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What can we learn from 10.586 hearing impaired people?
Stockholm, April 3, 2014
European Hearing Instrument Manufacturers Association
1
LFH
Local HM Association
EHIMA
HSM
JHIMA
EHIMA
ANIFA
EHIMA
Country
Euro
2009
2012
Sponsor
Germany
EHIMA
France
EHIMA
UK
EHIMA
Switzerland
HSM
Norway
HM Association
Italy
ANIFA
Japan
JHIMA
Denmark
LFH
EuroTrak/ JapanTrak were developed and executed by Anovum, Zürich
European Hearing Instrument Manufacturers Association
LFH
Local HM Association
EHIMA
HSM
JHIMA
EHIMA
ANIFA
EHIMA
Short interviews
Long interviews
Representative
HA owners
HA non-owners
UK
14896
501
795
Germany (GER)
13922
500
864
France (FRA)
15430
502
809
Norway (NOR)
14866
691
618
Switzerland (CH)
14836
514
813
Italy (ITA)
15536
510
801
Denmark (DEN)
14070
656
664
JapanTrak (JAP)
15036
450
898
118‘592
4324
6262
Total
European Hearing Instrument Manufacturers Association
3
% self-reported hearing impaired (Base: population)
Differences may be caused by:
• Age-gender-structure (=age pyramid)
• Awareness: Hearing tests, health care systems etc.
• Prevention / Work situation
• Other factors
12.5%
11.6%
10.9%
11.3%
10.0%
9.4%
9.1%
8.8%
8.8%
2012
European Hearing Instrument Manufacturers Association
Source:
EuroTrak /JapanTrak
4
74+
65 - 74
55 - 64
55 - 64
Age group
“older” populations:
Age group
74+
65 - 74
45 - 54
35 - 44
45 - 54
35 - 44
25 - 34
25 - 34
15 - 24
15 - 24
<= 14
<= 14
Women: Unimpaired non-owner
Women: Impaired non-user
Women: HA owner
Women: Unimpaired non-owner
Women: Impaired non-user
Women: HA owner
Men: Unimpaired non-owner
Men: Impaired non-user
Men: HA owner
Men: Unimpaired non-owner
Men: Impaired non-user
Men: HA owner
74+
74+
74+
74+
65 - 74
65 - 74
65 - 74
65 - 74
55 - 64
55 - 64
35 - 44
45 - 54
Age group
45 - 54
35 - 44
25 - 34
25 - 34
15 - 24
<= 14
Women: Unimpaired non-owner
Women: Impaired non-user
Women: HA owner
Men: Unimpaired non-owner
Men: Impaired non-user
Men: HA owner
European Hearing Instrument Manufacturers Association
Age group
55 - 64
Age group
Age group
55 - 64
45 - 54
35 - 44
45 - 54
35 - 44
25 - 34
25 - 34
15 - 24
15 - 24
15 - 24
<= 14
<= 14
<= 14
Women: Unimpaired non-owner
Women: Impaired non-user
Women: HA owner
Women: Unimpaired non-owner
Women: Impaired non-user
Women: HA owner
Men: Unimpaired non-owner
Men: Impaired non-user
Men: HA owner
Men: Unimpaired non-owner
Men: Impaired non-user
Men: HA owner
Source:
Women: Unimpaired non-owner
Women: Impaired non-user
Women: HA owner
Men: Unimpaired non-owner
Men: Impaired non-user
Men: HA owner
EuroTrak /JapanTrak
5
Adoption: Proportion of people with hearing aid (% of population) and adoption rate (% of stated impaired)
Differences may be caused by:
• Health care system
• Reimbursement system / income structure
• Market development
• Culture
• Other factors.
