Timeliness of Service Delivery for Children With Later-Identified Mild-to-Severe Hearing Loss
| Autor: | Anne Welhaven, Jacob Oleson, Melody Harrison, Meredith Spratford, Lenore Holte, Elizabeth A. Walker |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Delayed Diagnosis Service delivery framework Hearing loss Time to treatment Audiology Severity of Illness Index Article Time-to-Treatment Speech and Hearing Neonatal Screening Intervention (counseling) Severity of illness otorhinolaryngologic diseases Humans Medicine Hearing Loss Retrospective Studies Service (business) business.industry Infant Newborn Infant Retrospective cohort study Severe hearing loss Female medicine.symptom business |
| Zdroj: | American Journal of Audiology. 23:116-128 |
| ISSN: | 1558-9137 1059-0889 |
| DOI: | 10.1044/1059-0889(2013/13-0031) |
| Popis: | PurposeIn this study, the authors examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period.MethodThe authors compared ages at service delivery and length of delays between service delivery steps for 57 later-identified children with HL and 193 children who referred for assessment from the newborn hearing screen (NHS). For only later-identified children, regression models were used to investigate relationships among predictor variables and dependent variables related to service delivery.ResultsChildren who referred from the NHS received follow-up services at younger ages than later-identified children. Later-identified children had significantly longer delays from HL confirmation to entry into early intervention, compared to children who referred from the NHS. For later-identified children, degree of HL predicted ages at follow-up clinical services. Children with more severe HL received services at younger ages compared to children with milder HL. Gender predicted the length of the delay from confirmation to entry into early intervention, with girls demonstrating shorter delays.ConclusionsThe current results lend support to the need for ongoing hearing monitoring programs after the neonatal period, particularly when children enter early intervention programs because of language/developmental delays. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|