Direct cost of cochlear implants in Germany: A strategic simulation

Artikel

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 signifcantly 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 fnancing of the growing CI demand through cost-reducing innovations.

Object Details

• Language: Englisch

References and Relationships

• Bibliographic citation: Journal: Health Economics Review ; ISSN: 2191-1991 ; Volume: 12 ; Year: 2022 ; Issue: 1 ; Pages: 1-15

Classification and Topics

• Classification: Wirtschaft
• Subject: Cochlear implant ; Simulation ; System dynamics ; Health insurance ; Cost

Contributors, Places and Time

• Event: Geistige Schöpfung
• (who): Thum, Christin ; Lenarz, Thomas ; Fleßa, Steffen
• Event: Veröffentlichung
• (who): Springer
• (where): Heidelberg
• (when): 2022

Further information

• DOI: doi:10.1186/s13561-022-00405-8
• Handle: http://hdl.handle.net/10419/285300
• Last update: 10.03.2025, 11:46 AM CET