| Evaluation of the universal newborn hearing screening and intervention program. | |
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MedLine Citation:
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PMID: 20679316 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During the last 20 years, the number of infants evaluated for permanent hearing loss at birth has increased dramatically with universal newborn hearing screening and intervention (UNHSI) programs operating in all US states and many territories. One of the most urgent challenges of UNHSI programs involves loss to follow-up among families whose infants screen positive for hearing loss. We surveyed 55 state and territorial UNHSI programs and conducted site visits with 8 state programs to evaluate progress in reaching program goals and to identify barriers to successful follow-up. We conclude that programs have made great strides in screening infants for hearing loss, but barriers to linking families of infants who do not pass the screening to further follow-up remain. We identified 4 areas in which there were barriers to follow-up (lack of service-system capacity, lack of provider knowledge, challenges to families in obtaining services, and information gaps), as well as successful strategies used by some states to address barriers within each of these areas. We also identified 5 key areas for future program improvements: (1) improving data systems to support surveillance and follow-up activities; (2) ensuring that all infants have a medical home; (3) building capacity beyond identified providers; (4) developing family support services; and (5) promoting the importance of early detection. |
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Authors:
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Shanna Shulman; Melanie Besculides; Anna Saltzman; Henry Ireys; Karl R White; Irene Forsman |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Pediatrics Volume: 126 Suppl 1 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-03 Completed Date: 2010-08-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: S19-27 Citation Subset: AIM; IM |
Affiliation:
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Blue Cross Blue Shield of Massachusetts Foundation, Boston, Massachusetts, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child Child, Preschool Cross-Sectional Studies Deafness / diagnosis*, epidemiology, rehabilitation* Early Diagnosis Forecasting Health Services Accessibility / standards Health Services Needs and Demand / standards, trends Health Services Research / standards Hearing Loss / diagnosis*, epidemiology, rehabilitation Humans Infant Infant, Newborn Information Systems / standards Neonatal Screening / standards* Patient Care Team / trends Patient-Centered Care / standards Quality Assurance, Health Care / standards* Social Support United States |
| Grant Support | |
ID/Acronym/Agency:
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U52MC04391//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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