Sound solutions for Healthcare BEAR. Better hearing Rehabilitation from a comprehensive research initiative. Supported by Innovationsfonden

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1 Sound solutions for Healthcare BEAR Better hearing Rehabilitation from a comprehensive research initiative Supported by Innovationsfonden

2 World Market for Hearing Aids Total Market 2015: 13,6 mill. units Growth : 6 % Nord Amerika: 4,0 mio. Europa: 6,0 mio. APAC: 2,7 mio. Resten: 0,9 mio Source: EHIMA 2

3 6 Major Hearing Aid Manufacturers 3 of 6 manufacturers are in DK

4 World Market Share & export Firm Share Oticon 26 % Resound 16 % Widex 10 % Danmark total 52 % Source: Analyst estimates Firm Revenue 2015 Bill. kr Eksport Oticon % Resound % Widex % Danmark total 19.2 bill. kr mio. kr Source: Annual reports 4

5 How did it happen? Danmark was first with public hearing rehabilitation service in hearing clinics in København, Odense and Århus with strong and visionary leaders Constructive, but challenging relationship between industry and hearing clinics led to better products Strong Danish acoustic environment Strong export efforts and acquisitions led to Denmark being the leading hearing aid nation Good co-operation between Danish competitors Research centers at DTU 5

6 What happend since? The industry grew The public hearing clinics gradually ceased to do supportive research The focus on efficiency and cost led to a difficult relationship between industry and the public system In 2001 the opportunity to establish private hearing clinics was opened up Development in Hearing Aid sales in DK HA 100 * Source: Annual reports % Private Public Total Source: HLF & Delta

7 And then? In 2012 the infamous L59 law was passed Reducing the subsidy for hearing aids in private clinics by 50 % Prices for hearing aids purchased by public clinics was reduced almost 60% Annual savings of kr. 235 mill. Then the industry started the Visiongroup for Danish Hearing rehabilitation Participants from mutiple stakeholders

8 Vision group members Maibritt Tobberup, Høreforeningen Per Torsten Nielsen, Danske Tale-Høre institutioner Ture Andersen, Overlæge Odense Universitetshospital Gert Ravn, Audiology & Hearing aids, Delta Dorte Hammershøi, Aalborg Universitet Torsten Dau, CAHR, DTU Karen Solgaard, Oticon Ole Asboe Jørgensen, Oticon Nikolai Bisgaard, GN Resound

9 Hearing impaired Danes are well equipped Coverage in Europe - Percentage of Impaired Population owning Hearing Aids 60% 50% 40% 30% 20% 10% 0% Source: EHIMA

10 But what about the quality? Source: EuroTrak 2012 (EHIMA)

11 Quality can still be improved Source: EuroTrak 2012 (EHIMA)

12 The Vision group agenda EDUCATION Improve Danish Audiology education. 3 year Bachelor degree UNIFORM SYSTEM Establish a new more uniform system with audiologists as the key players in the hearing rehabilitation RESEARCH Establish a research center focusing on clinical audiology: improved diagnostics, efficient fitting procedures & accurate outcome measures 1 2

13 BEAR Project Objective Overall, to ensure a better quality of service for the patient and a high return on the clinical resources spent in the field of hearing rehabilitation. This requires: Optimal treatment (e.g., device selection and fitting strategy) for a particular individual based on that person s particular auditory profile, set of expectations, and lifestyle. The development and assessment of new clinical methods for diagnosis and hearing aid fitting to form a better basis for choosing the best rehabilitation strategy New outcome measures and post-fitting procedures to help evaluate given fitting strategies, performance and user satisfaction. In particular, to develop a field paradigm for investigating the performance in the user s daily surroundings. Thus, the advantages and disadvantages of the technology can be assessed in different real situations and environments. A number of different clinical populations will be selected for further testing and follow-up. The results will help us understand which of the methods that provides added value, and which should be standardized for clinical practice.

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