What Contribution Did Economic Evidence Make to the Adoption of Universal Newborn Hearing Screening Policies in the United States?

Grosse, Scott D.; Mason, Craig A.; Gaffney, Marcus; Thomson, Vickie; White, Karl R.

doi:10.3390/ijns4030025

Cited by 22 publications

(22 citation statements)

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“…UNHS coverage in some Chinese provinces reached nearly 100%, similar to the high coverage reported for the USA (98.0%) [ 9 ], UK (97.5%) [ 19 ], Poland (96.0%) [ 20 ] and parts of Italy where UNHS has been incorporated into law (99.3%) [ 21 ]. Such high coverage in developed countries has been attributed to programmes that subsidize the costs of UNHS or even make it free [ 19 ], the existence of national NHS guidelines [ 22 ] and Ministry of Health regulations, government funding for NHS to maternal and child health institutions, and productive collaboration among neonatologists, ear-nose-throat specialists, audiologists, nurses, midwives and parents [ 20 ]. Several of these factors may also help explain the substantial increase in UNHS coverage in China.…”

Section: Discussionmentioning

confidence: 99%

Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

et al. 2020

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Background: Newborn hearing screening (NHS) can reduce the economic and social burden of hearing impairment. To track the progress of the goal set by the National Program of Action for Child Development (NPAC D) and to estimate the detection rates of hearing impairment, the present study examined NHS coverage in 2008-2010 and 2016 and the detection of hearing impairment across China in 2016. Methods: Licensed medical institutions across China were surveyed in 2012 and 2018 by the National Center for Birth Defects Monitoring of China to collect data for the 2008-2010 period and for 2016 on live births, initial screening rates (total and referral), secondary screening rates (total and referral), and rates of hearing impairment diagnosis among infants who were referred in the secondary screening. To calculate universal newborn hearing screening (UNHS) coverage, the number of newborns who received NHS within 4 weeks after birth was divided by the number of live births. The detection rate of hearing impairment was calculated by combining referral rates on primary and secondary screening with the rate of diagnosis. Results: National UNHS coverage increased from 29.9% in 2008 to 86.5% in 2016, with different regions showing different increases. During this period, the number of provinces with UNHS coverage over 90.0% increased from 2 to 17, with UNHS coverage in 2016 being substantially higher in eastern provinces (93.1%) than in western provinces (79.4%). In 2016, the detection rate of hearing impairment across the country was 0.23% (95% CI 0.15-0.25%), and it varied from 0.17% in western provinces to 0.22% in central provinces and 0.28% in eastern provinces. The lowest rate was 0.02% in Heilongjiang Province and the highest rate was 0.63% in Hainan Province. Conclusions: National UNHS coverage increased substantially from 2008 to 2016, although provinces and regions still showed differences. The detection rate of infant hearing impairment in China is comparable to that in other countries. A national individual-level information system is urgently needed in China to facilitate the integration of screening, diagnosis and treatment of infant hearing impairment, which may also lead to a more accurate estimate of the detection rate.

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Section: Discussionmentioning

confidence: 99%

Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

et al. 2020

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“…7), we can see that it affects the evidence-based relationships for all stages (a better or worse clinical and economic status at any given time point affects the quality/quantity of the provided services). This is also reflected in current bibliography [76], [77] where the results of economic appraisal, cost-effectiveness analyses and economic assessments of costs and benefits related to newborn hearing screening appear to have played a decisive role to the adoption of related policies, proving it to be a cost-saving strategy compared with no screening. It is therefore safe to assume that introduction of such models can be used to identify equilibria when multiple interests are competing (i.e.…”

Section: Treatment Target Population Gets Reassessed Based On Theirmentioning

confidence: 97%

A General Systems Theory Approach in Public Hearing Health: Lessons Learned From a Systematic Review of General Systems Theory in Healthcare

