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Recommended guidelines for infant hearing screening: analysis
1Department of Otolaryngology, University of California, San Francisco.
ASHA
|September 1, 1990
Summary
This study critiques current Early Infant Diagnosis (EID) guidelines, highlighting a lack of cost-benefit analysis and consideration for local factors in EID protocol development. It suggests a need for more data-driven approaches to optimize EID screening for diverse settings.
Area of Science:
- Audiology and Hearing Science
- Public Health Policy
- Medical Device Development
Background:
- Current Early Infant Diagnosis (EID) guidelines, including the ASHA protocol, face significant critiques regarding their development and recommendations.
- Problems identified include a lack of cost-benefit analysis, insufficient evaluation of alternative protocols, and a one-size-fits-all approach ignoring local factors.
Framework:
- The development of EID protocols appears to rely on subjective experience rather than rigorous quantitative analysis.
- A need exists for a stronger theoretical foundation and evidence-based approach to guide the creation of effective EID protocols.
Implementation:
- The recommended ASHA protocol may not be optimal for all facilities, particularly those with limited resources.
- Issues such as reimbursement challenges and potential loss of at-risk infants from follow-up require careful consideration.
Implications:
- There is a critical need to re-evaluate EID guideline development, emphasizing data-driven decision-making and adaptability to local contexts.
- Future guidelines should provide audiology professionals with the necessary data and techniques to design optimal, locally-tailored EID protocols.