47.8%
42.5%
41.1%
38.8%
34.0%
30.4%
29.6%
24.6%
14.1%
4.8%
Denmark
3.7%
Norway
3.7%
UK
3.4%
4.2%
Switzerland Germany
2.8%
France
2.9%
1.5%
Italy
Japan
2.8%
USA
(MarkeTrak
2012 (% of population)
European Hearing Instrument Manufacturers Association
Source:
2012 (% of stated impaired)
EuroTrak /JapanTrak
2008)
6
% Binaural fitting
Differences may be caused by:
• Health care system
• Reimbursement system / income structure
• Market development
• Professional “attitude”
84%82%
76%75%
74%75%
76%
74%
63%
60%
60%58%
64%
61%
47%
Denmark
Norway
Switzerland
2012/2011
European Hearing Instrument Manufacturers Association
2010
Germany
France
UK
59%
44%
Italy
39%
36%
Japan
2009 or earlier (EuroTrak 2009)
Source:
EuroTrak /JapanTrak
7
Do you have tinnitus (ringing or other noises in the ears or head) in one or both ears ?
No
67%
70%
71%
74%
74%
75%
80%
Yes, sometimes
Yes permamently in
both ears
26%
Yes permamently in
25%
22%
20%
21%
20%
3%
4%
3%
2%
4%
3%
4%
2%
3%
2%
3%
2%
15%
3%
2%
Italy
Japan
Germany
Norway
France
UK
Switzerland
European Hearing Instrument Manufacturers Association
Source:
EuroTrak /JapanTrak
one ear
8
Have you ever thought about a treatment of your tinnitus?
Differences may be caused by:
• Health care system / income structure
• Culture
• etc.
47%
48%
81%
83%
sometimes
Tinnitus
40%
13%
12%
5%
7%
17%
51%
46%
49%
13%
39%
Germany
European Hearing Instrument Manufacturers Association
75%
90%
36%
34%
France
Italy
I have never
considered a
45%
16%
permanently
Tinnitus
79%
14%
4%
13%
8%
22%
3%
treatment
8%
2%
I have considered
a treatment but
31%
42%
27%
43%
31%
26%
Japan Switzerland
Source:
49%
52%
36%
36%
15%
12%
UK
Norway
EuroTrak /JapanTrak
did not have one
I have / have had a
treatment
9
Do you have tinnitus (ringing or other noises in the ears
or head) in one or both ears ?
Have you ever thought about
a treatment of your tinnitus?
100%
3%
90%
14%
80%
70%
74%
60%
83%
50%
40%
30%
20%
17%
21%
10%
2%
0%
4%
permanently Tinnitus
50%
33%
No
Yes, sometimes
Yes permamently in both ears
European Hearing Instrument Manufacturers Association
Base: 3‘956
Pa
ge
10
Do you have tinnitus (ringing or other noises in the ears
or head) in one or both ears ?
Have you ever thought about
a treatment of your tinnitus?
100%
90%
13%
80%
47%
70%
71%
60%
40%
50%
40%
30%
20%
22%
16%
10%
3%
0%
4%
39%
permanently Tinnitus
No
Yes, sometimes
46%
Yes permamently in both ears
Yes permamently in one ear
European Hearing Instrument Manufacturers Association
Base: 3‘981
Pa
ge
11
100%
90%
Drop out:
100%
30%
80%
Drop out:
70%
70%
60%
30%
Drop out:
50%
49%
40%
54%
3%
45%
48%
30%
20%
Impaired
ENT/Doctor
Recommend
Owner
10%
0%
All hearing impaired
Discussed hearing loss with ear Positive medical advice (Ear doctor Discussed hearing loss with HA
doctor and/or family doctor
or family doctor recommend
dispenser/audiologist
further action)
Positive advice HA
dispenser/audiologist
Bought hearing aid
Base: n=1‘320
European Hearing Instrument Manufacturers Association
Page 12
100%
90%
Drop out:
100%
24%
80%
Drop out:
76%
70%
23%
60%
Drop out:
58%
50%
40%
51%
41%
30%
20%
27%
Impaired
ENT/Doctor
43%
Owner
Recommend
10%
0%
All hearing impaired
Discussed hearing loss with ear Positive medical advice (Ear doctor Discussed hearing loss with HA
dispenser/audiologist
or family doctor recommend
doctor and/or family doctor
further action)
Positive advice HA
