Baumgartner Wolf-Dieter, Gavilán Javier, Benghalem Abdelhamid, Sallavaci Suela, Rajan Gunesh, Rajeswaran Ranjith, Zernotti Mario, Chadha Shelly
Vienna ENT University Hospital, Vienna, Austria.
La Paz University Hospital, Department of Otorhinolaryngology, Madrid, Spain.
Braz J Otorhinolaryngol. 2025 Mar-Apr;91(2):101556. doi: 10.1016/j.bjorl.2024.101556. Epub 2025 Jan 3.
This review aims to analyse the implications of the World Health Organization's 2021 world report on hearing, with a particular focus on the cochlear implant field. The objective is to understand the challenges and opportunities highlighted in the report and propose viable solutions for effective implementation within the cochlear implant community.
Following the release of the World Health Organization's world report on hearing, cochlear implant professionals explored and discussed the implications of the report with examples from various countries to understand the disparities in access, reimbursement policies, and social stigma associated with hearing loss.
The world hearing report identifies hearing loss as a major global health issue, with an estimate of 1.5 billion people currently affected and a projected increase to 2.5 billion by 2050. Key challenges in the cochlear implantation field include disparities in access to services, particularly in low- and middle-income countries, lack of reimbursement policies in many regions, and the social stigma surrounding hearing loss.
A multi-faced approach is needed to address the rising prevalence of hearing loss and policy makers must prioritize ear and hearing care as a public health concern. Organizations like the HEARRING group can promote education, awareness, and training, and act as advocates for changes in healthcare systems to expand access to hearing care services.
本综述旨在分析世界卫生组织《2021年世界听力报告》的影响，尤其侧重于人工耳蜗领域。目的是了解该报告中突出的挑战和机遇，并为人工耳蜗领域有效实施提出可行的解决方案。
在世界卫生组织发布《世界听力报告》之后，人工耳蜗专业人员通过来自各国的实例探讨并讨论了该报告的影响，以了解在获得治疗、报销政策以及与听力损失相关的社会污名方面存在的差异。
《世界听力报告》将听力损失确定为一个重大的全球健康问题，估计目前有15亿人受其影响，预计到2050年将增至25亿。人工耳蜗植入领域的主要挑战包括获得服务方面的差异，尤其是在低收入和中等收入国家，许多地区缺乏报销政策，以及围绕听力损失的社会污名。
需要采取多方面的方法来应对听力损失患病率不断上升的问题，政策制定者必须将耳和听力保健作为公共卫生问题予以优先考虑。像HEARRING小组这样的组织可以促进教育、提高认识和培训，并充当医疗保健系统变革的倡导者，以扩大获得听力保健服务的机会。
