Costs and health effects of screening and delivery of hearing aids in Tamil Nadu, India: an observational study

Baltussen, Rob; J, Abraham Vinod; Monica, Priya; Balraj, Achamma; Job, Anand; Norman, Gift; Joseph, Abraham

doi:10.1186/1471-2458-9-135

Cited by 18 publications

(8 citation statements)

References 10 publications

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“…Nevertheless, there is a shortage in skilled personnel, especially in rural areas [16]. Recent cost-effectiveness studies in India and China have shown that children with hearing impairment will benefit from aid at school [17,18]. A screening recently implemented in India using low-cost screening tools might show promising results for hearing screening in newborns [3].…”

Section: Discussionmentioning

confidence: 99%

Association between mode of delivery and failure of neonatal acoustic emission test: A retrospective analysis

Xiao¹,

Li²,

Xiao³

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Association between mode of delivery and failure of neonatal acoustic emission test: A retrospective analysis

Xiao¹,

Li²,

Xiao³

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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“…A recent review of seven studies that performed economic evaluation of HA (digital or analogue) found that there was high variability in the cost-effectiveness of the HA device ranging from USD 9702 to USD 721,942/QALY [28]. Only three studies accounted for productivity loss due to hearing impairment [29][30][31]. There is no information on the cost-effectiveness of HA device in Singapore.…”

Section: Introductionmentioning

confidence: 99%

Cost-utility analysis of hearing aid device for older adults in the community: a delayed start study

Kaur¹,

Chong

Kannapiran³

et al. 2020

BMC Health Serv Res

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Background Hearing aids (HA) is the primary medical intervention aimed to reduce hearing handicap. This study assessed the cost-effectiveness of HA for older adults who were volunteered to be screened for hearing loss in a community-based mobile hearing clinic (MHC). Methods Participants with (1) at least moderate hearing loss (≥40 dB HL) in at least one ear, (2) no prior usage of HA, (3) no ear related medical complications, and (4) had a Mini-Mental State Examination score ≥ 18 were eligible for this study. Using a delayed-start study design, participants were randomized into the immediate-start (Fitted) group where HA was fitted immediately or the delayed-start (Not Fitted) group where HA fitting was delayed for three months. Cost utility analysis was used to compare the cost-effectiveness of being fitted with HA combined with short-term, aural rehabilitation with the routine care group who were not fitted with HA. Incremental cost effectiveness ration (ICER) was computed. Health Utility Index (HUI-3) was used to measure utility gain, a component required to derive the quality adjusted life years (QALY). Total costs included direct healthcare costs, direct non-healthcare costs and indirect costs (productivity loss of participant and caregiver). Demographic data was collected during the index visit to MHC. Cost and utility data were collected three months after index visit and projected to five years. Results There were 264 participants in the Fitted group and 163 participants in the Not Fitted group. No between-group differences in age, gender, ethnicity, housing type and degree of hearing loss were observed at baseline. At 3 months, HA fitting led to a mean utility increase of 0.12 and an ICER gain of S$42,790/QALY (95% CI: S$32, 793/QALY to S$62,221/QALY). At five years, the ICER was estimated to be at S$11,964/QALY (95% CI: S$8996/QALY to S$17,080/QALY) assuming 70% of the participants continued using the HA. As fewer individuals continued using their fitted HA, the ICER increased. Conclusions HA fitting can be cost-effective and could improve the quality of life of hearing-impaired older individuals within a brief period of device fitting. Long term cost-effectiveness of HA fitting is dependent on its continued usage.

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“…Changes of hearing aid intervention policy or individual transitions should be considered to reduce a probability of unsatisfactory outcomes with hearing aids. Accordingly, other studies showed cost-effectiveness of follow up counseling (Boas et al, 2001;Vuorialho et al, 2006) and hearing screening (Baltussen & Smith, 2009;Rob et al, 2009). These indicate that providing relevant services in pre and post stages of hearing aid fitting is cost-effective and may play an important role to reduce unsatisfied hearing aid users.…”

Section: Discussionmentioning

confidence: 97%

“…Other study (Vuorialho et al, 2006) evaluating the effect of follow up counseling showed that a number of regular users were increased by 16 clients after follow-up counseling and the expense of follow-up counseling at home was only an 8.8% increment over the calculated cost of fitting a hearing aid. In addition, hearing screening following hearing aid provisions was also cost-effective (Baltussen & Smith, 2009;Rob et al, 2009).…”

Section: The Cost-effectiveness Of Hearing Aid Fittingmentioning

confidence: 99%

A Review of Cost-Effectiveness Analysis and Model of Hearing Aid Fitting

Oh¹,

Chun²,

Lee³

et al. 2017

Audiol Speech Res

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Purpose: Although many previous literatures investigated various outcomes of hearing aid fitting, a few studies explored the cost-effectiveness of hearing aid fitting and its underlying model. Examining cost effectiveness of hearing aid fitting provides comparative values of hearing aid fitting by measuring the economic gains of hearing aid interventions. The purpose of present study is to understand the cost-related outcomes and benefits of hearing aid uses and provide economic insights of hearing aid interventions. Methods: The study reviewed several literatures related to cost-effectiveness of hearing aid fitting as well as relevant services. In addition, the study proposed an adopted economic model as a future reference of hearing aid fitting in South Korea. Results: There were a few studies evaluating cost-effectiveness of hearing aid fitting and the overall results supported a considerable success with incremental cost-effectiveness of hearing aid intervention. A dynamic patient flow model is particularly useful to simulate ongoing decision problems in the use of hearing aids and to estimate cost-effectiveness of hearing aid intervention. Conclusion: The patient flow model proposed in this study involves various possible transitions of people with hearing complaints in South Korea and it applies to the measurement of cost benefits of hearing aid fitting.

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Costs and health effects of screening and delivery of hearing aids in Tamil Nadu, India: an observational study

Cited by 18 publications

References 10 publications

Association between mode of delivery and failure of neonatal acoustic emission test: A retrospective analysis

Association between mode of delivery and failure of neonatal acoustic emission test: A retrospective analysis

Cost-utility analysis of hearing aid device for older adults in the community: a delayed start study

A Review of Cost-Effectiveness Analysis and Model of Hearing Aid Fitting

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