弥合听力差距:为美国老年人提供政策解决方案
Meghana Rajashekara Swamy1, Richard Marottoli1, Andrew B Cohen1
1The authors are with the Department of Geriatric Medicine, Yale University, New Haven, CT. Richard Marottoli and Andrew B. Cohen are also with the Yale Pepper Center for Older Adults and the Department of Veterans Affairs at West Haven, West Haven, CT.
American journal of public health
|November 20, 2025
概括
未经治疗的听力损失会损害老年人. 本研究分析了保险障碍,并提出了技术驱动的改革,以改善听力护理的获取和负担能力,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 听力损失影响到70岁以上的三分之二的美国成年人,往往没有治疗.
- 未经治疗的听力损失与认知能力下降,护理人员负担和医疗保健成本增加有关.
- 获得高质量的听力护理受到分散的保险覆盖 (医疗保险,医疗补助,VA,私人计划) 的阻碍.
研究的目的:
- 检查美国获得高质量的听力护理的主要障碍.
- 审查立法/监管方面的发展,包括场外 (OTC) 助听器.
- 为改善听力护理的可及性和负担能力提出改革建议.
主要方法:
- 对保险覆盖面的分析 (医疗保险,医疗补助,VA,私人,OTC).
- 审查过去十年的立法和监管变化.
- 关于政策改革和技术驱动框架的建议.
主要成果:
- 由于保险分散,在获得和提供听力护理方面存在重大障碍.
- 2022年OTC助听器的建立带来了新的机遇和挑战.
- 目前的系统在持续的福利和消费者保护方面存在差距.
结论:
- 需要改革:一致的医疗补助福利,医疗保险扩张,远程听力学整合和OTC设备监督.
- 一个技术驱动的框架 (人工智能,远程听力学,实时验证,透明的市场) 可以使听力健康现代化.
- 在美国医疗保健生态系统中,对听力健康优先考虑的根本性重新思考是必不可少的.
相关概念视频
01:31Hearing
56.3K
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
56.3K
01:15Drug Dosing: Geriatric Patients
199
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
199
01:26Aging
552
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
552
01:18Introduction To Health Care Delivery System
3.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.7K
01:21Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
200
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
200