Neonatal hearing screening: modelling cost and effectiveness of hospital- and community-based screening

BMC Health Services Research
Eva GrillJohn Bamford

Abstract

Children with congenital hearing impairment benefit from early detection and management of their hearing loss. These and related considerations led to the recommendation of universal newborn hearing screening. In 2001 the first phase of a national Newborn Hearing Screening Programme (NHSP) was implemented in England. Objective of this study was to assess costs and effectiveness for hospital and community-based newborn hearing screening systems in England based on data from this first phase with regard to the effects of alterations to parameter values. Clinical effectiveness analysis using a Markov Model. quality weighted detected child months (QCM). Both hospital and community programmes yielded 794 QCM at the age of 6 months with total costs of 3,690,000 pound sterling per 100,000 screened children in hospital and 3,340,000 pound sterling in community. Simulated costs would be lower in hospital in 48% of the trials. Any statistically significant difference between hospital and community in prevalence, test sensitivity, test specificity and costs would result in significant differences in cost-effectiveness between hospital and community. This modelling exercise informs decision makers by a quantitative projection of available ...Continue Reading

Associated Clinical Trials

References

Jan 1, 1990·International Journal of Technology Assessment in Health Care·N M Laird, F Mosteller
May 1, 1986·British Journal of Audiology·A Markides
Oct 1, 1993·Medical Decision Making : an International Journal of the Society for Medical Decision Making·F A Sonnenberg, J R Beck
Jan 1, 1996·International Journal of Pediatric Otorhinolaryngology·A Parving, B Christensen
Oct 16, 1996·JAMA : the Journal of the American Medical Association·M C WeinsteinL B Russell
Feb 10, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·J C Felli, G B Hazen
May 9, 1998·British Journal of Audiology·H Fortnum, A Davis
May 5, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A A Stinnett, J Mullahy
Oct 31, 1998·Pediatrics·C Yoshinaga-ItanoA L Mehl
Dec 2, 1998·Pediatrics·T FinitzoJ O'Neal
Jan 20, 1999·American Annals of the Deaf·C Yoshinaga-Itano, M L Apuzzo
Apr 13, 2000·Clinical and Laboratory Haematology·A DaviesJ Webster-King
Aug 3, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J HendersonJ Neilson
Dec 10, 2003·International Journal of Pediatric Otorhinolaryngology·Adrian Davis, Sally Hind

❮ Previous
Next ❯

Citations

Aug 8, 2015·African Journal of Primary Health Care & Family Medicine·Katijah Khoza-Shangase, Shannon Harbinson
Sep 7, 2016·International Journal of Audiology·Shu-Ti ChiouHsiu-Hsi Chen
Oct 13, 2016·International Journal of Pediatric Otorhinolaryngology·Xingang FangGang Chen
Jun 16, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Paola MezzanoUNKNOWN STERN Group
Jan 27, 2019·Applied Health Economics and Health Policy·Rajan SharmaBonny Parkinson
Jul 9, 2008·Acta Oto-laryngologica·L BubbicoF Grandori
May 25, 2021·EClinicalMedicine·Ethan D BorreGillian D Sanders

❮ Previous
Next ❯

Software Mentioned

Data
TreeAge
Excel

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.