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...

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Autores principales: Nassiri, Ashley M., Marinelli, John P., Sorkin, Donna L., Carlson, Matthew L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660164/
https://www.ncbi.nlm.nih.gov/pubmed/34912159
http://dx.doi.org/10.1055/s-0041-1739281
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author Nassiri, Ashley M.
Marinelli, John P.
Sorkin, Donna L.
Carlson, Matthew L.
author_facet Nassiri, Ashley M.
Marinelli, John P.
Sorkin, Donna L.
Carlson, Matthew L.
author_sort Nassiri, Ashley M.
collection PubMed
description 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.
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spelling pubmed-86601642021-12-17 Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery Nassiri, Ashley M. Marinelli, John P. Sorkin, Donna L. Carlson, Matthew L. Semin Hear 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. Thieme Medical Publishers, Inc. 2021-12-09 /pmc/articles/PMC8660164/ /pubmed/34912159 http://dx.doi.org/10.1055/s-0041-1739281 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Nassiri, Ashley M.
Marinelli, John P.
Sorkin, Donna L.
Carlson, Matthew L.
Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery
title Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery
title_full Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery
title_fullStr Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery
title_full_unstemmed Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery
title_short Barriers to Adult Cochlear Implant Care in the United States: An Analysis of Health Care Delivery
title_sort barriers to adult cochlear implant care in the united states: an analysis of health care delivery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660164/
https://www.ncbi.nlm.nih.gov/pubmed/34912159
http://dx.doi.org/10.1055/s-0041-1739281
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