initiation of an multimodal , customer focused service network across the service sectors for multimorbid patients : for example the hard - of - hearing .
the lack in accessibility of services , flexibility of appointments and handicap - oriented communication skills often prevents the geriatric patient from partaking in the medical services offered . the geriatric hearcare service and its care for the hard - of - hearing outlines the possibilities of an integrated , multimodal setting at all levels of care for these patients .
the scientific evaluation of > 2000 hard - of - hearing patients in geriatric care from 2002 to 2008 .
upon standardized admission patients are screened for a history in hard - of - hearing . organised and accompanied by a specially trained hearcare - nurse , a patient with a possible auditive decline
is then seen by an ent and hearing - aid technician for examination and audiometry . the patient is then seen by an neuropsychologist for a cognitive evaluation . after these tests , documented by the hearcare - nurse ,
the patient and his next - of - kin are informed of the outcome , the treatment options and follow - up in the out - patient setting .
the integration of services across sectors of care and the provided co - ordination leads to a higher degree of customer satisfaction , a lesser rate of cases of hard - of - hearing missed and better continuity in care on a long - term basis .
 purposeinitiation of an multimodal , customer focused service network across the service sectors for multimorbid patients : for example the hard-of-hearing.contextthe lack in accessibility of services , flexibility of appointments and handicap - oriented communication skills often prevents the geriatric patient from partaking in the medical services offered . the geriatric hearcare service and its care for the hard - of - hearing outlines the possibilities of an integrated , multimodal setting at all levels of care for these patients.data sourcethe scientific evaluation of > 2000 hard - of - hearing patients in geriatric care from 2002 to 2008.case descriptionupon standardized admission patients are screened for a history in hard - of - hearing . organised and accompanied by a specially trained hearcare - nurse , a patient with a possible auditive decline is then seen by an ent and hearing - aid technician for examination and audiometry . 
 the patient is then seen by an neuropsychologist for a cognitive evaluation . 
 after these tests , documented by the hearcare - nurse , the patient and his next - of - kin are informed of the outcome , the treatment options and follow - up in the out - patient setting.conclusion and discussionthe integration of services across sectors of care and the provided co - ordination leads to a higher degree of customer satisfaction , a lesser rate of cases of hard - of - hearing missed and better continuity in care on a long - term basis . 
Purpose
Context
Data source
Case description
Conclusion and discussion