Article record

人工耳蜗植入后技术性后续照护的委托。

Delegation of Technical Aftercare Following Cochlear Implantation.

指南共识耳科IF 1Q2

文献信息

PMID	42710500
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Timo Stöver 查看其他 9 位作者 Thomas Deitmer；Stefan Dazert；Thomas Karl Hoffmann；Stefan K Plontke；Dirk Beutner；Hans-Jürgen Welkoborsky；Antje Aschendorff；Moritz Eypasch；Thomas Zahnert
作者单位	Goethe-Universität Frankfurt am Main, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals- Chirurgie, Universitätsmedizin Frankfurt, Germany, Frankfurt. 查看其他 9 条单位信息 Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V., Generalsekretär, Germany, Bonn.；Katholisches Klinikum Bochum Sankt Elisabeth-Hospital, Klinik für HNO-Heilkunde, Germany, Bochum.；Univ.-Klinik Ulm, HNO, Germany, Ulm.；Universitätsklinikum Halle (Saale), Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf und Hals Chirurgie, Germany, Halle (Saale).；Georg-August-Universität Göttingen Universitätsmedizin, Klinik für Hals-Nasen-Ohrenheilkunde, Germany, Göttingen.；KRH Klinikum Nordstadt, Klinik für Hals-Nasen-Ohren-Heilkunde, Germany, Hannover.；HNO, Universität Freiburg, Germany, Freiburg.；Eypasch Nord Rechtsanwälte PartmbB, Rechtsanwaltskanzlei, Germany, Bonn.；Universitätsklinikum Carl Gustav Carus Klinik und Poliklinik für Hals- Nasen- und Ohrenheilkunde, Klinik für Hals-, Nasen- und Ohrenheilkunde, Germany, Dresden.
期刊	Laryngo- rhino- otologie
SCI 分区	Q2
IF	1
研究类型	指南共识 · 临床
所属专科	耳科

中文摘要

摘要： 在德国，人工耳蜗（CI）照护通过AWMF临床实践指南“人工耳蜗照护”、德国耳鼻咽喉头颈外科学会（DGHNO-KHC）的CI白皮书以及既定的认证结构实现标准化。
摘要： 本文件受DGHNO-KHC执行委员会委托，基于CI临床实践指南、CI白皮书以及现有基于指南的合作模式中的实践经验，为技术性后续照护服务的委托提供了专业、组织和报销相关的框架。
摘要： 分析表明，技术性后续照护服务可以按照指南进行委托，前提是委托由负责人工耳蜗植入的部门（CIVE）在正式合作协议内发起，已获得患者的知情同意，并且治疗过程的总体责任仍由CIVE承担。
摘要： 委托可以涵盖技术性后续照护的单个或所有组成部分；不适用“全或无原则”。医疗和复杂的听力学后续照护，以及基础和随访治疗的所有听力学和技术服务，仍不可委托。外部服务提供者没有独立执行技术性后续照护的权利。CIVE或患者均可随时撤回对委托的同意。
摘要： 技术性后续照护服务的报销尚未在全国范围内标准化，主要原因是仍缺乏合同安排。

英文摘要

ABSTRACT: Cochlear implant (CI) care in Germany is standardized through the AWMF Clinical Practice Guideline "Cochlear Implant Care", the CI White Paper of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), and established certification structures.
ABSTRACT: This document, commissioned by the Executive Board of the DGHNO-KHC, provides a professional, organizational, and reimbursement-related framework for the delegation of technical aftercare services based on the CI Clinical Practice Guideline, the CI White Paper, and practical experience from existing guideline-based cooperation models.
ABSTRACT: The analysis demonstrates that technical aftercare services can be delegated in accordance with the guideline, provided that delegation is initiated by the responsible cochlear implant providing department (CIVE) within a formal cooperation agreement, the patient's informed consent has been obtained, and overall responsibility for the treatment process remains with the CIVE.
ABSTRACT: Delegation may cover individual or all components of technical aftercare; an "all-or-none principle" does not apply. Medical and complex audiological aftercare, as well as all audiological and technical services of basic and follow-up therapy, remain non-delegable. External service providers have no independent entitlement to perform technical aftercare. Consent to delegation may be withdrawn at any time by either the CIVE or the patient.
ABSTRACT: Reimbursement for technical aftercare services has not yet been standardized nationwide, mainly because contractual arrangements are still lacking.