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Access to cochlear implant candidacy evaluations: Who isnotmaking it to the team evaluations?
- Source :
- International Journal of Audiology. 48:74-79
- Publication Year :
- 2009
- Publisher :
- Informa UK Limited, 2009.
-
Abstract
- The objective of this study was to investigate trends in the referral process among pediatric cochlear implant candidates. Medical and audiologic charts between 2003 and 2005 were reviewed, and children five years and younger with moderately-severe or worse sensorineural hearing loss were included. Of the 105 audiograms meeting the inclusion criteria, 69% were referred for a cochlear implant, and 52% were considered as definite candidates for an implant by audiologists with expertise in cochlear implant technology. Children referred for an implant, compared to children who were not referred, were more likely to have married parents (91% vs. 70%, p=0.02) and more likely to have private insurance (56% vs. 29%, p=0.02). Multivariable regression results were consistent with the unadjusted findings regarding marital status, but not insurance status. Children with sensorineural hearing loss are inconsistently referred to cochlear implant teams despite similar audiologic findings. To reach the Healthy People 2010 goals, this disparity should be addressed. A further understanding of the population of children not referred is important in diminishing inconsistencies and understanding barriers to care.
- Subjects :
- Male
Linguistics and Language
medicine.medical_specialty
Hearing Loss, Sensorineural
medicine.medical_treatment
Audiology
Language and Linguistics
Speech and Hearing
Cochlear implant
otorhinolaryngologic diseases
medicine
Humans
Healthcare Disparities
Referral and Consultation
Retrospective Studies
business.industry
Patient Selection
Referral process
Audiogram
medicine.disease
Cochlear Implantation
Cochlear Implants
Socioeconomic Factors
Child, Preschool
Insurance status
Candidacy
Marital status
Female
Sensorineural hearing loss
Implant
business
Subjects
Details
- ISSN :
- 17088186 and 14992027
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- International Journal of Audiology
- Accession number :
- edsair.doi.dedup.....6c1588158a4b971b71445613beacbf5e