Abstract
The impact of profound hearing loss on infants and adults is variable and greatly
influenced by improved audition derived from hearing aids and cochlear implants. However,
barriers to healthcare, hearing healthcare in particular, can offset the benefits
provided by these sensory devices. Common barriers include cost, location, availability
of trained professionals, acceptance of the hearing loss, language and cultural differences,
secondary disabilities, and mental health issues. These barriers and their distinct
presentations vary somewhat by age, language, and where people live (urban vs. rural),
and can interfere with receiving testing and devices in a timely manner. They also
can limit auditory, speech and language therapies, and interfere with acceptance of
the hearing loss and devices. Rehabilitation should focus on eliminating or reducing
the adverse impact of these barriers on patients and their families. Some of which
can be done through professional training and multidisciplinary activities, counseling,
and community outreach.
Keywords
hearing loss - barriers - healthcare - rehabilitation