dispenser/audiologist
Bought hearing aid
Base: n=1‘309
European Hearing Instrument Manufacturers Association
Page 13
100%
Drop out:
100%
20%
80%
90%
Drop out:
100%
30%
60%
Drop out:
20%
50%
27%
10%
58%
51%
40%
41%
30%
20%
Impaired
ENT/Doctor
29%
48%
40%
23%
76%
Drop out:
50%
Drop out:
70%
Recommend
43%
Impaired
ENT/Doctor
42%
38%
Recommend
34%
Owner
0%
All hearing impaired
Discussed hearing loss with ear Positive medical advice (Ear doctor Discussed hearing loss with HA
doctor and/or family doctor
or family doctor recommend
dispenser/audiologist
further action)
Positive advice HA
dispenser/audiologist
Bought hearing aid
Owner
10%
100%
0%
All hearing impaired
40%
60%
24%
80%
Drop out:
80%
70%
100%
Discussed hearing loss with ear Positive medical advice (Ear doctor Discussed hearing loss with HA
doctor and/or family doctor
or family doctor recommend
dispenser/audiologist
further action)
Positive advice HA
dispenser/audiologist
Bought hearing aid
90%
Drop out:
100%
24%
80%
Drop out:
76%
70%
37%
60%
Drop out:
50%
37%
30%
20%
37%
48%
40%
Impaired
ENT/Doctor
34%
Recommend
30%
EuroTrak /JapanTrak
90%
Owner
10%
0%
All hearing impaired
100%
27%
80%
Drop out:
73%
60%
39%
Drop out:
13%
50%
40%
44%
48%
30%
20%
Impaired
Bought hearing aid
Drop out:
100%
70%
Positive advice HA
dispenser/audiologist
ENT/Doctor
39%
Recommend
Source:
90%
Discussed hearing loss with ear Positive medical advice (Ear doctor Discussed hearing loss with HA
doctor and/or family doctor
or family doctor recommend
dispenser/audiologist
further action)
39%
Owner
10%
0%
All hearing impaired
Discussed hearing loss with ear Positive medical advice (Ear doctor Discussed hearing loss with HA
doctor and/or family doctor
or family doctor recommend
dispenser/audiologist
further action)
European Hearing Instrument Manufacturers Association
Positive advice HA
dispenser/audiologist
Bought hearing aid
14
European Hearing Instrument Manufacturers Association
15
How useful are your hearing aids on your job?
Switzerland
France
Germany
10%
5%
Italy
70%
32%
8%
Norway
20%
63%
30%
14%
10%
62%
27%
59%
36%
54%
Denmark
17%
33%
50%
UK
17%
33%
50%
Japan
12%
46%
Of no use
N: UK 144/FRA 204/ GER 209
European Hearing Instrument Manufacturers Association
42%
Of some use
Source:
Of significant use
EuroTrak /JapanTrak
16
European Hearing Instrument Manufacturers Association
Source:
EuroTrak /JapanTrak
17
% of people with depression symptoms
Hearing aid
Top 50% hearing loss, no hearing aid
32%
Italy
Depression
symptoms:
PHQ-2
Screening:
In the last 2 weeks:
• Little interest or
pleasure
• Feeling down,
depressed, hopeless
16%
UK
14%
Japan
9%
Norway
European Hearing Instrument Manufacturers Association
4%
29%
27%
17%
France
Switzerland
41%
19%
Germany
37%
21%
21%
11%
Source:
EuroTrak /JapanTrak
18
% of people getting more forgetful
Yes somewhat more
JAP with hearing aid
JAP no hearing aid (but sig. HL top 50%)
59%
61%
ITA with hearing aid
ITA no hearing aid (but sig. HL top 50%)
Dementia
symptom:
57%
UK with hearing aid
UK no hearing aid (but sig. HL top 50%)
56%
56%
CH with hearing aid
CH no hearing aid (but sig. HL top 50%)
56%
63%
FRA with hearing aid
FRA no hearing aid (but sig. HL top 50%)
54%
62%
NOR with hearing aid
NOR no hearing aid (but sig. HL top 50%)
15%
19%
66%
66%
GER with hearing aid
GER no hearing aid (but sig. HL top 50%)
•Getting more
forgetful in the last
year?
