A model of educational resource use by children with cochlear implants.

Conference Paper

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 non-specialized "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.

Full Text

Duke Authors

Cited Authors

  • Koch, ME; Wyatt, JR; Francis, HW; Niparko, JK

Published Date

  • September 1997

Published In

Volume / Issue

  • 117 / 3 Pt 1

Start / End Page

  • 174 - 179

PubMed ID

  • 9334762

International Standard Serial Number (ISSN)

  • 0194-5998

Digital Object Identifier (DOI)

  • 10.1016/s0194-5998(97)70171-2

Conference Location

  • England