Relation of public health staffing to follow-up after newborn hearing screening in three health districts in Georgia, 2009–2015

Al-Mulki, Kareem; Todd, N. Wendell

doi:10.1016/j.ijporl.2019.109784

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…One study related to newborn hearing loss reported that the deficit in the workforce has resulted in poor follow-up of patients. Al-Mulki and Todd [7] sought to explore staffing and loss to follow-up in newborns who did not pass hearing screening. The authors found that follow-up rates were higher when a full-time navigator position was filled [7].…”

Section: Limited Number Of Genetics Specialistsmentioning

confidence: 99%

Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

Raspa¹,

Moultrie²,

Toth³

et al. 2021

Interact J Med Res

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Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.

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Section: Limited Number Of Genetics Specialistsmentioning

confidence: 99%

Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

Raspa¹,

Moultrie²,

Toth³

et al. 2021

Interact J Med Res

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“…In the only randomized control trial represented in the final set of 62 articles reviewed, Bush et al (2017) reported that the provision of a care navigator for facilitating EHDI for rural families was associated with improved adherence to follow-up recommendations, earlier diagnosis, and an increase in parents’ baseline knowledge of infant hearing loss and recommendations. Care coordination with pediatricians (Christensen et al 2008; Seeliger et al 2016; Zeitlin et al 2021), with diagnostic testing sites (Seeliger et al 2016; Al-Mulki & Todd 2020Al-Mulki & Todd 2020) and using hospital Child Find services to coordinate care has also been shown to improve diagnostic follow-up (Deem et al 2012). Proactively scheduling screening and diagnostic follow-up appointments at the time of need instead of shifting the responsibility to parents for calling to schedule at a later time significantly improves completion of follow-up (Krishnan & Van Hyfte 2014; Thomson & Tran et al 2017; Yoshinaga-Itano 2018; Zeitlin et al 2021).…”

Section: Resultsmentioning

confidence: 99%

“…Two secondary articles in this review demonstrated that lack of EHDI resources specific to care coordination can contribute to increased LTFU (Hoffman et al 2011; Smith et al 2019). Bush et al (2017) demonstrated the effectiveness of care coordination for rural families seeking EHDI services specifically, however other articles have shown effectiveness for families in urban and suburban areas as well (Deem et al 2012; Tran et al 2017; Al-Mulki & Todd 2020). As such, care coordination may be one facilitator that is effective regardless of family geographic location.…”

Section: Discussionmentioning

confidence: 99%

Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review

et al. 2022

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Objectives: Early hearing detection and intervention (EHDI) is guided by the 1-3-6 approach: screening by one month, diagnosis by 3 mo, and early intervention (EI) enrollment by 6 mo. Although screening rates remain high, successful diagnosis and EI-enrollment lag in comparison. The aim of this systematic review is to critically examine and synthesize the barriers to and facilitators of EHDI that exist for families, as they navigate the journey of congenital hearing loss diagnosis and management in the United States. Understanding barriers across each and all stages is necessary for EHDI stakeholders to develop and test novel approaches which will effectively reduce barriers to early hearing healthcare.Design: A systematic literature search was completed in May and August 2021 for empirical articles focusing on screening, diagnosis, and EI of children with hearing loss. Two independent reviewers completed title and abstract screening, full-text review, data extraction, and quality assessments with a third independent reviewer establishing consensus at each stage. Data synthesis was completed using the Framework Analysis approach to categorize articles into EHDI journey timepoints and individual/family-level factors versus system-level factors.Results: Sixty-two studies were included in the narrative synthesis. Results revealed that both individual/family-level (e.g., economic stability, medical status of the infant including middle ear involvement) and system-level barriers (e.g., system-service capacity, provider knowledge, and program quality) hinder timely diagnosis and EI for congenital hearing loss. Specific social determinants of health were noted as barriers to effective EHDI; however, system-level facilitators such as care coordination, colocation of services, and family support programs have been shown to mitigate the negative impact of those sociodemographic factors. Conclusions:Many barriers exist for families to obtain appropriate and timely EHDI for their children, but system-level changes could facilitate the process and contribute to long-term outcomes improvement. Limitations of this study include limited generalizability due to the heterogeneity of EHDI programs and an inability to ascertain factor interactions.

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“…The presence of a full-time coordinator in the NHSP also helps achieve greater adherence of babies who need follow-up compared to programs without a coordinator ( 12 ) .…”

Section: Discussionmentioning

confidence: 99%

Maternal and child predictors associated with loss to follow-up in the newborn hearing screening program: a cohort study in maternity hospitals in northeastern Brazil

Lucena,

Cavalcanti

2023

CoDAS

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Purpose Analyze maternal and child predictors associated with loss to follow-up in the newborn hearing screening program at maternity hospitals in northeastern Brazil. Methods Retrospective cohort study, including secondary data from infants (n=604) referred to the newborn hearing screening program in two maternity hospitals for monitoring and/or diagnosis. The predictors evaluated included socioeconomic factors, such as maternal age, marital status, income, schooling, place of residence, number of children and number of prenatal visits. In addition, maternal and child health factors, such as smoking and drug intake during pregnancy, consanguinity, congenital infections, craniofacial malformations, use of ototoxic drugs, syndromes and a history of hearing loss in the family. Statistical analysis was performed based on binary logistic regression models, using the stepwise method. Results The logistic regression model containing the number of prenatal visits and the history of hearing loss in the family was significant [χ2(2) =34.271; p<0.001]. The number of prenatal visits (OR = 2.343; 95% CI = 1.626 - 3.376) and family history of hearing loss (OR = 2.167; 95% CI = 1.507 - 3.115) were significant predictors. The other predictors were not significant. Conclusion The results reveal that newborns whose mothers had ≤ 5 prenatal visits and those with a family history of hearing loss increased their likelihood of loss to follow-up by 2.3 and 2.1 times, respectively. It is important to provide subsidies for public health improvements in order to help advise, guide and educate mothers, especially during prenatal care.

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Relation of public health staffing to follow-up after newborn hearing screening in three health districts in Georgia, 2009–2015

Cited by 5 publications

References 11 publications

Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review

Maternal and child predictors associated with loss to follow-up in the newborn hearing screening program: a cohort study in maternity hospitals in northeastern Brazil

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