Yes, much more
6%
13%
4%
69%
42%
5%
4%
17%
2%
7%
3%
6%
3%
52%
5%
Base: Hearing aid owners and non owners with top 50% hearing loss
European Hearing Instrument Manufacturers Association
Source:
EuroTrak /JapanTrak
19
Depression
Depression symptoms:
PHQ-2 Screening:
Hearing aid
In the last 2 weeks:
• Little interest or pleasure
9%
No depression
91%
• Feeling down, depressed, hopeless
Top 50% hearing loss, no hearing aid
21%
79%
Yes, much more
Yes, somewhat more
No
Dementia symptom:
Hearing aid 3%
Getting more forgetful in
the last year?
Top 50% hearing loss, no hearing aid
5%
42%
55%
52%
42%
Base: hearing aid n=548 / no hearing aid =144
European Hearing Instrument Manufacturers Association
Pa
ge
20
Probability of depressive disorder %
93%
Depression symptoms:
PHQ-2 Screening:
Hearing aid
7%
Top 50% hearing loss, no hearing aid
9%
In the last 2 weeks:
• Little interest or pleasure
16%
85%
81%
21%
75%
15%
48%
37%
0
39%
• Feeling down, depressed, hopeless
15%
31%
Yes, much more
14%
29%
Yes, somewhat more
No
Dementia symptom:
Hearing aid
Getting more forgetful in
the last year?
Top 50% hearing loss, no hearing aid
8%
10%
50%
58%
42%
33%
Base: hearing aid n=454 / no hearing aid =98
European Hearing Instrument Manufacturers Association
Pa
ge
21
Mentally and
physically
exhausted
people
….
cost CHF 4.2
billions/year
in Switzerland
Source: CH-Blick; 13.4.2012
European Hearing Instrument Manufacturers Association
Source:
EuroTrak /JapanTrak
22
Disagree strongly
Rather disagree
Hearing aid
14%
Top 50% hearing loss, no hearing aid
16%
Neutral
18%
Rather agree
27%
Strongly agree
28%
13%
In the evenings I often feel
physically exhausted
11%
Hearing aid
26%
Top 50% hearing loss, no hearing aid
28%
18%
23%
34%
20%
28%
13% 10%
In the evenings I often feel
mentally exhausted
13%
25%
19%
15%
Base : Top 50% n=141 / hearing aid n=391
European Hearing Instrument Manufacturers Association
Pa
ge
23
Disagree strongly
Rather disagree
Hearing aid
Neutral
15%
Rather agree
26%
25%
Strongly agree
25%
8%
In the evenings I often feel
physically exhausted
Top 50% hearing loss, no hearing aid
Hearing aid
11%
18%
20%
23%
28%
32%
29%
15%
17%
6%
In the evenings I often feel
mentally exhausted
Top 50% hearing loss, no hearing aid
17%
18%
22%
28%
14%
Base : Top 50% n=186 / hearing aid n=669
European Hearing Instrument Manufacturers Association
Pa
ge
24

Hearing aids are a sound investment –
not only for individuals, but for society as a
whole
European Hearing Instrument Manufacturers Association
25
-and reasons not to use them
European Hearing Instrument Manufacturers Association
26
Overall satisfaction with HA
Switzerland (n=514) 11
France (n=502)
Germany (n=500)
5
Denmark (n=656)
Italy (n=510)
10
1 4
7
7
17
11
21
3
20
5
12
0%
10%
14
16
77%
35
16
72%
14
25
30%
24
27
40%
50%
21
60%
70%
very dissatisfied
dissatisfied
somewhat dissatisfied
somewhat satisfied
satisfied
very satisfied
European Hearing Instrument Manufacturers Association
Source:
72%
19
40
20
20%
35
43
27
80%
14
22
11
2 3 4
Japan (n=450)
50
9
84%
19
26
8
7
% satisfied
46
15
3
3 4
19
7
2 3 3
UK (n=501)
Norway (n=691)
%
6
14
80%
70%
90%
70%
1
36% !
