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从新生儿听力筛查到干预:荷兰健康婴儿新生儿听力筛查项目的结果

From Neonatal Hearing Screening to Intervention: Results of the Dutch Program for Neonatal Hearing Screening in Well Babies.

作者信息

Uilenburg Noëlle, Van der Ploeg Catharina, van der Zee Rosanne, Meuwese-Jongejeugd Anneke, van Zanten Bert

机构信息

Dutch Foundation for the Deaf and Hard of Hearing Child, Lutmastraat 167, 1073 GX Amsterdam, The Netherlands.

TNO Department of Child Health, Schipholweg 77, 2316 ZL Leiden, The Netherlands.

出版信息

Int J Neonatal Screen. 2018 Aug 1;4(3):27. doi: 10.3390/ijns4030027. eCollection 2018 Sep.

Abstract

In the Netherlands, Youth Health Care services (YHC) have been carrying out neonatal hearing screening (NHS) in newborns since 2006. The aim of the NHS is to identify children with permanent hearing loss, so that intervention can be started before the age of 4 months. Early detection of hearing loss is important, as children who start intervention early have been shown to develop better. This article describes the structure and performance of the NHS carried out by the YHC, the quality of the program, and the timeliness of the start of intervention. Since its implementation, the NHS has been audited annually in order to monitor the program's quality. Monitoring reports and data from the Dutch Foundation for the Deaf and Hard of Hearing Child were used in this study. For many years, results have shown the NHS to be a stable screening program of high quality. The participation rate is high, refer percentage low, and the timeliness of the program is continually improving. Although the timeliness of post screening diagnostics and intervention need most improvement as they do not always meet the target times, this has improved over recent years.

摘要

在荷兰,自2006年起,青少年医疗保健服务机构(YHC)就一直在对新生儿进行新生儿听力筛查(NHS)。新生儿听力筛查的目的是识别出患有永久性听力损失的儿童,以便在4个月龄之前开始进行干预。听力损失的早期检测很重要,因为事实证明,早期开始干预的儿童发育得更好。本文介绍了青少年医疗保健服务机构开展的新生儿听力筛查的结构与成效、该项目的质量以及干预开始的及时性。自实施以来,新生儿听力筛查每年都接受审核,以监测该项目的质量。本研究使用了荷兰聋哑儿童基金会的监测报告和数据。多年来,结果表明新生儿听力筛查是一个稳定的高质量筛查项目。参与率高,转诊率低,并且该项目的及时性在不断提高。尽管筛查后诊断和干预的及时性最需要改进,因为它们并不总是能达到目标时间,但近年来这一点已经有所改善。

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