Early Identification of Young Children with Hearing Loss in Federally Qualified Health Centers

Bhatia, Parul; Mintz, Sandra; Hecht, Barbara Frant; Deavenport, Alexis; Kuo, Alice

doi:10.1097/dbp.0b013e318279899c

Cited by 15 publications

(12 citation statements)

References 16 publications

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“…The overall OAE 1 pass rate of 79% (see Table 2) is similar to the rate reported for children 0 to 3 screened in previous studies. 3,16 As would be expected, the refer rate was by far the highest among children who were being seen for ear-related concerns because blockage in the ear canal or middle ear fluid typically causes the ear to refer on OAE screening. The clinic PCP indicated that the OAE screening contributed to middle ear diagnosis and treatment decisions and an enhanced understanding of the value of referral for audiological assessment.…”

Section: Discussionmentioning

confidence: 74%

“…It is also worth noting that the rate of identification previously reported for children 0 to 3 receiving OAE screening and follow-up in federally qualified health centers was approximately 2.5 per 1000. 16 Much of the detailed data on permanent hearing loss in the early childhood population is drawn from studies providing services to underserved infants and toddlers in federally funded early childhood education and health care clinic settings. Future research replicating these studies with children representing different demographic characteristics, and receiving care from pediatricians in private practice, for example, will add significantly to the knowledge base.…”

Section: Figurementioning

confidence: 99%

“…Most recently, research exploring the use of OAE screening in federally qualified health centers supports its viability as a screening tool for infants and toddlers while asserting the importance of objective hearing screening surveillance to promote age-appropriate language acquisition. 16 This study further examines the efficacy of integrating OAE hearing screening into services provided routinely to young children in health care clinic settings.…”

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confidence: 99%

See 2 more Smart Citations

Using Otoacoustic Emissions to Screen Young Children for Hearing Loss in Primary Care Settings

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: The incidence of permanent hearing loss doubles between birth and school age. Otoacoustic emissions screening has been used successfully in early childhood educational settings to identify children with losses not found through newborn screening. WHAT THIS STUDY ADDS:Using otoacoustic emissions to screen the hearing of young children during routine health care visits is feasible and can lead to the identification of permanent hearing loss overlooked by providers relying solely on subjective methods. abstract OBJECTIVES: Otoacoustic emissions (OAE) technology, used widely in newborn hearing screening programs and validated by professional organizations as a reliable and objective tool, is beginning to be recognized as superior to subjective methods when screening young children in a variety of settings. This study examines the efficacy of integrating OAE hearing screening into services routinely provided in health care settings. METHODS:Three federally funded clinics serving low-income and uninsured people in a metropolitan area participated in the 10-month study. Subjects included 846 children (842 in the target population ,5 years of age and 4 older siblings) who were screened during routine visits to their primary care providers using a distortion product OAE instrument. A multistep screening and diagnostic protocol, incorporating middle ear evaluation and treatment, was followed when children did not pass the initial screening. Audiological evaluation was sought for children not passing a subsequent OAE screening. RESULTS:Of the 846 children screened, 814 (96%) ultimately passed the screening or audiological assessment and 29 (3%) exited the study. Three children (1 was ,5 years of age and 2 were .5) were identified with permanent hearing loss. CONCLUSIONS:The rate of identification of permanent hearing loss in this study is similar to findings from a study of OAE screening in early childhood educational settings. OAE screening holds the potential for being an effective method for helping to identify young children with permanent hearing loss in primary care settings.