100%
neutral
EuroTrak /JapanTrak
27
% Satisfied
Total HA-user (n=656)
2 3
4
BTE (n=423)
3 2 3
ITE (n=60)
2 4 2
ITC (n=139)
2010 or after (n=312)
2009 or earlier (n=318)
1 4
2 4
12
HA worn more than 8 hrs/day (n=372)
12
Privat høreapparatbutik (N=268)
2 4
very dissatisfied
European Hearing Instrument Manufacturers Association
29
6
27
36
25
12
24
10
4
22
17
dissatisfied
20%
30%
40%
somewhat dissatisfied
neutral
60%
66%
6
82%
19
68%
22
70%
somewhat satisfied
80%
satisfied
36%
79%
24
24
50%
77%
20
27
30
64%
14
29
22
65%
18
25
28
75%
20
16
34
15
19
22
24
35
18
70%
13
26
22
10%
21
31
6
19
16
21
17
2 2 3
0%
25
27
7
HA worn 4-8 hrs/day (n=129)
27
17
222
HA worn up to 4 hrs/day (n=155)
Offentlig høreklinik (n=312)
21
75%
90%
100%
very satisfied
Pa
ge
28
% Satisfied
Total HA-user (n=691)
BTE (n=380)
ITE (n=142)
ITC (n=133)
2010 or after (n=334)
2009 or earlier (n=329)
3
HA worn more than 8 hrs/day (n=320)
1
5
12
22
dissatisfied
European Hearing Instrument Manufacturers Association
9
13
16
6
5
10%
9
16
neutral
68%
5
9
49
50%
79%
11
51
40%
69%
30
17
63%
18
40
21
somewhat dissatisfied
78%
14
16
30%
15
46
11
20%
72%
12
49
12
14
33
12
11
7
19
9
6
5
48
16
15
11
43
15
15
2 3
14
8
7
4
11
8
3 3
0%
very dissatisfied
11
2 4
HA worn up to 4 hrs/day (n=225)
HA worn 4-8 hrs/day (n=146)
4
77%
24
60%
70%
somewhat satisfied
80%
satisfied
90%
51%
84%
100%
very satisfied
Pa
ge
29
Dispenser
Professionalism of dispenser
Quality of dispenser's counseling
Quality of service during hearing aid fitting period
Quality of service after purchase
Conversation with one person
Watching TV
Listening to Music
Conversation in small groups
On the telephone
Conversation in large groups
Leisure activities
Use in noisy situations
Understanding a lecture in a large public place
9%
9%
12%
17%
17%
18%
25%
27%
Clearness of tone and sound
Richness or fidelity of sound
Natural sounding
Comfort with loud sounds
9%
9%
9%
15%
Listening
situation
Sound quality
signal process.
Product
features
Ease of changing battery
Reliability
Visibility to others
Value (performance versus money spent)
Overall fit/ Comfort
Battery life
Managing whistling/feedback/buzzing
90%
89%
88%
85%
5%
4%
5%
6%
4%
77%
73%
68%
67%
61%
56%
48%
48%
72%
70%
70%
62%
6%
10%
9%
9%
12%
11%
15%
89%
82%
82%
78%
74%
73%
69%
% very dissatisfied
% dissatisfied
dissatisfied
-100% %dissatisfied=
-80%
-60%
-40% +
-20%
0% + % somewhat
20%
40%
60%
%satisfied= % somewhat satisfied + % satisfied + % very satisfied
dissatisfied
European Hearing Instrument Manufacturers Association
88%
satisfied
80%
100%
HA-owner, n=656
Pa
ge
30
Dispenser
Professionalism of dispenser
Quality of dispenser's counseling
Quality of service during hearing aid fitting period
Quality of service after purchase
7%
8%
11%
10%
Conversation with one person
Watching TV
Listening to Music
Conversation in small groups
Conversation in large groups
Understanding a lecture in a large public place
On the telephone
Leisure activities
Use in noisy situations
8%
12%
14%
18%
Listening
situation
Sound quality
signal process.
