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national_network_of_teleaudiology_in_clinical_practice_for_cochlear_implant_patients._a_model_of_a_national_voice_network [2014/03/18 19:48] (current)
bziolko created
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 +Arkadiusz Wąsowski, Piotr H. Skarżyński, Artur Lorens, Anita Obrycka, Adam Walkowiak, Łukasz Bruski, Henryk Skarżyński (Poland)
  
 +**National Network of Teleaudiology in clinical practice for cochlear implant patients. A model of a national voice network**
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 +The process of diagnosis, rehabilitation and post-intervention care over patients with hearing disabilities, often equipped with different kinds of hearing prostheses, usually requires an experienced, multidisciplinary team to undertake repeated sessions with the patient in the clinic. For the majority of patients it entails long travels from their home, associated with costs, time, and travel weariness. To reduce patients’ burdens and allow specialist from the field to benefit from the experience of the World Hearing Center’s team, the National Network of Teleaudiology (NNT) was established. The Network, consisting of the World Hearing Center, 19 cooperating policlinics in Poland and one abroad, equipped with state-of-the-art hardware and software for teleconference and remote access to distant machines, allows using different telemedical solutions in daily clinical practice. The aim of this paper is to present the use of NNT for cochlear implant recipients. The telefitting method allows experienced specialist from the World Hearing Center to use Internet connection to fit cochlear implants of patients in distant policlinics. The study groups consisted of 208 patients, 114 children and 94 adults, remotely fitted according to the telefitting procedure. The patients, or patient’s parents, assessed quality and time effectiveness of teleconsultation via questionnaires. Travel time and cost savings were also computed. Patient and their parents were satisfied with course and results of telefitting. The NNT has proved to be a reliable platform for telefitting, improving quality of service for the patients and providing substantial time and money savings. With proper models of postoperative care telemedicine can be a method to cope with growing number of patients in the future, but still allowing for the need of expert’s knowledge.
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