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Section: Discussionmentioning

confidence: 74%

Section: Figurementioning

confidence: 99%

mentioning

confidence: 99%

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Using Otoacoustic Emissions to Screen Young Children for Hearing Loss in Primary Care Settings

et al. 2013

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“…In the absence of a systematic effort to screen infants with hearing loss, the average age of detection is well over 2 years, and detection may be as late as 6 years in sub-Saharan Africa [27]. In Kenya, many children with hearing impairment are not identified until 5-7 years old due to stigma, while some are hidden and are never diagnosed [28].…”

Section: Hearing Screening Programs Around the Worldmentioning

confidence: 99%

Hearing Screening around the World

Skarżyński¹,

Ludwikowski²

2018

An Excursus Into Hearing Loss

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Newborn hearing screening programs for congenital disorders and chronic diseases are expanding worldwide, and children are identified at the earliest possible stage. However, the practice is limited or absent in much of the developing world, such as Africa. Recent epidemiological studies show significant increase of hearing impairments in school-age children (around 20 in 100). Hearing disorders disturb the child's perception of sound, as well as the development of speech which in consequence negatively affects the child relations in society. The early detection of hearing impairments in children enables the effective implementation of medical and rehabilitation procedures or preventive treatment. According to the guidelines of the European Scientific Consensus on Hearing, the detection and treatment of hearing disorders in early school-age children are of the highest importance. That idea was one of the priorities during Polish Presidency of the Council of the European Union (the second half of 2011). The Institute team, in collaboration with numerous national centers, has laid the groundwork for screening programs and developed methods, procedures, and devices for carrying them out. In addition, the Institute was the coordinator and producer of many programs. Based on this, two screening models have been created-newborn and school-age children.

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“…Prior research on FQHCs has primarily focused on populations under age 65, 8–10 specific conditions/diseases, 11–21 a few selected centers, 22–24 or care delivery from the health center provider perspective. 25,26 There is no study of older adults who rely on FQHC services from a population-based perspective.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Service Use of Medicare Beneficiaries Using Federally Qualified Health Centers

Chang

Lewis²,

Meara³

et al. 2016

Medical Care

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BACKGROUND Federally Qualified Health Centers (FQHCs) provide primary care for millions of Americans, but little is known about Medicare beneficiaries who use FQHCs. OBJECTIVE To compare patient characteristics and health care service use among Medicare beneficiaries stratified by FQHC use. RESEARCH DESIGN Cross-sectional analysis of 2011 Medicare fee-for-service beneficiaries age 65 and older. SUBJECTS Beneficiaries with at least one evaluation and management (E&M) visit in 2011, categorized as FQHC users (>=1 E&M visit to FQHCs) or non-users living in the same Primary Care Service Areas as FQHC users. Users were sub-classified as predominant if the majority of their E&M visits were to FQHCs. MEASURES Demographic characteristics, physician visits, and inpatient care use. RESULTS Most FQHC users (56.6%) were predominant users. Predominant and non-predominant users, compared with non-users, markedly differed by prevalence of multiple chronic conditions (18.2%, 31.7% vs. 22.7%) and annual mortality (2.8%, 3.8% vs. 4.0%; all p < 0.05). In adjusted analyses (reference: non-users), predominant users had fewer physician visits (RR 0.81, 95% CI: 0.81–0.81) and fewer hospitalizations (RR 0.84, 95% CI: 0.84–0.85), while non-predominant users had higher use of both types of service (RR 1.18, 95% CI: 1.18–1.18; RR 1.09, 95% CI: 1.08, 1.10, respectively). CONCLUSION Even controlling for primary care delivery markets, non-predominant FQHC users had a higher burden of chronic illness and service use than predominant FQHC users. It will be important to monitor Medicare beneficiaries using FQHCs to understand whether primary-care only payment incentives for FQHCs could induce fragmented care.

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Early Identification of Young Children with Hearing Loss in Federally Qualified Health Centers

Cited by 15 publications

References 16 publications

Using Otoacoustic Emissions to Screen Young Children for Hearing Loss in Primary Care Settings

Using Otoacoustic Emissions to Screen Young Children for Hearing Loss in Primary Care Settings

Hearing Screening around the World

Characteristics and Service Use of Medicare Beneficiaries Using Federally Qualified Health Centers

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