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- Title
Direct cost of cochlear implants in Germany – a strategic simulation.
- Authors
Thum, Christin; Lenarz, Thomas; Fleßa, Steffen
- Abstract
Background: Despite the current undersupply of cochlear implants (CIs) with simultaneously increasing indication, CI implantation numbers in Germany still are at a relatively low level. Methods: As there are hardly any solid forecasts available in the literature, we develop a System Dynamics model that forecasts the number and costs of CI implantations in adults for 40 years from a social health insurance (SHI) perspective. Results: CI demand will grow marginally by demographic changes causing average annual costs of about 538 million €. Medical-technical progress with following relaxed indication criteria and patients' increasing willingness for implantation will increase implantation numbers significantly with average annual costs of 765 million €. Conclusion: CI demand by adults will increase in the future, thus will the costs for CI supply. Continuous research and development in CI technology and supply is crucial to ensure long-term financing of the growing CI demand through cost-reducing innovations.
- Subjects
GERMANY; COCHLEAR implants; DEAF children; HEALTH insurance; TECHNOLOGICAL innovations; SYSTEM dynamics
- Publication
Health Economics Review, 2022, Vol 12, Issue 1, p1
- ISSN
2191-1991
- Publication type
Article
- DOI
10.1186/s13561-022-00405-8