외래 신생아청각선별검사를 위해 내원한 보호자들의 국가 난청 지원 정책에 대한 인지도 분석
Parental Awareness of the National Support Policy for Outpatient Clinic Newborn Hearing Screening in South Korea
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Background and Objectives Newborn hearing screening (NHS) is recommended for babiesbefore reaching the age of one month; however, the awareness of the policy in parents is re-ported to be insufficient in South Korea. The understanding that NHS is covered by the na-tional insurance is also low possibly due to the lack of both advertisement and national poli-cies for hearing loss. In this study, parental awareness of NHS and related national supportpolicies were investigated by surveying parents who visited the Otolaryngology clinic for NHSfor their children. Subjects and Method Parental awareness was evaluated by a survey of 99 parents for thesuitable period for NHS and hearing evaluation for their children. Also, we investigated theawareness of national support policies for NHS and hearing aids, along with other opinions re-garding the national support system. Results The recommended initial NHS timing was acknowledged by 84.7% of the parents;however, the recommended confirmatory hearing test timing was recognized only by 17.2%. The awareness of national support policies for hearing aids, support policies for inpatient andoutpatient NHS was noted in 37.4%, 46.5%, and 37.4%, respectively. The necessity for nation-al guidance and a national management system for neonatal hearing loss was supported by92.9% and 97% of the parents, respectively. Conclusion Most parents visiting the Otolaryngology clinic were unaware of the time pointfor the confirmatory hearing test and of the national support policies for infantile hearing loss. A national infantile hearing management system is required to meet the 1-3-6 guidelines for in-fantile hearing loss.
Abstract
Background and Objectives Newborn hearing screening (NHS) is recommended for babiesbefore reaching the age of one month; however, the awareness of the policy in parents is re-ported to be insufficient in South Korea. The understanding that NHS is covered by the na-tional insurance is also low possibly due to the lack of both advertisement and national poli-cies for hearing loss. In this study, parental awareness of NHS and related national supportpolicies were investigated by surveying parents who visited the Otolaryngology clinic for NHSfor their children. Subjects and Method Parental awareness was evaluated by a survey of 99 parents for thesuitable period for NHS and hearing evaluation for their children. Also, we investigated theawareness of national support policies for NHS and hearing aids, along with other opinions re-garding the national support system. Results The recommended initial NHS timing was acknowledged by 84.7% of the parents;however, the recommended confirmatory hearing test timing was recognized only by 17.2%. The awareness of national support policies for hearing aids, support policies for inpatient andoutpatient NHS was noted in 37.4%, 46.5%, and 37.4%, respectively. The necessity for nation-al guidance and a national management system for neonatal hearing loss was supported by92.9% and 97% of the parents, respectively. Conclusion Most parents visiting the Otolaryngology clinic were unaware of the time pointfor the confirmatory hearing test and of the national support policies for infantile hearing loss. A national infantile hearing management system is required to meet the 1-3-6 guidelines for in-fantile hearing loss.
참고문헌 (15)
- 정유선, "Results of a Government-supported Newborn Hearing Screening Pilot Project in the 17 Cities and Provinces from 2014 to 2018 in Korea", Journal of Korean Medical Science, 35(31), pp.1~12 (2020), 대한의학회[DOI]
- Park SK, "Analysis of the effectiveness of coupon-mediated newborn hearing screening program through comparison of two government-funded pilot projects in South Korea", Int J Pediatr Otorhinolaryngol, 136, pp.110256~ (2020)
- "Support for out-of-pocket expenses for neonatal congenital metabolic abnormalities and hearing loss screening tests" (2018)[URL]
- Joint Committee on Infant Hearing, "Year 2000 position statement : Principles and guidelines for early hearing detection and intervention programs", Am J Audiol, 9(1), pp.9~29 (2000)
- American Academy of Pediatrics, "Year 2007 position statement : Principles and guidelines for early hearing detection and intervention programs", Pediatrics, 120(4), pp.898~921 (2007)
- Joint Committee on Infant Hearing, "Year 2019 position statement : Principles and guidelines for early hearing detection and intervention programs", J Early Hear Detect Interv, 4(2), pp.1~44 (2019)
- Korean Audiological Society, "Korean newborn hearing screening guideline update" (2018), Korean Audiological Society
- Choi KY, "Analysis of newborn hearing screening results in South Korea after national health insurance coverage : A nationwide population-based study", Int J Environ Res Public Health, 19(22), pp.15052~ (2022)
- World Health Organization, "Newborn and infant hearing screening:Current issues and guiding principles for action 2010", World Health Organization, 1~37 (2010)
- Tomblin JB, "Language outcomes in young children with mild to severe hearing loss", Ear Hear, 36(Suppl 1), pp.S76~91 (2015)
- Yoshinaga-Itano C, "Language outcomes improved through early hearing detection and earlier cochlear implantation", Otol Neurotol, 39(10), pp.1256~1263 (2018)
- Korver AM, "Newborn hearing screening vs later hearing screening and developmental outcomes in children with permanent childhood hearing impairment", JAMA, 304(15), pp.1701~1708 (2010)
- National Institutes of Health, "Early identification of hearing impairment in infants and young children", National Institutes of Health, 1~3 (1993)
- 박석현, "영유아 건강검진을 시행한 보호자들의 신생아 및 영유아 난청 국가 지원 정책에 대한 인지도 분석", 대한이비인후-두경부외과학회지, 66(1), pp.31~39 (2023), 대한이비인후과학회[DOI]
- Choi KY, "Analysis of the risk factors associated with hearing loss of infants admitted to a neonatal intensive care unit : A 13-year experience in a university hospital in Korea", Int J Environ Res Public Health, 17(21), pp.8082~ (2020)