van der Lem G J, Baart de la Faille L
Tijdschr Kindergeneeskd. 1985 Jun;53(3):113-7.
In The Netherlands a nation-wide screening program on hearing for infants is available. This program started around the late sixties and is now incorporated in the Health Care System and added to the tasks of the Well Baby Clinics. A modification of the method as developed by the Ewings is used. This method is relatively easy to learn. It is, however, essential that it is executed accurately and with a maximum of care. Therefore the testing itself as well as the assessment of the results is strictly standardized and a lot of attention is given to the training program. The Dutch Foundation for the Deaf and Hearing-Impaired Child co-ordinates the screening program. About 75% of the 9 months old babies are screened and some 5% of the children has to be referred. The Ewing-test has proved to be effective. It detects both severe and moderate sensory-neural hearing-losses as well as conductive hearing-losses. However, the program faces us with a few difficulties: the structure is effective, though time-consuming; the referral-procedure is not always satisfactory. Due to different factors, some groups of children, sometimes at risk, are not covered by the screening program or any other program.
在荷兰，有一项针对婴儿的全国性听力筛查项目。该项目始于20世纪60年代末，现在已纳入医疗保健系统，并成为健康婴儿诊所的任务之一。采用了尤因斯（Ewings）开发方法的一种改良方法。这种方法相对容易学。然而，至关重要的是要准确且极其谨慎地执行。因此，测试本身以及结果评估都严格标准化，并且对培训项目给予了很多关注。荷兰聋哑和听力受损儿童基金会协调该筛查项目。约75%的9个月大婴儿接受了筛查，约5%的儿童需要转诊。尤因斯测试已被证明是有效的。它能检测出重度和中度感音神经性听力损失以及传导性听力损失。然而，该项目给我们带来了一些困难：其结构有效，但耗时；转诊程序并不总是令人满意。由于不同因素，一些有时处于风险中的儿童群体未被筛查项目或任何其他项目覆盖。
