Hearing Loss and Healthy Aging Workshop Summary (2014) / Chapter Skim
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6 Innovative Models
6 Innovative Models
Pages 59-72
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From page 59... ...
and Dyan Pignatelli/Unisource Clinical Chair in Audiologic Rehabilitation for Adults at the University of Arizona. Community health workers serve as a liaison or intermediary between health or social services and the communities to facilitate individuals' access to services and improve the quality and cultural competence of 1 This presentation was written by and based on the work of Nicole Marrone, but presented on her behalf by Theresa Chisolm.
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From page 60... ...
Among Hispanics, for example, far fewer of those who could benefit from hearing aids use themas compared with hearing aid use among the general population. To address this disparity, Nicole Marrone and her colleagues at the University of Arizona are developing a community health worker intervention adapted from her current community-based audiologic rehabilitation program to identify untreated hearing loss in the Hispanic population.
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From page 61... ...
In collaboration with community providers and community health workers, Marrone is seeking to identify barriers and resources in the community and collaboratively develop an efficacious community health worker intervention in a rural community that is generally underserved and facing great health disparities. This effort includes the development of culturally and linguistically relevant materials and testing of a community health worker model of intervention for older adults with hearing loss.
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From page 62... ...
According to a study conducted in Australia, of 193 individuals who failed a telephone-based screening, only 70 sought help; of the 26 who were recommended hearing aids, only 13 obtained them; and of the 13 who obtained hearing aids, only 6 used them more than 4 hours per day (Meyer et al., 2011)
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From page 63... ...
Applications and telephone technologies are also available for tinnitus management, with a telephone tinnitus education program for veterans being evaluated in a study at the National Center for Rehabilitative Auditory Research. In addition, technology permits home-based, online computerized auditory training, as discussed earlier in the workshop.
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From page 64... ...
Of those 47 patients, 79 percent were new to hearing aids, and 86 percent reported that they would not have purchased or would have delayed purchasing hearing aids because of their cost. "Certainly the cost is a big issue for these patients," said Powers.
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From page 65... ...
Another 13 percent were referred to other physicians, 16 percent said they were not ready for hearing aids, 3 percent insisted that they did not need hearing aids, and 24 percent said that they could not afford hearing aids. The price of their hearing aids was about $1,500 per pair, and 86 percent of those who purchased hearing aids said that they would not have purchased them elsewhere or would have delayed purchasing them elsewhere because of cost.
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From page 66... ...
I hope that I am just a stepping block for that." SOCIAL ENTERPRISE BUSINESS MODELS David Green Sound World Solutions The strategic use of technology, price, and quality can change the competitive landscape in favor of the consumer, said David Green, cofounder of Sound World Solutions. Drawing on his experience with eye care programs around the world, Green described how the combination of affordable technologies with cost-effective and efficient service delivery can achieve the social mission of pricing for affordability and accessibility.
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From page 67... ...
For example, the Lumbini Eye Hospital in Nepal has done 47,000 surgeries, 70 percent for $33.00, 20 percent for $78.00, and 10 percent for free, while producing a profit of $220,000. "Nepal is 1 of the 10 poorest countries in the world," he observed, "and yet Nepal has found a way to serve all with eye care needs and with profit." The cost advantage at Aravind is significantly influenced by higher labor productivity and not just lower labor costs, said Green.
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From page 68... ...
In the United States, the product will be spread to underserved communities through federally qualified health care centers, American Indian clinics, Spanish-speaking clinics, county health departments, and home health care agencies. It is a business model "that makes hearing affordable and accessible to all," Green concluded.
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From page 69... ...
"We hope that hearing aid companies and audiology will join us in shaping different market forces that serve a much greater number of people." INCLUSIVE DESIGN Valerie Fletcher Institute for Human Centered Design The Institute for Human Centered Design is an international education and design nonprofit organization dedicated to enhancing the experiences of people of all ages and abilities through excellence in design. It is based on two core ideas, said Valerie Fletcher, the institute's executive director.
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From page 70... ...
Reframing the Role of Design Inclusive design is a framework for the design of places, things, information, communication, and policy that focuses on the widest range of people operating in the widest range of situations without special or separate design provisions. As Fletcher said, the idea is human-centered design of everything with everyone in mind.
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From page 71... ...
And the United Nations Convention on the Human Rights of People with Disabilities calls for respect, nondiscrimination, participation, inclusive design, equality, and accessibility. "We are talking about an aspiration for thriving in a world in which we cannot afford, given the volume of functional limitation, anything less," said Fletcher.
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From page 72... ...
Inclusive design still faces an enormous research agenda, Fletcher concluded. It is an idea related to values more than evidence.
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