Factors that influence health service access in deaf and hard-of-hearing children: a narrative review.

Early diagnosis and intervention of deaf and hard-of-hearing (DHH) children leads to improved language and psychosocial outcomes. However, many child, parent and provider related factors can influence access to early intervention services, including hearing devices. This narrative review aims to exp...

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Publicado en:International Journal of Audiology Vol. 63; no. 3; pp. 171 - 182
Autores principales: Ren, Angela Z., Sung, Valerie
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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        atl: Factors that influence health service access in deaf and hard-of-hearing children: a narrative review.
      aug:
        au:
          Ren, Angela Z.
          Sung, Valerie
        affil: Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
      sug:
        subj:
          Deafness In Infancy and Childhood
          Hearing Disorders In Infancy and Childhood
          Health Services Accessibility In Infancy and Childhood
          Human
          Child
          Systematic Review
          Hearing Screening
          Demography
          Family
          Hearing Aids
          Assistive Technology Devices
          Health Care Delivery
          Telehealth
          COVID-19
          Support, Psychosocial
          Health Resource Allocation
          Rural Areas
          Communities
          Health Resource Utilization
          Embase
          Medline
          PubMed
          Social Class
          Parents Education
          Geographic Locations
          Severity of Illness
          Comorbidity
          Child: 6-12 years
      ab: Early diagnosis and intervention of deaf and hard-of-hearing (DHH) children leads to improved language and psychosocial outcomes. However, many child, parent and provider related factors can influence access to early intervention services, including hearing devices. This narrative review aims to explore factors that influence health service access in DHH children. A systematic search was conducted to identify articles that explored factors that influenced health service access in DHH children in countries with Universal Newborn Hearing Screening, published between 2010 and 2022. Fifty-nine articles met the inclusion criteria for data extraction. This included 4 systematic reviews, 2 reviews, 39 quantitative and 5 mixed methods studies and 9 qualitative studies. The identified factors were grouped into the following themes: (a) demographic factors, (b) family related factors, (c) child related factors, (d) factors specific to hearing devices, (e) service delivery, f) telehealth and (g) COVID-19. This review provided a comprehensive summary of multiple factors that affect access to health services in DHH children. Psychosocial support, consistent clinical advice, allocation of resources to rural communities and use of telehealth are possible ways to address barriers and improve health service access.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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