为低成本助听器打开市场：监管变革可改善美国老年人的健康状况。
Opening the Market for Lower Cost Hearing Aids: Regulatory Change Can Improve the Health of Older Americans.
作者信息
Blustein Jan, Weinstein Barbara E
机构信息
Jan Blustein is with the Wagner School, New York University, New York, NY, and the Department of Population Health, New York University School of Medicine, New York. Barbara E. Weinstein is with the Doctor of Audiology Program, the Graduate Center, City University of New York, New York, NY.
出版信息
Am J Public Health. 2016 Jun;106(6):1032-5. doi: 10.2105/AJPH.2016.303176. Epub 2016 Apr 14.
Abstract
Hearing loss is a leading cause of disability among older people. Yet only one in seven US adults who could benefit from a hearing aid uses one. This fraction has not increased over the past 30 years, nor have hearing aid prices dropped, despite trends of steady improvements and price reductions in the consumer electronics industry. The President's Council on Science and Technology has proposed changes in the regulation of hearing aids, including the creation of a "basic" low-cost over-the-counter category of devices. We discuss the potential to reduce disability as well as to improve public health, stakeholder responses to the president's council's proposal, and public health efforts to further mitigate the burden of disability stemming from age-related hearing loss.
摘要
听力损失是老年人残疾的主要原因之一。然而，在美国，每七名能从助听器中受益的成年人中，只有一人使用助听器。在过去30年里，这一比例并未上升，助听器价格也没有下降，尽管消费电子行业有持续改进和降价的趋势。总统科学技术顾问委员会已提议改变助听器的监管方式，包括设立一个“基本型”低成本非处方设备类别。我们讨论了减少残疾以及改善公众健康的潜力、利益相关者对总统顾问委员会提议的反应，以及为进一步减轻与年龄相关的听力损失所导致的残疾负担而做出的公共卫生努力。
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本文引用的文献
1
Internet Interventions for Hearing Loss.听力损失的互联网干预措施。
Am J Audiol. 2015 Sep;24(3):316-9. doi: 10.1044/2015_AJA-15-0009.
2
Hearing loss is associated with poorer ratings of patient-physician communication and healthcare quality.听力损失与患者与医生沟通及医疗质量的较差评分相关。
J Am Geriatr Soc. 2014 Nov;62(11):2207-9. doi: 10.1111/jgs.13113.
3
Hearing aid use among older U.S. adults; the national health and nutrition examination survey, 2005-2006 and 2009-2010.美国老年人使用助听器情况；2005 - 2006年及2009 - 2010年国家健康与营养检查调查
Ear Hear. 2014 May-Jun;35(3):289-94. doi: 10.1097/01.aud.0000441036.40169.29.
4
The association between hearing loss and social isolation in older adults.老年人听力损失与社会隔离的关系。
Otolaryngol Head Neck Surg. 2014 Mar;150(3):378-84. doi: 10.1177/0194599813518021. Epub 2014 Jan 2.
5
Hearing loss and depression in older adults.老年人的听力损失与抑郁症
J Am Geriatr Soc. 2013 Sep;61(9):1627-9. doi: 10.1111/jgs.12429.
6
Evidence on self-fitting hearing aids.关于自行验配助听器的证据。
Trends Amplif. 2011 Dec;15(4):215-25. doi: 10.1177/1084713812444009. Epub 2012 Apr 23.
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Prevalence of hearing aid use among older adults in the United States.美国老年人使用助听器的情况。
Arch Intern Med. 2012 Feb 13;172(3):292-3. doi: 10.1001/archinternmed.2011.1408.
8
Hearing loss prevalence in the United States.美国听力损失患病率。
Arch Intern Med. 2011 Nov 14;171(20):1851-2. doi: 10.1001/archinternmed.2011.506.
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