Clearness of tone and sound
Natural sounding
Richness or fidelity of sound
Comfort with loud sounds
39%
76%
73%
69%
61%
57%
57%
54%
49%
29%
28%
27%
19%
21%
20%
20%
26%
Product
features
Ease of changing battery
Overall fit/ Comfort
Reliability
Visibility to others
Value (performance versus money spent)
Managing whistling/feedback/buzzing
Battery life
82%
81%
77%
73%
24%
32%
66%
63%
62%
57%
7%
12%
12%
11%
11%
65%
57%
52%
% very dissatisfied
% dissatisfied
dissatisfied
-100% %dissatisfied=
-80%
-60%
-40% +
-20%
0% + % somewhat
20%
40%
60%
%satisfied= % somewhat satisfied + % satisfied + % very satisfied
dissatisfied
European Hearing Instrument Manufacturers Association
85%
satisfied
84%
77%
76%
75%
80%
100%
HA-owner, n=691
Pa
ge
31
Hearing loss not severe enough
48
Hear well enough in most situations
24
44
Uncomfortable
26
29
They do not restore your hearing to normal
28
30
25
25
46
25
Have hearing loss in only one ear
35
Ear doctors opinion (ENT)
51
14
38
51
9
53
Have tinnitus (ringing in ears)
26
14
60
Have not had hearing tested yet
27
13
60
They do not work well in noisy situations
28
12
60
Bad design
21
0%
10%
19
20%
Reason
30%
61
40%
50%
Somewhat a reason
60%
70%
80%
90%
100%
Not a reason
Base: non owners Top 50% HL: n=145
European Hearing Instrument Manufacturers Association
Pa
ge
32
They do not work well in noisy situations
50
Hear well enough in most situations
18
32
Hearing loss not severe enough
35
38
Uncomfortable
45
18
29
Have tinnitus (ringing in ears)
41
18
26
Ear doctors opinion (ENT)
39
14
37
Have more serious priorities
32
23
46
They do not restore your hearing to normal
31
56
13
33
58
8
59
Would be embarrassed to wear a hearing aid
25
14
61
Have hearing loss only with high pitch sounds
26
12
62
0%
10%
20%
Reason
30%
40%
50%
Somewhat a reason
60%
70%
80%
90%
100%
Not a reason
Base: non owners Top 50% HL: n=190
European Hearing Instrument Manufacturers Association
Pa
ge
33
Uncomfortable
62
Hear well enough in most situations
44
They do not restore your hearing to normal
43
13
25
25
31
26
31
They do not work well in noisy situations
41
16
43
Have tried hearing aid and they do not work
41
16
43
Hearing loss not severe enough
16
31
Bad design
35
Have more serious priorities
18
Have hearing loss in only one ear
11
0%
7
58
18
26
Have hearing loss only with low frequency sounds
53
63
4
70
17
10%
Reason
20%
72
30%
40%
Somewhat a reason
50%
60%
70%
80%
90%
100%
Not a reason
Owners who don‘t use, n=71
European Hearing Instrument Manufacturers Association
Pa
ge
34
They do not work well in noisy situations
64
Hear well enough in most situations
24
37
They do not restore your hearing to normal
47
54
Have tried hearing aid and they do not work
10%
59
16
24
0%
57
20
23
Have tinnitus (ringing in ears)
41
18
21
Have more serious priorities
40
28
25
Have hearing loss only with high pitch sounds
28
26
31
Have hearing loss in only one ear
25
14
35
Uncomfortable
16
21
58
Hearing loss not severe enough
61
10
20%
Reason
12
30%
66
40%
50%
Somewhat a reason
60%
70%
80%
90%
100%
Not a reason
Owners who don‘t use, n=71
European Hearing Instrument Manufacturers Association
Pa
ge
35
Country
Worn 0 hours/day
Worn 0-1 hours/day
JAP
12%
29%
NOR
10%
24%
DEN
13%
20%
UK
8%
19%
SUI
4%
16%
ITA
7%
15%
GER
4%
13%
FRA
3%
7%
European Hearing Instrument Manufacturers Association
Country
Dissatisfied %
Satisfied %
Germany
21
55
France
28
66
United Kingdom
31
52
Italy
23
61
Switzerland
24
60
Norway
39 !
49 !
Denmark
25
48 !
Japan
50 !!!
26 !!!
European Hearing Instrument Manufacturers Association
37
Non-owner: Think about the option to obtain / purchase a hearing aid.
