Ashley M Nassiri, John P Marinelli, Donna L Sorkin, Matthew L Carlson
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引用次数: 0
摘要
在美国，人工耳蜗（CI）的使用率一直不高，这在一定程度上反映了听力健康知识的缺乏以及感音神经性听力损失治疗过程中医疗服务的复杂性。通过对 CI 医疗服务过程中患者体验的评估，系统地揭示了接受中重度听力损失治疗必须克服的障碍。本报告分析了患者面临的障碍，包括听力损失的诊断、CI 候选者的确定和外科医生的转诊、CI 评估和候选标准的解释，以及最后的 CI 手术和康复。在整个过程中，有几个主题需要关注，以解决美国听力健康不平等的问题。
Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery.
Persistent underutilization of cochlear implants (CIs) in the United States is in part a reflection of a lack of hearing health knowledge and the complexities of care delivery in the treatment of sensorineural hearing loss. An evaluation of the patient experience through the CI health care delivery process systematically exposes barriers that must be overcome to undergo treatment for moderate-to-severe hearing loss. This review analyzes patient-facing obstacles including diagnosis of hearing loss, CI candidate identification and referral to surgeon, CI evaluation and candidacy criteria interpretation, and lastly CI surgery and rehabilitation. Pervasive throughout the process are several themes which demand attention in addressing inequities in hearing health disparities in the United States.
期刊介绍：
Seminars in Hearing is a quarterly review journal that publishes topic-specific issues in the field of audiology including areas such as hearing loss, auditory disorders and psychoacoustics. The journal presents the latest clinical data, new screening and assessment techniques, along with suggestions for improving patient care in a concise and readable forum. Technological advances with regards to new auditory devices are also featured. The journal"s content is an ideal reference for both the practicing audiologist as well as an excellent educational tool for students who require the latest information on emerging techniques and areas of interest in the field.
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