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Preschool hearing screening in Sweden. An evaluation of current practices and a presentation of new national guidelines

Stenfeldt, Karin LU orcid (2018) In International Journal of Pediatric Otorhinolaryngology 110. p.70-75
Abstract

Objectives: As the various regional authorities responsible for health care in Sweden operate independently, no knowledge was available on pre-school hearing screening available to children living in different parts of the country. The aim of this study was to carry out a survey to ascertain how preschool hearing screening was performed in the various regions of Sweden. An objective of the present paper was also to present the uniform national guidelines for pre-school hearing screening that were launched by health authorities and were based on this study. A follow-up investigation was performed to ascertain whether the new guidelines were well accepted and followed throughout the country. Methods: A questionnaire was sent to 25... (More)

Objectives: As the various regional authorities responsible for health care in Sweden operate independently, no knowledge was available on pre-school hearing screening available to children living in different parts of the country. The aim of this study was to carry out a survey to ascertain how preschool hearing screening was performed in the various regions of Sweden. An objective of the present paper was also to present the uniform national guidelines for pre-school hearing screening that were launched by health authorities and were based on this study. A follow-up investigation was performed to ascertain whether the new guidelines were well accepted and followed throughout the country. Methods: A questionnaire was sent to 25 physicians responsible for child health care centers in all 21 regions throughout the whole country. The questionnaire included detailed questions on hearing screening in preschool children. New national guidelines were introduced in cooperation with health authorities and providers of preventive child health care. After two and four years, questionnaires were sent to the same recipients to determine whether changes in practice in pre-school hearing screening had been implemented, and to obtain information about experiences with the new guidelines. Results: Sixteen of 21 regions practiced universal hearing screening of 4-yearolds. Many different protocols were used. Professionals at child health care centers expressed a need for national guidelines for pre-school hearing screening. At the two and four-year follow-ups, one more region had introduced universal hearing screening of 4-year-olds, while two regions were planning to introduce it in 2019. The new national guidelines were well accepted and used throughout the country. Conclusion: There was a great variability in how pre-school hearing screening was performed in Sweden. Efforts are being made to provide uniform pre-school hearing screening. Cooperation between professionals in hearing health and health authorities is needed in order to broaden the use of universal pre-school hearing screening and to implement the new national guidelines.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Pediatric Otorhinolaryngology
volume
110
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:85046686261
  • pmid:29859592
ISSN
0165-5876
DOI
10.1016/j.ijporl.2018.04.013
language
English
LU publication?
yes
id
a38f8346-1778-4db8-89d6-602c14354fef
date added to LUP
2018-05-21 14:42:36
date last changed
2024-07-09 16:46:48
@article{a38f8346-1778-4db8-89d6-602c14354fef,
  abstract     = {{<p>Objectives: As the various regional authorities responsible for health care in Sweden operate independently, no knowledge was available on pre-school hearing screening available to children living in different parts of the country. The aim of this study was to carry out a survey to ascertain how preschool hearing screening was performed in the various regions of Sweden. An objective of the present paper was also to present the uniform national guidelines for pre-school hearing screening that were launched by health authorities and were based on this study. A follow-up investigation was performed to ascertain whether the new guidelines were well accepted and followed throughout the country. Methods: A questionnaire was sent to 25 physicians responsible for child health care centers in all 21 regions throughout the whole country. The questionnaire included detailed questions on hearing screening in preschool children. New national guidelines were introduced in cooperation with health authorities and providers of preventive child health care. After two and four years, questionnaires were sent to the same recipients to determine whether changes in practice in pre-school hearing screening had been implemented, and to obtain information about experiences with the new guidelines. Results: Sixteen of 21 regions practiced universal hearing screening of 4-yearolds. Many different protocols were used. Professionals at child health care centers expressed a need for national guidelines for pre-school hearing screening. At the two and four-year follow-ups, one more region had introduced universal hearing screening of 4-year-olds, while two regions were planning to introduce it in 2019. The new national guidelines were well accepted and used throughout the country. Conclusion: There was a great variability in how pre-school hearing screening was performed in Sweden. Efforts are being made to provide uniform pre-school hearing screening. Cooperation between professionals in hearing health and health authorities is needed in order to broaden the use of universal pre-school hearing screening and to implement the new national guidelines.</p>}},
  author       = {{Stenfeldt, Karin}},
  issn         = {{0165-5876}},
  language     = {{eng}},
  month        = {{07}},
  pages        = {{70--75}},
  publisher    = {{Elsevier}},
  series       = {{International Journal of Pediatric Otorhinolaryngology}},
  title        = {{Preschool hearing screening in Sweden. An evaluation of current practices and a presentation of new national guidelines}},
  url          = {{http://dx.doi.org/10.1016/j.ijporl.2018.04.013}},
  doi          = {{10.1016/j.ijporl.2018.04.013}},
  volume       = {{110}},
  year         = {{2018}},
}