What do you think would influence you to obtain / purchase a hearing
aid ?
Owner: Thinking back to when you obtained your first hearing aid(s),
what influenced you to obtain /purchase the hearing aid(s)?
Hearing loss got worse
61%
45%
Spouse, relative, child, friend
Free due to coverage by Insurance / Received hearing aid free
28%
of charge
GP /Family doctor
18%
European Hearing Instrument Manufacturers Association
14%
3%
39%
Non-Owner (n=664)
Owner (n=656)
19%
4%
Another hearing aid owner (word of mouth)
Co-worker or boss
28%
20%
25%
Hearing aid dispenser / Audiologist
Safety concerns
57%
41%
38%
ENT/ Ear Doctor
Price of hearing aid
75%
19%
12%
9%
7%
Pa
ge
38
Non-owner: Think about the option to obtain / purchase a hearing aid.
What do you think would influence you to obtain / purchase a hearing
aid ?
Owner: Thinking back to when you obtained your first hearing aid(s),
what influenced you to obtain /purchase the hearing aid(s)?
42%
Hearing loss got worse
33%
ENT/ Ear Doctor
30%
Spouse, relative, child, friend
27%
Hearing aid dispenser / Audiologist
Another hearing aid owner (word of mouth)
12%
Free due to coverage by Insurance / Received hearing aid free
18%
51%
Non-Owner (n=618)
Owner (n=691)
13%
3%
Safety concerns
6%
Information/advice about hearing loss from consumer
European Hearing Instrument Manufacturers Association
49%
17%
14%
of charge
organisation or charity
40%
28%
32%
GP /Family doctor
Price of hearing aid
54%
3%
10%
10%
Pa
ge
39
Owners: Was any part or all of your hearing
aid(s) paid for by a third party ? (Insurance,
Government, …)
Non-owners: Based on your current
knowledge, would any part or all of your
hearing aid(s) be paid for by a third party?
(Insurance, Government, …)
3%
6%
Yes,
31%
60%
completely
48%
36%
Yes
No
don't know
Yes, partly
16%
No
HA-owner, n=656
European Hearing Instrument Manufacturers Association
HA-non-owners, n=664
Pa
ge
40
Owners: Was any part or all of your hearing
aid(s) paid for by a third party ? (Insurance,
Government, …)
Non-owners: Based on your current
knowledge, would any part or all of your
hearing aid(s) be paid for by a third party?
(Insurance, Government, …)
2%
4%
27%
Yes,
34%
60%
completely
Yes, partly
63%
10%
Yes
No
don't know
No
HA-owner, n=691
European Hearing Instrument Manufacturers Association
HA-non-owners, n=618
Pa
ge
41



Listening in noise is the main cause for
dissatisfaction
Listening in noise is a main cause for not
getting hearing aids
Listening in noise is a main cause for not
using their hearing aids
European Hearing Instrument Manufacturers Association
42





Overall satisfaction is at 70 – 84% forget Japan 
Newer hearing aids are doing a better job
Satisfaction goes up with longer use hours
Hearing aids are useful on the job
HA users are less exhausted, physically and
mentally, at the end of the day = less risk of
burn-outs
European Hearing Instrument Manufacturers Association
43





We need to educate ENT doctors better
We need to inform the hearing impaired
better about reimbursement possibilities
We should advocate adult screening
programs
We should ”educate” politicians about the
social cost issues (labor market, burn-outs,
depression, dementia,)
Channel more info to tinnitus patients re
treatment options?
European Hearing Instrument Manufacturers Association
44

Norway, Denmark and UK have a government
system with ”free” hearing aids

This contributes to high HA penetration

But not necessarily higher user satisfaction
European Hearing Instrument Manufacturers Association
45
…and Sweden?
European Hearing Instrument Manufacturers Association
46
EHIMA
Soeren Hougaard
EHIMA secretary general
Phone: (+45) 4045 7135
Email: [email protected]
[email protected]
European Hearing Instrument Manufacturers Association
47
European Hearing Instrument Manufacturers Association
48