Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery

Author:

Nassiri Ashley M.1,Marinelli John P.2,Sorkin Donna L.3,Carlson Matthew L.14

Affiliation:

1. Department of Otolaryngology - Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota

2. Department of Otolaryngology - Head and Neck Surgery, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas

3. American Cochlear Implant Alliance, McLean, Virginia

4. Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota

Abstract

AbstractPersistent 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.

Publisher

Georg Thieme Verlag KG

Subject

Speech and Hearing

Reference69 articles.

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3. Cochlear implant access in six developed countries;D L Sorkin;Otol Neurotol,2016

4. Adults' cochlear implant journeys through care: a qualitative study;F Rapport;BMC Health Serv Res,2020

5. Evolving criteria for adult and pediatric cochlear implantation;V V Varadarajan;Ear Nose Throat J,2021

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