European Hearing Instrument Manufacturers Association What can we learn from hearing impaired people? Stockholm, April 3,

European Hearing Instrument Manufacturers Association Country Sponsor GermanyEHIMA FranceEHIMA UKEHIMA SwitzerlandHSM NorwayHM Association ItalyANIFA JapanJHIMA DenmarkLFH Euro EuroTrak/ JapanTrak were developed and executed by Anovum, Zürich © Anovum EuroTrak 2012 JHIMA EHIMA Local HM Association HSM ANIFA LFH

European Hearing Instrument Manufacturers Association Short interviewsLong interviews RepresentativeHA ownersHA non-owners UK Germany (GER) France (FRA) Norway (NOR) Switzerland (CH) Italy (ITA) Denmark (DEN) JapanTrak (JAP) Total 118‘ JHIMA EHIMA Local HM Association HSM ANIFA LFH

European Hearing Instrument Manufacturers Association % 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 Source: EuroTrak /JapanTrak 4

European Hearing Instrument Manufacturers Association “older” populations: Source: EuroTrak /JapanTrak 5

European Hearing Instrument Manufacturers Association Adoption: Proportion of people with hearing aid (% of population) and adoption rate (% of stated impaired) Source: EuroTrak /JapanTrak Differences may be caused by: Health care system Reimbursement system / income structure Market development Culture Other factors. 6

European Hearing Instrument Manufacturers Association Source: EuroTrak /JapanTrak Differences may be caused by: Health care system Reimbursement system / income structure Market development Professional “attitude” % Binaural fitting 7

European Hearing Instrument Manufacturers Association Do you have tinnitus (ringing or other noises in the ears or head) in one or both ears ? Source: EuroTrak /JapanTrak 8

European Hearing Instrument Manufacturers Association permanently Tinnitus sometimes Tinnitus Source: EuroTrak /JapanTrak Differences may be caused by: Health care system / income structure Culture etc. Have you ever thought about a treatment of your tinnitus? 9

European Hearing Instrument Manufacturers Association 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? permanently Tinnitus sometimes Tinnitus Base: 3‘956 Pa ge 10 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Pa ge 11 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? permanently Tinnitus sometimes Tinnitus Base: 3‘981 © Anovum EuroTrak Germany 2012

European Hearing Instrument Manufacturers Association Base: n=1‘320 Page 12 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Base: n=1‘309 Page 13 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Source: EuroTrak /JapanTrak 14

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European Hearing Instrument Manufacturers Association How useful are your hearing aids on your job? N: UK 144/FRA 204/ GER 209 Source: EuroTrak /JapanTrak 16

European Hearing Instrument Manufacturers Association Source: EuroTrak /JapanTrak 17

European Hearing Instrument Manufacturers Association Depression symptoms: PHQ-2 Screening: In the last 2 weeks: Little interest or pleasure Feeling down, depressed, hopeless Source: EuroTrak /JapanTrak 18 % of people with depression symptoms

European Hearing Instrument Manufacturers Association Base: Hearing aid owners and non owners with top 50% hearing loss Dementia symptom: Getting more forgetful in the last year? Source: EuroTrak /JapanTrak 19 % of people getting more forgetful

European Hearing Instrument Manufacturers Association Depression symptoms: PHQ-2 Screening: In the last 2 weeks: Little interest or pleasure Feeling down, depressed, hopeless Dementia symptom: Getting more forgetful in the last year? Base: hearing aid n=548 / no hearing aid =144 Pa ge 20 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Depression symptoms: PHQ-2 Screening: In the last 2 weeks: Little interest or pleasure Feeling down, depressed, hopeless Dementia symptom: Getting more forgetful in the last year? Base: hearing aid n=454 / no hearing aid =98 Pa ge 21 © Anovum EuroTrak 2012 Probability of depressive disorder %

European Hearing Instrument Manufacturers Association Source: CH-Blick; Mentally and physically exhausted people …. cost CHF 4.2 billions/year in Switzerland Source: EuroTrak /JapanTrak 22

European Hearing Instrument Manufacturers Association Base : Top 50% n=141 / hearing aid n=391 In the evenings I often feel physically exhausted In the evenings I often feel mentally exhausted Pa ge 23 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Base : Top 50% n=186 / hearing aid n=669 In the evenings I often feel physically exhausted In the evenings I often feel mentally exhausted Pa ge 24 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association  Hearing aids are a sound investment – not only for individuals, but for society as a whole 25

European Hearing Instrument Manufacturers Association -and reasons not to use them 26

European Hearing Instrument Manufacturers Association Source: EuroTrak /JapanTrak % Overall satisfaction with HA 27 % satisfied 84% 80% 77% 72% 70% 36% !

European Hearing Instrument Manufacturers Association % Satisfied 70% 75% 65% 64% 77% 66% 36% 79% 82% 68% 75% Pa ge 28 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association % Satisfied 72% 78% 63% 69% 79% 68% 51% 77% 84% Pa ge 29 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association HA-owner, n=656 Dispenser Sound quality signal process. Product features Listening situation %dissatisfied= % very dissatisfied + % dissatisfied + % somewhat dissatisfied %satisfied= % somewhat satisfied + % satisfied + % very satisfied Pa ge 30 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association HA-owner, n=691 Dispenser Sound quality signal process. Product features Listening situation %dissatisfied= % very dissatisfied + % dissatisfied + % somewhat dissatisfied %satisfied= % somewhat satisfied + % satisfied + % very satisfied Pa ge 31 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Base: non owners Top 50% HL: n=145 Pa ge 32 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Base: non owners Top 50% HL: n=190 Pa ge 33 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Owners who don‘t use, n=71 Pa ge 34 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association Owners who don‘t use, n=71 Pa ge 35 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association CountryWorn 0 hours/dayWorn 0-1 hours/day JAP12%29% NOR10%24% DEN13%20% UK8%19% SUI4%16% ITA7%15% GER4%13% FRA3%7% © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association CountryDissatisfied %Satisfied % Germany2155 France2866 United Kingdom3152 Italy2361 Switzerland2460 Norway39 !49 ! Denmark2548 ! Japan50 !!!26 !!! 37

European Hearing Instrument Manufacturers Association 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)? Pa ge 38 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association 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)? Pa ge 39 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association HA-owner, n=656HA-non-owners, n=664 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, …) Pa ge 40 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association HA-owner, n=691HA-non-owners, n=618 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, …) Pa ge 41 © Anovum EuroTrak 2012

European Hearing Instrument Manufacturers Association  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 42

European Hearing Instrument Manufacturers Association  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 43

European Hearing Instrument Manufacturers Association  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? 44

European Hearing Instrument Manufacturers Association  Norway, Denmark and UK have a government system with ”free” hearing aids  This contributes to high HA penetration  But not necessarily higher user satisfaction 45

European Hearing Instrument Manufacturers Association 46 …and Sweden?

European Hearing Instrument Manufacturers Association EHIMA Soeren Hougaard EHIMA secretary general Phone: (+45)

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