counter Hearing Aid Act in 2017, which requires the Food and Drug Administration to develop regulations for a class of hearing aids that address mild to moderate hearing loss to be available for sale over the counter (OTC). While this presents an important step toward improving access and affordability of hearing treatment, it does not represent a complete solution. In fact, optimizing the new landscape of hearing care for individuals with hearing loss also may require new policy solutions. This article reflects on the progress achieved since the NASEM report and the policy issues that remain to improve accessibility and affordability of hearing care among older adults.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"43 1","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9632433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Audiologist's Role in Advocacy. 听力学家在倡导中的作用。

Seminars in Hearing Pub Date : 2022-02-01 DOI: 10.1055/s-0042-1743121

Jodi H Baxter

引用次数: 0

Understanding State-Level Advocacy: A Guide for Hearing Healthcare Professionals. 理解州级倡导:听力保健专业人员指南。

Seminars in Hearing Pub Date : 2022-02-01 DOI: 10.1055/s-0042-1743120

Aaron M Roman

引用次数: 0

The Importance of Professional Advocacy at the State Level: A Coalition Model. 专业倡导在国家层面的重要性:一个联盟模式。

Seminars in Hearing Pub Date : 2022-02-01 DOI: 10.1055/s-0042-1743543

Erin L Miller, Christina M Roup

引用次数: 0

Future States for Hearing Care. 听力保健的未来状态。

Seminars in Hearing Pub Date : 2022-02-01 DOI: 10.1055/s-0042-1743542

Ian M Windmill

引用次数: 0

Defining Disparities in Cochlear Implantation through the Social Determinants of Health. 通过健康的社会决定因素定义人工耳蜗植入的差异。

Seminars in Hearing Pub Date : 2021-12-09 eCollection Date: 2021-11-01 DOI: 10.1055/s-0041-1739282

Marissa Schuh, Matthew L Bush

{"title":"Defining Disparities in Cochlear Implantation through the Social Determinants of Health.","authors":"Marissa Schuh, Matthew L Bush","doi":"10.1055/s-0041-1739282","DOIUrl":"https://doi.org/10.1055/s-0041-1739282","url":null,"abstract":"Hearing loss is a global public health problem with high prevalence and profound impacts on health. Cochlear implantation (CI) is a well-established evidence-based treatment for hearing loss; however, there are significant disparities in utilization, access, and clinical outcomes among different populations. While variations in CI outcomes are influenced by innate biological differences, a wide array of social, environmental, and economic factors significantly impact optimal outcomes. These differences in hearing health are rooted in inequities of health-related socioeconomic resources. To define disparities and advance equity in CI, there is a pressing need to understand and target these social factors that influence equitable outcomes, access, and utilization. These factors can be categorized according to the widely accepted framework of social determinants of health, which include the following domains: healthcare access/quality, education access/quality, social and community context, economic stability, and neighborhood and physical environment. This article defines these domains in the context of CI and examines the published research and the gaps in research of each of these domains. Further consideration is given to how these factors can influence equity in CI and how to incorporate this information in the evaluation and management of patients receiving cochlear implants.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"42 4","pages":"321-330"},"PeriodicalIF":0.0,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39728619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

The Limitations of FDA Criteria: Inconsistencies with Clinical Practice, Findings, and Adult Criteria as a Barrier to Pediatric Implantation. FDA标准的局限性:与临床实践、发现和成人标准的不一致是儿童植入的障碍。

Seminars in Hearing Pub Date : 2021-12-09 eCollection Date: 2021-11-01 DOI: 10.1055/s-0041-1739370

Lisa R Park, Erika B Gagnon, Kevin D Brown

{"title":"The Limitations of FDA Criteria: Inconsistencies with Clinical Practice, Findings, and Adult Criteria as a Barrier to Pediatric Implantation.","authors":"Lisa R Park, Erika B Gagnon, Kevin D Brown","doi":"10.1055/s-0041-1739370","DOIUrl":"https://doi.org/10.1055/s-0041-1739370","url":null,"abstract":"Children require greater access to sound than adults as they are learning to communicate using hearing and spoken language. Yet when it comes to cochlear implant candidacy, currently approved Food and Drug Administration (FDA) criteria for adults are much less restrictive than those for children, allowing for greater levels of residual hearing and aided speech recognition in adults. Cochlear implant guidelines for children have changed very little in the 30 years since cochlear implants have been approved for pediatrics, and this lack of change has proven to be a barrier to implantation. Using evidence-based practice, centers have been providing off-label implantation for children who fall outside of current FDA criteria, including children with more residual hearing, children with single-side deafness younger than 5 years, and infants with bilateral profound loss younger than 9 months. The purpose of this article is to outline how these restrictions impede access to implants for children and describe the evidence supporting cochlear implantation in children who fall outside of current criteria.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"42 4","pages":"373-380"},"PeriodicalIF":0.0,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39728625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Determining Cochlear Implant Candidacy in Adults: Limitations, Expansions, and Opportunities for Improvement. 确定成人人工耳蜗的候选资格:局限性、扩展和改进的机会。

Seminars in Hearing Pub Date : 2021-12-09 eCollection Date: 2021-11-01 DOI: 10.1055/s-0041-1739283

Teresa A Zwolan, Gregory Basura

{"title":"Determining Cochlear Implant Candidacy in Adults: Limitations, Expansions, and Opportunities for Improvement.","authors":"Teresa A Zwolan, Gregory Basura","doi":"10.1055/s-0041-1739283","DOIUrl":"https://doi.org/10.1055/s-0041-1739283","url":null,"abstract":"The safety, efficacy, and success of cochlear implants (CIs) are well established and have led to changes in criteria used by clinicians to determine who should receive a CI. Such changes in clinical decision-making have out-paced the slower-occurring changes that have taken place with regulatory bodies' and insurers' indications. We review the historical development of indications for CIs, including those of the U.S. Food and Drug Administration (FDA), Medicare, Medicaid, and private insurers. We report on expansion to include patients with greater residual hearing, such as those who receive Hybrid and EAS devices, and report on recent FDA approvals that place less emphasis on the patient's best-aided condition and greater emphasis on the ear to be treated. This includes expansion of CIs to patients with single-side deafness and asymmetric hearing loss. We review changes in the test materials used to determine candidacy, including transition from sentences in quiet to sentences in noise to the recent use of monosyllabic words and cognitive screening measures. Importantly, we discuss the recent trend to recommend CIs despite a patient not meeting FDA or insurers' indications (a practice known as \"off-label\"), which serves as attestation that current indications need to be updated.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"42 4","pages":"331-341"},"PeriodicalIF":0.0,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39728621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery. 美国成人人工耳蜗植入护理的障碍：医疗保健服务分析。

Seminars in Hearing Pub Date : 2021-12-09 eCollection Date: 2021-11-01 DOI: 10.1055/s-0041-1739281

Ashley M Nassiri, John P Marinelli, Donna L Sorkin, Matthew L Carlson

引用次数: 0

The Impact of Cochlear Implantation: Cognitive Function, Quality of Life, and Frailty in Older Adults. 人工耳蜗植入的影响:老年人的认知功能、生活质量和虚弱。

Seminars in Hearing Pub Date : 2021-12-09 eCollection Date: 2021-11-01 DOI: 10.1055/s-0041-1739367

Eric E Babajanian, Neil S Patel, Richard K Gurgel

引用次数: 7