菲律宾新生儿听力普遍筛查的实施：对注册新生儿听力中心的调查
Implementation of Universal Newborn Hearing Screening in the Philippines: A Survey of Registered Newborn Hearing Centers.
作者信息
Labra Patrick John P, Mejia Olivia Agnes D, Ricalde Rosario R, Catangay-Ombao Jaymilyn V, Dela Cruz Anna Pamela C, Ambrocio Giancarla Marie C, Capistrano Myra G, Eugenio Nelson O
机构信息
Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila.
Newborn Hearing Screening Reference Center, National Institutes of Health, University of the Philippines Manila.
出版信息
Acta Med Philipp. 2023 Sep 28;57(9):15-20. doi: 10.47895/amp.v57i9.4342. eCollection 2023.
BACKGROUND
Universal newborn hearing screening is mandated in the Philippines through the Universal Newborn Hearing Screening and Intervention Act of 2009 (RA 9709). Newborn hearing screening (NBHS) centers are required to perform screening tests, compile and submit data on screened newborns, and advise parents on the subsequent steps after NBHS.
OBJECTIVE
The study aimed to conduct a survey of the implementation of the Universal Newborn Hearing Screening and Intervention Program (UNHSIP) in the different regions of the country; and assess the information technology (IT) capabilities of hearing centers.
METHODS
Fifty-one NBHS centers across twelve regions were surveyed through on-site inspections in 2016. Data was gathered on the centers' testing capability, staffing, access to specialists, use of local protocols, connectivity, and IT capabilities.
RESULTS
All surveyed centers followed the recommended protocols of the Manual of Operations of the Universal Newborn Hearing Screening and Intervention Act of 2009 (RA 9709). Among the 12 regions visited, only five (41.67%) had Category C centers with confirmatory testing and early amplification services as recommended. Majority of facilities (96.1%) were staffed by trained and certified personnel. A small percentage had access to subspecialists such as clinical audiologists (39.2%) and speech-language pathologists (23.5%). All facilities had computer access, but only 58.8% had internet access. Majority (94.1%) of the centers visited were not using the recommended data submission methods, specifically the use of registry cards and the online registry. Only 27.5% of centers had data on newborns who underwent confirmatory testing or early intervention.
CONCLUSION
Facilities were found to be compliant to NBHS screening protocols and majority complied with certification requirements for staff; but were found to be non-compliant with use of registry cards or the online registry. Majority of centers were able to contact the parents of neonates who did not pass newborn screening, but had no system to track outcomes. Lack of confirmatory and early intervention services in identified areas emphasize the need for development of regional centers. It is recommended that measures to improve the utilization of the online registry are taken.
背景
菲律宾通过2009年《新生儿听力普遍筛查与干预法案》（第9709号共和国法案）强制实施新生儿听力普遍筛查。新生儿听力筛查（NBHS）中心必须进行筛查测试，汇编并提交已筛查新生儿的数据，并就新生儿听力筛查后的后续步骤向家长提供建议。
目的
本研究旨在对该国不同地区的新生儿听力普遍筛查与干预项目（UNHSIP）的实施情况进行调查；并评估听力中心的信息技术（IT）能力。
方法
2016年通过现场检查对12个地区的51个NBHS中心进行了调查。收集了有关这些中心的检测能力、人员配备、专家获取情况、当地协议的使用、连通性和IT能力的数据。
结果
所有接受调查的中心均遵循2009年《新生儿听力普遍筛查与干预法案》（第9709号共和国法案）《操作手册》中的推荐协议。在所走访的12个地区中，只有5个（41.67%）拥有符合推荐标准的具备确诊检测和早期放大服务的C类中心。大多数机构（96.1%）配备了经过培训和认证的人员。一小部分机构能够接触到诸如临床听力学家（39.2%）和言语语言病理学家（23.5%）等专科医生。所有机构都可以使用计算机，但只有58.8%可以访问互联网。所走访的大多数中心（94.1%）未使用推荐的数据提交方法，特别是注册表卡和在线注册表的使用。只有27.5%的中心有接受确诊检测或早期干预的新生儿的数据。
结论
发现各机构符合NBHS筛查协议，且大多数机构符合工作人员认证要求；但发现它们在注册表卡或在线注册表的使用方面不符合规定。大多数中心能够联系未通过新生儿筛查的新生儿的家长，但没有跟踪结果的系统。已确定地区缺乏确诊和早期干预服务，这凸显了建立区域中心的必要性。建议采取措施提高在线注册表的利用率。
Zotero 插件