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Measures of follow-up in early hearing detection and intervention programs: a need for standardization.

Abstract：

PURPOSE:To demonstrate the need for standardized data definitions and reporting for early hearing detection and intervention (EHDI) programs collecting information on newborn hearing screening and follow-up, and types of information best collected in a standardized manner. METHOD:A hypothetical birth cohort was used to show the potential effects of nonstandardized definitions and data classifications on rates of hearing screening, audiologic follow-up, and hearing loss. RESULTS:The true screening rate in this cohort was 92.4%. The calculated rate was between 90.0% and 96.5%, depending on the measure used. Among children documented as screened and referred for follow-up, 61.0% received this testing. Only 49.0% were documented to have been tested. Despite a true prevalence of 3.7 per 1,000 births, only 1.5 per 1,000 children were documented with a hearing loss. CONCLUSION:Ensuring that children receive recommended follow-up is challenging. Without complete reporting by audiologists to EHDI programs, accurate calculation of performance measures is impossible. Lack of documentation can lead to the overstatement of "loss to follow-up." Also, standardization of measures is essential for programs to evaluate how many children receive recommended services and assess progress toward national goals. A new survey has been implemented to collect more detailed and standardized information about recommended services.

journal_name

Am J Audiol

journal_title

American journal of audiology

authors

Mason CA,Gaffney M,Green DR,Grosse SD

doi

10.1044/1059-0889(2008/007)

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

60-7

issue

1

eissn

1059-0889

issn

1558-9137

pii

17/1/60

journal_volume

17

pub_type

杂志文章

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