목적: While telemedicine has expanded rapidly since the COVID-19 pandemic, its application in otolaryngology—particularly hearing rehabilitation — remains nascent. Hearing aid management requires ongoing follow- up, but geographical and physical barriers often reduce adherence. This study aims to develop and validate an app-based teleaudiology workflow that preserves clinical standards while improving accessibility. 방법:We developed “Medi-Connect,” a telemedicine platform that translates the conventional hearing aid fitting process into a mobile workflow. To ensure diagnostic reliability, the process begins with a mandatory environment and sound calibration module. After calibration, an integrated test battery—Pure Tone Audiometry (PTA), the Ling 6 Sound Test, and Speech Audiometry (SA)—is administered. Test results, along with patient-reported sound quality and feedback-control impressions, inform remote fitting adjustments. Clinical continuity is supported through real-time video consultations and synchronized data sharing between patients and clinicians. 결과:Preliminary implementation showed subjective satisfaction was maintained or improved compared with baseline. The workflow reduced time and financial burdens associated with clinic visits without compromising fitting quality. Remote iterative adjustments appear effective for patients needing frequent follow-up but experiencing mobility constraints. 결론:This app-based model integrates diagnostic testing and clinical decision-making into a unified remote workflow. With favorable satisfaction trends and improved logistical efficiency, it offers a viable alternative to in-person hearing aid management. These findings support future large-scale prospective trials to evaluate long- term outcomes and cost-effectiveness.