Cost and outcome of a community-based paediatric hearing screening programme in rural India with application of tele-audiology for follow-up diagnostic hearing assessment.
<italic>Objective</italic>: This study evaluated the cost and outcome of a community-based hearing screening programme in which village health workers (VHWs) screened children in their homes using a two-step DPOAE screening protocol. Children referred in a second screening underwent tele diagnostic...
| Publicado en: | International Journal of Audiology Vol. 57; no. 6; pp. 407 - 415 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129593349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129593349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14992027 JW2 jtl: International Journal of Audiology issn: 14992027 maglogo: Y pubinfo: dt: Jun2018 vid: 57 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 129593349 129593349 129593349 10.1080/14992027.2018.1442592 129593349 ppf: 407 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cost and outcome of a community-based paediatric hearing screening programme in rural India with application of tele-audiology for follow-up diagnostic hearing assessment. aug: au: Ramkumar, Vidya John, K. R. Selvakumar, K. Vanaja, C. S. Nagarajan, Roopa Hall, James W. affil: Department of Speech, Language and Hearing Sciences, Sri Ramachandra University, Chennai, India sug: subj: Health Care Costs Hearing Screening Community Health Services Telehealth Audiology Outcomes (Health Care) Human India Rural Areas Internet Evoked Potentials, Auditory, Brainstem Confidence Intervals ab: <italic>Objective</italic>: This study evaluated the cost and outcome of a community-based hearing screening programme in which village health workers (VHWs) screened children in their homes using a two-step DPOAE screening protocol. Children referred in a second screening underwent tele diagnostic ABR testing in a mobile tele-van using satellite connectivity or at local centre using broadband internet at the rural location. <italic>Design</italic>: Economic analysis was carried out to estimate cost incurred and outcome achieved for hearing screening, follow-up diagnostic assessment and identification of hearing loss. Two-way sensitivity analysis determined the most beneficial cost-outcome. <italic>Study sample</italic>: 1335 children under 5 years of age underwent screening by VHWs. <italic>Results</italic>: Nineteen of the 22 children referred completed the tele diagnostic evaluation. Five children were identified with hearing loss. The cost-outcomes were better when using broadband internet for tele-diagnostics. The use of least expensive human resources and equipment yielded the lowest cost per child screened (Rs.1526; $23; €21). When follow-up expenses were thus maximised, the cost per child was reduced considerably for diagnostic hearing assessment (Rs.102,065; $1532; €1368) and for the cost per child identified (Rs.388,237; $5826; €5204). <italic>Conclusion</italic>: Settings with constrained resources can benefit from a community-based programme integrated with tele diagnostics. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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