Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea

ObjectivesSouth Korea's National Health Insurance has provided hearing aids to registered individuals with hearing disabilities since 1989. In 2015, hearing aid subsidies increased to approximately US$1,000. This study aimed to understand hearing loss categories in Korea by analyzing patients b...

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Main Authors: Chul Young Yoon, Junhun Lee, Tae Hoon Kong, Young Joon Seo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1215494/full
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author Chul Young Yoon
Chul Young Yoon
Junhun Lee
Junhun Lee
Tae Hoon Kong
Tae Hoon Kong
Young Joon Seo
Young Joon Seo
author_facet Chul Young Yoon
Chul Young Yoon
Junhun Lee
Junhun Lee
Tae Hoon Kong
Tae Hoon Kong
Young Joon Seo
Young Joon Seo
author_sort Chul Young Yoon
collection DOAJ
description ObjectivesSouth Korea's National Health Insurance has provided hearing aids to registered individuals with hearing disabilities since 1989. In 2015, hearing aid subsidies increased to approximately US$1,000. This study aimed to understand hearing loss categories in Korea by analyzing patients between 2010 and 2020 and the effect of the 2015 hearing aid policy change on the prevalence of hearing loss.MethodsThe participants were patients registered on the National Health Insurance Service database from 2010 to 2020 with hearing loss. A total of 5,784,429 patients were included in this study. Hearing loss was classified into conductive, sensorineural, and other categories. Patients with hearing loss were classified according to the International Classification of Diseases diagnostic code. Disability diagnosis and hearing aid prescription were defined using the National Health Insurance Disability and Hearing Aid Code.ResultsThe increase in hearing aid prescriptions and hearing disability registrations following the subsidy increase impacts hearing loss prevalence. Hearing aid prescription and hearing disability were found to have an effect on increasing hearing loss prevalence in univariate and multivariate analyses. The r-value of each analysis exceeded 0.95. Other hearing losses increased rapidly after the increased subsidy.ConclusionA hearing-impaired individual must be diagnosed with a hearing disability and prescribed a hearing aid to receive the subsidy. The prevalence of hearing loss was affected by increased hearing disabilities following changes in the hearing aid subsidy and the number of people prescribed hearing aids. Therefore, caution should be exercised when studying hearing loss prevalence over mid-long-term periods.
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spelling doaj.art-1c897efd8dc641b0b4a8e4826b85dfe52023-09-13T04:40:57ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12154941215494Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South KoreaChul Young Yoon0Chul Young Yoon1Junhun Lee2Junhun Lee3Tae Hoon Kong4Tae Hoon Kong5Young Joon Seo6Young Joon Seo7Research Institute of Hearing Enhancement, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaDepartment of Biostatistics, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaResearch Institute of Hearing Enhancement, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaDepartment of Biostatistics, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaResearch Institute of Hearing Enhancement, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaDepartment of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaResearch Institute of Hearing Enhancement, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaDepartment of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju-si, Gangwon-do, Republic of KoreaObjectivesSouth Korea's National Health Insurance has provided hearing aids to registered individuals with hearing disabilities since 1989. In 2015, hearing aid subsidies increased to approximately US$1,000. This study aimed to understand hearing loss categories in Korea by analyzing patients between 2010 and 2020 and the effect of the 2015 hearing aid policy change on the prevalence of hearing loss.MethodsThe participants were patients registered on the National Health Insurance Service database from 2010 to 2020 with hearing loss. A total of 5,784,429 patients were included in this study. Hearing loss was classified into conductive, sensorineural, and other categories. Patients with hearing loss were classified according to the International Classification of Diseases diagnostic code. Disability diagnosis and hearing aid prescription were defined using the National Health Insurance Disability and Hearing Aid Code.ResultsThe increase in hearing aid prescriptions and hearing disability registrations following the subsidy increase impacts hearing loss prevalence. Hearing aid prescription and hearing disability were found to have an effect on increasing hearing loss prevalence in univariate and multivariate analyses. The r-value of each analysis exceeded 0.95. Other hearing losses increased rapidly after the increased subsidy.ConclusionA hearing-impaired individual must be diagnosed with a hearing disability and prescribed a hearing aid to receive the subsidy. The prevalence of hearing loss was affected by increased hearing disabilities following changes in the hearing aid subsidy and the number of people prescribed hearing aids. Therefore, caution should be exercised when studying hearing loss prevalence over mid-long-term periods.https://www.frontiersin.org/articles/10.3389/fneur.2023.1215494/fullhearing lossbig-datahearing aidhearing disabilityprevalence
spellingShingle Chul Young Yoon
Chul Young Yoon
Junhun Lee
Junhun Lee
Tae Hoon Kong
Tae Hoon Kong
Young Joon Seo
Young Joon Seo
Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
Frontiers in Neurology
hearing loss
big-data
hearing aid
hearing disability
prevalence
title Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
title_full Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
title_fullStr Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
title_full_unstemmed Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
title_short Effect of changes in the hearing aid subsidy on the prevalence of hearing loss in South Korea
title_sort effect of changes in the hearing aid subsidy on the prevalence of hearing loss in south korea
topic hearing loss
big-data
hearing aid
hearing disability
prevalence
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1215494/full
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