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Titre : | 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 (2018) |
Auteurs : | Vidya Ramkumar ; K. R. John ; K. Selvakumar ; et al. |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (Vol. 57, n°1-12, January-December 2018) |
Article en page(s) : | p. 407-414 |
Langues: | Anglais |
Résumé : | 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. |
Accès : | Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/full/10.1080/14992027.2018.1442592 |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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International journal of audiology IJA. Vol. 57, n°1-12 (January-December 2018) | Périodique papier | Ixelles | Rez | Consultation sur place uniquement Exclu du prêt |