Direct cost of cochlear implants in Germany – a strategic simulation
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Health Economics Review |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13561-022-00405-8 |
| _version_ | 1797977612399673344 |
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| author | Christin Thum Thomas Lenarz Steffen Fleßa |
| author_facet | Christin Thum Thomas Lenarz Steffen Fleßa |
| author_sort | Christin Thum |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T05:10:07Z |
| format | Article |
| id | doaj.art-cdbceefba99a4aab927cf5a045df76ea |
| institution | Directory Open Access Journal |
| issn | 2191-1991 |
| language | English |
| last_indexed | 2024-04-11T05:10:07Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Economics Review |
| spelling | doaj.art-cdbceefba99a4aab927cf5a045df76ea2022-12-25T12:05:08ZengBMCHealth Economics Review2191-19912022-12-0112111510.1186/s13561-022-00405-8Direct cost of cochlear implants in Germany – a strategic simulationChristin Thum0Thomas Lenarz1Steffen Fleßa2Department of General Business Administration and Health Care Management, Faculty of Law and Economics, University of GreifswaldDepartment of Otolaryngology, Head & Neck Surgery, Hannover Medical SchoolDepartment of General Business Administration and Health Care Management, Faculty of Law and Economics, University of GreifswaldAbstract 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.https://doi.org/10.1186/s13561-022-00405-8Cochlear implantSimulationSystem dynamicsHealth insuranceCost |
| spellingShingle | Christin Thum Thomas Lenarz Steffen Fleßa Direct cost of cochlear implants in Germany – a strategic simulation Health Economics Review Cochlear implant Simulation System dynamics Health insurance Cost |
| title | Direct cost of cochlear implants in Germany – a strategic simulation |
| title_full | Direct cost of cochlear implants in Germany – a strategic simulation |
| title_fullStr | Direct cost of cochlear implants in Germany – a strategic simulation |
| title_full_unstemmed | Direct cost of cochlear implants in Germany – a strategic simulation |
| title_short | Direct cost of cochlear implants in Germany – a strategic simulation |
| title_sort | direct cost of cochlear implants in germany a strategic simulation |
| topic | Cochlear implant Simulation System dynamics Health insurance Cost |
| url | https://doi.org/10.1186/s13561-022-00405-8 |
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