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.
Int J Audiol
; 57(6): 407-414, 2018 06.
Article
em En
| MEDLINE
| ID: mdl-29490519
ABSTRACT
OBJECTIVE:
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.DESIGN:
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. STUDY SAMPLE 1335 children under 5 years of age underwent screening by VHWs.RESULTS:
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).CONCLUSION:
Settings with constrained resources can benefit from a community-based programme integrated with tele diagnostics.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Programas de Rastreamento
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Telemedicina
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Agentes Comunitários de Saúde
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Serviços de Saúde Comunitária
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Testes Auditivos
Tipo de estudo:
Diagnostic_studies
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Evaluation_studies
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Guideline
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Health_economic_evaluation
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Prognostic_studies
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Screening_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article