National Policy on Health Care Hearing: an evaluative study from covering services and diagnostic procedures

Silva, Luciana Santos Gerosino da; Gonçalves, Cláudia Giglio de Oliveira; Soares, Vânia Muniz Néquer

doi:10.1590/2317-1782/201420140440

Cited by 15 publications

(33 citation statements)

References 16 publications

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“…49 In Brazil, with the implementation of the PNASA, 5 there was a 473% increase, until 2011, in the number of the tests and otoacoustic emissions testing for screening, signaling an improvement in the detection and probable intervention in the neonates featuring hearing loss. 6…”

Section: Discussionmentioning

confidence: 99%

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Hearing Assessment of Neonates at Risk for Hearing Loss at a Hearing Health High Complexity Service: An Electrophysiological Assessment

Reis¹,

Gonçalves

Conto

et al. 2018

Int Arch Otorhinolaryngol

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Introduction Hearing is the main sensory access in the first years of life. Therefore, early detection and intervention of hearing impairment must begin before the first year of age. Objective To analyze the results of the electrophysiological hearing assessment of children at risk for hearing loss as part of the newborn hearing screening (NHS). Methods This is a cross-sectional study held at a hearing health public service clinic located in Brazil, with 104 babies at risks factors for hearing loss referred by public hospitals. A questionnaire was applied to parents, and the auditory brainstem response (ABR) test was held, identifying those with alterations in the results. The outcome of the NHS was also analyzed regarding risk factor, gestational age and gender. Results Among the 104 subjects, most of them were male (53.85%), and the main risk factor found was the admission to the neonatal intensive care unit (NICU) for a period longer than 5 days (50.93%). Eighty-five (81.73%) subjects were screened by NHS at the maternity and 40% of them failed the test. Through the ABR test, 6 (5.77%) infants evidenced sensorineural hearing loss, 4 of them being diagnosed at 4 months, and 2 at 6 months of age; all of them failed the NHS and had family history and admission at NICU for over 5 days as the most prevalent hearing risks; in addition, family members of all children perceived their hearing impairment. Conclusion Advances could be observed regarding the age of the diagnosis after the implementation of the NHS held at the analyzed public service clinic.

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Section: Discussionmentioning

confidence: 99%

“…Thus, it is objectified to meet the demands of assessment, diagnosis and (re)habilitation of hearing-impaired people with actions in the primary, intermediate and high complexity healthcare services. 6…”

Section: Introductionmentioning

confidence: 99%

Hearing Assessment of Neonates at Risk for Hearing Loss at a Hearing Health High Complexity Service: An Electrophysiological Assessment

Reis¹,

Gonçalves

Conto

et al. 2018

Int Arch Otorhinolaryngol

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“…The services are overcrowded in the two most populous cities, which are macro-regions headquarters of health care; however, the distribution of services is also not based on epidemiological data and historical series of procedures performed for their distribution. This may lead to the results observed in another study, which found evidences of inequity of access by the public (4,6) .…”

Section: System Organizationmentioning

confidence: 78%

“…Historically, Brazil devises health policies for people with disabilities that are focused and fragmented, which favors services centralized exclusively on individuals, focused on the distribution of hearing aids, a practice that is inconsistent with the principles of SUS (3)(4)(5)(6) .…”

Section: Introductionmentioning

confidence: 99%

Análise da implantação da política nacional de atenção à saúde auditiva em uma unidade federativa do Brasil

Peixoto

Chaves

2019

CoDAS

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RESUMO Objetivo O presente estudo objetivou analisar o grau de implantação da política nacional de atenção à saúde auditiva no âmbito estadual. Método Foi realizado um estudo avaliativo qualitativo dividido em duas etapas. Na primeira etapa, foi realizada a modelização da política com uma análise documental e aplicação da técnica Delphi de consenso de experts. Na segunda etapa, foi realizada uma pesquisa avaliativa do tipo qualitativa, exploratória, delineada em um estudo de caso único em uma unidade federativa do Brasil mediante entrevistas semiestruturadas com gestores da saúde. Resultados Foi obtido o consenso de um modelo lógico e uma matriz de avaliação da implantação da política entre os experts. Os resultados no âmbito Estadual evidenciaram o grau de implantação incipiente, com o nível das características de governo com 45% da pontuação máxima, a gestão com 41% e o nível da organização do sistema com 33%. Conclusão O Estado avaliado obteve o grau incipiente de implantação, com obstáculos identificados nos níveis de gestão, organização do sistema e contexto político.

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“…Hearing health care legislation enabled users greater access to rehabilitation services. Study, which assessed PNASA, regarding hearing health service coverage and diagnosis procedures, between 2004 and 2011, evidenced a significant increase of 113% in service coverage, and 61% in medium and high complexity diagnostic procedures in hearing health (8).…”

Section: Introductionmentioning

confidence: 99%

Integralidade do cuidado na atenção à saúde auditiva do adulto no SUS: acesso à reabilitação

Mazzarotto

Gonçalves

Bellia

et al. 2019

Audiol., Commun. Res.

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RESUMO Objetivo Caracterizar a indicação e analisar a percepção dos usuários quanto a queixas e benefícios do uso de próteses auditivas concedidas pelo Sistema Único de Saúde (SUS). Métodos Estudo transversal, quantitativo, que analisou 100 usuários de próteses auditivas no retorno inicial após adaptação, em um serviço de média e alta complexidade em saúde auditiva. Foram coletados dados dos prontuários relativos às características da perda auditiva, da seleção e adaptação da prótese auditiva, e do tempo de uso. Foi realizada entrevista para investigar a percepção de queixas e benefícios com o uso da prótese auditiva. Resultados Houve predomínio dos seguintes aspectos: a faixa etária de 66 a 90 anos; Ensino Fundamental incompleto; perda auditiva sensorioneural de graus leve e moderado; ligeira/discreta dificuldade de compreensão da fala. Foram adaptadas 184 próteses, sendo a maioria retroauricular e de Tipo A; o tempo de espera entre a indicação e a adaptação foi entre 33 e 88 dias; o principal benefício da prótese auditiva foi a melhora da compreensão/interação social, e a queixa principal referiu-se a problemas de regulagem. Conclusão A maior parte dos usuários relatou benefícios com a utilização da prótese para a compreensão de fala e a interação social, e a queixa mais referida foi a regulagem.

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National Policy on Health Care Hearing: an evaluative study from covering services and diagnostic procedures

Abstract: There has been an increase in services and actions in hearing health care in Brazil since PNASA was implemented, but regional inequalities in the distribution of these services still persist.

Cited by 15 publications

References 16 publications

Hearing Assessment of Neonates at Risk for Hearing Loss at a Hearing Health High Complexity Service: An Electrophysiological Assessment

Hearing Assessment of Neonates at Risk for Hearing Loss at a Hearing Health High Complexity Service: An Electrophysiological Assessment

Análise da implantação da política nacional de atenção à saúde auditiva em uma unidade federativa do Brasil

Integralidade do cuidado na atenção à saúde auditiva do adulto no SUS: acesso à reabilitação

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