Sennheiser E 945 - 03-06 User Manual Page 124

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Deutsche Gesellschaft für auDioloGie e. V.246 247
AbstrActs
18. JAhrestAgung „MultidisziplinArität in der Audiologie“
Beitrag wird präsentiert am 06.03.2015 um 10.40 Uhr im Rahmen der SS04
Tom Thumb in the world of health care giants
M. Strik
Dutch society of Speech and Hearing Centres Utrecht
The Dutch Healthcare has experienced major changes in both financial and organisational
structures. Within 15 years health insurance companies were privatized and made responsible
for ‘buying’ and thus negotiating’ prices and ‘products’ from Health care organisations in cure
and care. This had a huge impact, not only on hospitals but also on smaller organisations like
the speech and hearing centres.
The Dutch society of Speech and Hearing Centres (FENAC) was established in 1974 and used
to be a content driven society of health care professionals working in Speech and Hearing
Centres. With all changes in healthcare, there was a need to change into a professional organ-
isation, focussing on the advocacy of Speech and Hearing centres as significant structures in
healthcare.
This shift had positive results, both within the sector as a whole, as well as the way the sector of
speech and Hearing centres is perceived by other stakeholders, health insurances and govern-
ment. In the turbulence of health care change, the relatively small organisations survived and
even obtained a crucial position in the care for patients of all ages with Speech and Hearing
problems.
The shift however also asked for a new balance in “advocacy” and “content driven” interests
within the association. For this, the FENAC introduced content driven focus groups and strives
for better and more intense cooperation with content driven associations like for example the
Dutch Association for physicist-audiologists. The latter even now has a seat in the general
board of the FENAC.
Beitrag wird präsentiert am 06.03.2015 um 11.00 Uhr im Rahmen der SS04
Audiology in Switzerland
R. Probst
UniversitätsSpital Zürich Klinik für Ohren-, Nasen-, Hals- und Gesichtschirurgie
Similarly to Germany, audiological services in Switzerland are not provided by single desig-
nated units. They are mostly provided either in the context of medical otology or acoustician
offices. The system is traditionally based on a financial independence of these two branches,
but also on a close professional cooperation with little or no legal regulations. Medical audiol-
ogy is covered by the mandatory health insurance, while the social security system makes a
basic financial contribution to hearing aids. Quality of both medical and acoustician audiology
is controlled by specific regulations and demands on education, equipment, and continuous
professional educations. Selected special services are regulated on a federal level. They in-
clude pediatric services, secondary prophylaxis of noise-induced hearing loss, and provision
of cochlear implants (CI). Pediatric services are delivered by specialized units or networks
including medical, technical and educational expertise. The specialists and the units require
certification. Secondary prophylaxis of noise-induced hearing loss is provided ambulatory by
the SUVA (Schweizerische Unfall-Versicherungs-Anstalt) since more than 35 years.CI provision
is regulated on a federal level with the designation of five CI-centers. Guidelines developed
by the five centers set the standards of clinical processes, equipment, and staff requirements.
Centers are obligated to register all CI into a central data base allowing comparisons between
the centers and overall quality assessments.
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