et al. 2020

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General Systems Theory (GST), as it was introduced by Karl Ludwig von Bertalannfy, had a significant, yet mostly unacknowledged influence on systems theory. The purpose of the current review is to highlight and assess the application of the aforementioned theory in the healthcare field and suggest a new approach to the public hearing healthcare sector. A systematic literature review has been conducted in the electronic databases of ScienceDirect, Pubmed and IEEEXplore covering the years of 2009-2019, following the PRISMA guidelines. The article selection was performed to identify GST-related frameworks in the healthcare field and was completed through a process of removing duplicates and non-available articles, analyzing the tittle and abstract, and then reviewing the full text of each selected article. In the final analysis, 47 studies were selected and were thoroughly analysed. Almost half of these articles showed a practical implementation of GST-inspired frameworks, following different types of research methodology. Analysis of these methodologies identified the limitations and positive effects of GST in the healthcare field. Although there is a significant number of references in GST in the healthcare field over the last 10 years, applications of it need to be further tested and explored before they are put into real-situation testing. Simulation models and evidence-based approaches on a micro-, meso-and macro-level of systems should be used to provide the contextual information needed for establishing GST as a driving force in the healthcare field. To this context, a paradigm of GST data framework applied to the hearing loss screening area is hereby presented and discussed. It is shown that a GST approach can be used to identify equilibria in all levels, to balance gain and prediction capacity over time and enhance public hearing health approaches for treatment and management strategies. INDEX TERMS General systems theory, hearing healthcare, systemic approach, systematic review, public hearing health.

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“…Economic evaluations vary in scope and purpose (Grosse et al 2018). In an effort to demonstrate the magnitude of additional benefits relative to the magnitude of additional costs, a full economic valuation is warranted.…”

Section: Economic Evaluation Of Early Hearing Detection and Interventionmentioning

confidence: 99%

Tele-audiology and preventive audiology: A capacity versus demand challenge imperative in South Africa

Khoza-Shangase¹,

Sebothoma²

2022

Preventive Audiology: An African Perspective

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Peer review declarationThe publisher (AOSIS) endorses the South African 'National Scholarly Book Publishers Forum Best Practice for Peer Review of Scholarly Books'. The manuscript underwent an evaluation to compare the level of originality with other published works and was subjected to rigorous two-step peer review before publication, with the identities of the reviewers not revealed to the editor(s) or author(s). The reviewers were independent of the publisher, editor(s), and author(s). The publisher shared feedback on the similarity report and the reviewers' inputs with the manuscript's editor(s) or author(s) to improve the manuscript. Where the reviewers recommended revision and improvements, the editor(s) or author(s) responded adequately to such recommendations. The reviewers commented positively on the scholarly merits of the manuscript and recommended that the manuscript be published. v Research justificationPreventive health care, where preventive audiology is positioned, contains strategies adopted and implemented for disease and disorder prevention. Hearing function can be negatively impacted by numerous factors, including lifestyle choices, environmental factors, genetic predisposition, the burden of disease and other causes. Frequently, hearing impairment can be prevented and its consequences significantly minimised by preventive measures. Such prevention commands conscientiously deliberate anticipatory actions that can fall under primordial, primary, secondary or tertiary levels of prevention. South Africa, as a resource-constrained low-and middle-income country (LMIC), still has a challenge of high numbers of individuals with preventable hearing impairment from the cradle to the grave. Numerous strategies exist for the prevention of hearing impairment across all ages and in various contexts. Preventive Audiology: An African Perspective is an original scholarly book that introduces the concept of preventive audiology, with a specific focus on the African context, which is in line with the South African re-engineered primary health care strategy and the World Health Organization's approach. The book reflects on contextually relevant and responsive evidence-based perspectives, grounded in an African context on preventive audiology, in four major ear-and-hearing burdens of disease within the South African context, namely, (1) early hearing detection and intervention (EHDI), (2) middle ear pathologies, (3) ototoxicity and (4) noise-induced hearing loss (NIHL). The book represents innovative research, seen from both South African and global perspectives. It offers new discourse and argues for a paradigm shift in how audiology is theorised and performed, particularly in LMIC contexts. The goal of this book is to motivate for a paradigm shift in how ear-and-hearing health care is approached within this LMIC context, while also arguing for Afrocentric best practice evidence that leads to next practice. For Afrocentric epistemology, which is a different narrative that is deliberately removed from Western epi...

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What Contribution Did Economic Evidence Make to the Adoption of Universal Newborn Hearing Screening Policies in the United States?

Cited by 22 publications

References 62 publications

Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

A General Systems Theory Approach in Public Hearing Health: Lessons Learned From a Systematic Review of General Systems Theory in Healthcare

Tele-audiology and preventive audiology: A capacity versus demand challenge imperative in South Africa

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