Cochlear implants: obstacles limiting application

Abstract

Objectives Popularize the problems faced by the application of cochlear implants to the 1/2 to 3/4 million severe to profoundly deaf individual who are potential beneficiaries of this technology. Study design and methods Review insights gained while directing the Cochlear Implant Center during the past 20 years. Results The rapid application of cochlear implant technology for patients with severe to profound hearing losses is creating critical problems. It is being hampered by inadequate reimbursement. There is a critical shortage of cochlear implant trained audiologists who are an essential keystone in the application of this technology. These audiologists are required to provide lifelong audiological services to patients who have received cochlear implants. At the same time, they have to evaluate the exponentially growing number of new candidates. Conclusions The restoration of hearing with cochlear implants provides an enormous educational and societal benefit. However, the existing health delivery system limits the application of cochlear implant technology. University Audiological training programs must expand their curriculum to include cochlear implant-related courses. The existing rehabilitation audiologist delivery system could be applied to provide long term, community based cochlear implant services.