A model of educational resource use by children with cochlear implants
A model of educational resource use by children with cochlear implants
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DOI：
10.1016/s0194-5998(97)70171-2
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发表时间：
1997-09-01
影响因子：
3.4
通讯作者：
Niparko, JK
中科院分区：
文献类型：
--
作者：
Koch, ME;Wyatt, JR;Niparko, JK
我们跟踪了教育和康复资源的使用模式，作为初步评估儿童人工耳蜗术成本效益比的一部分。约翰霍普金斯大学听力中心听力康复计划中的42名植入人工耳蜗的儿童作为我们的研究队列，制定了待评估的措施。教育资源矩阵对学校环境(寄宿教育、特殊教育和非专业“主流”环境)和康复支持的水平(言语和语言治疗以及口译员的使用)进行分层，以绘制这些服务过去和现在的使用情况。根据在教育资源矩阵中观察到的教育独立的进展情况进行的初步成本效益预测表明，植入物的净现值(成本节省减去成本)非常有利。这些成本效益预测需要辅之以衡量对生活质量的影响以及未来的教育和职业选择，以确定儿童植入人工耳蜗术的总体成本效益。
We have tracked patterns of use of educational and rehabilitative resources as part of an initial assessment of cost-benefit ratios of cochlear implants in children. Forty-two children with cochlear implants in the Listening Center at Johns Hopkins program of aural rehabilitation have served as our study cohort to develop the measures to be assessed. An educational resource matrix stratifies school setting (residential vs special education vs nonspecialized ''mainstream'' setting) and levels of rehabilitative support (speech and language therapy and interpreter use) to map past and current use of these services. Initial cost-benefit projections based on observed advancement toward educational independence in the educational resource matrix indicate an extremely favorable net present value of the implant (cost savings minus cost). These cost-benefit projections will need to be supplemented with measures of the impact on quality of life and future educational and vocational options to determine the overall cost-effectiveness of cochlear implants in children.