Leaflets and continual educational offerings led to increased coverage rate of newborn hearing screening in Akita.

Leaflets and continual educational offerings led to increased coverage rate of newborn hearing screening in Akita.
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传单和继续教育服务提高了秋田市新生儿听力筛查的覆盖率。

DOI:
10.1016/j.anl.2017.11.014
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发表时间:
2018
期刊:
影响因子:
1.7
通讯作者:
Sato Teruyuki,Nakazawa Misao,Takahashi Shin,Mizuno Tomomi,Sato Akira,Noguchi Atsuko,Sato Megumi,Katagiri Sadako,Yamada Takechiyo
Sato Teruyuki,Nakazawa Misao,Takahashi Shin,Mizuno Tomomi,Sato Akira,Noguchi Atsuko,Sato Megumi,Katagiri Sadako,Yamada Takechiyo
中科院分区:
医学3区
文献类型:
--
作者:
Maeda Eri;Ishihara Osamu,Tomio Jun,Sato Aya,Terada Ykihiro,Kobayashi Yasuki,Murata Katsuyuki;Sato Teruyuki,Nakazawa Misao,Takahashi Shin,Mizuno Tomomi,Sato Akira,Noguchi Atsuko,Sato Megumi,Katagiri Sadako,Yamada Takechiyo

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新生儿听力筛查(NHS)自2001年以来一直在日本积极开展。秋田县的NHS覆盖率每年都在增加。我们分析了NHS计划的细节,以及如何的秋田传单和许多教育产品的NHS的重要性导致高NHS coverage rate. MethodsA回顾性研究进行了活产新生儿在医院和诊所,听力筛查从该计划的开始在2001年到2015年底。我们描述了NHS的历史。结果从2001年到2015年,秋田地区的活产率持续下降。尽管如此,接受国民保健服务的婴儿人数每年都在增加。自2012年以来,NHS的覆盖率一直超过90%。从2001年到2015年,75,331名新生儿构成了NHS计划的合格人口。自2012年以来,NHS测试的数量已经稳定下来。2002年初,我们为秋田县准备了教育传单。我们还提供了许多关于国民保健服务重要性的教育课程,不仅针对孕妇,而且针对包括妇产科医生、儿科医生和市政工作人员在内的专业人员。NHS计划在2010年得到了秋田妇产科医师协会的完全认可。2001年至2002年国民保健服务覆盖率增幅最大,2009年至2010年增幅第二大。参与机构的数量增加了覆盖率。覆盖率与参与机构数呈强相关(rs = 0.843,p <0.001,斯皮尔曼等级相关系数)。比较秋田妇产科医师协会就NHS重要性达成共识前后5年的覆盖率,2010年后的覆盖率显著高于2010年前(p <0.001,配对样本t检验)。参与机构的数量每年都在增加,NHS测试的数量和覆盖率也相应增加。参与机构的数量在统计上与NHS测试的数量和覆盖率有很强的相关性。我们的研究表明,秋田传单和提供有关NHS重要性的教育课程是建立高NHS覆盖率的最重要因素。
ObjectiveNewborn hearing screening (NHS) has been actively performed in Japan since 2001. The NHS coverage rate has increased each year in Akita Prefecture. We analyzed the details of the NHS program and how the Akita leaflets and the many educational offerings about the importance of NHS led to the high NHS coverage rate.MethodsA retrospective study was conducted in liveborn newborns in hospitals and in clinics where hearing screening was performed from the program’s beginning in 2001 through the end of 2015. We describe the chronological history of NHS. The outcome data of NHS were collected from our department and analyzed.ResultsFrom the founding of the program in 2001 to 2015, the live birth rate in Akita continually declined. Nevertheless, the number of infants receiving NHS rose each year. Since 2012, the coverage rate of NHS has been over 90%. From 2001 to 2015, 75,331 newborns constituted the eligible population for the NHS program. Since 2012, the number of NHS tests has stabilized. We prepared educational leaflets for Akita Prefecture early in 2002. We also provided many educational classes about the importance of NHS for not only pregnant women but also professionals including obstetricians and gynecologists, pediatricians and municipal staff members. The NHS program received the complete endorsement of the Akita Association of Obstetricians and Gynecologists in 2010. The largest increase in the NHS coverage rate occurred from 2001 to 2002, and the second largest increase occurred from 2009 to 2010. The number of participating institutions increased the coverage rate. The coverage rate is strongly correlated with the number of participating institutions (rs = 0.843,p <0.001, Spearman’s rank correlation coefficient). Comparing the coverage rate for 5 years before and after the Akita Association of Obstetricians and Gynecologists reached their consensus on the importance of NHS, the coverage rate after 2010 was significantly higher than before 2010 (p< 0.001, paired sample t-test).ConclusionThe NHS coverage rate ultimately reached 95.4% without need for legislation or subsidization. The number of participating institutions increased each year, and the number of NHS tests and the coverage rate increased proportionately. The number of participating institutions statistically has a strong correlation with the number of NHS tests and the coverage rate. Our research indicates that the Akita leaflets and the provision of educational sessions about the importance of NHS were the most significant factors in establishing the high NHS coverage rate.
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