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Analysis of the changes in the Polish Universal Neonatal Hearing Screening Program over 15 years of activity
Grażyna Greczka1, Monika Zych1, Witold Szyfter1
1Department of Otolaryngology, Head and Neck Surgery, Poznan University of Medical Sciences, Head: Professor Małgorzata Wierzbicka MD, PhD; Poznan, Poland.
Insights
The Polish Universal Neonatal Hearing Screening Program (PUNHSP) has undergone 13 major and 11 minor modifications over 15 years. These changes improved program quality and efficiency, with potential for further optimization.
Area of Science:
- Public Health
- Healthcare Management
- Pediatric Audiology
Background:
- The Polish Universal Neonatal Hearing Screening Program (PUNHSP) is a nationwide initiative for early diagnosis and intervention in infants with hearing impairments.
- Effective management and continuous evaluation are crucial for the success of public health programs.
Observation:
- Analysis of PUNHSP data from 2002-2017 identified 13 major and 11 minor modifications.
- Changes were categorized into legal, administrative, management, audit/control, and IT aspects.
- The study evaluated the impact of these modifications on program quality and effectiveness.
Findings:
- Modifications introduced over 15 years have positively influenced various aspects of the PUNHSP.
- The program's evolution demonstrates adaptability to changing needs and improved operational efficiency.
- Despite improvements, further optimization opportunities exist within the PUNHSP framework.
Implications:
- The PUNHSP's development and implemented solutions can serve as a model for enhancing other pro-health programs.
- Continuous program development is essential for maximizing efficiency and effectiveness in public health initiatives.
- Sharing experiences from well-managed programs like PUNHSP can guide improvements in national health strategies.
Introduction:
One of the examples of a nationwide pro-health program in Poland is the Polish Universal Neonatal Hearing Screening Program (PUNHSP). The Program is aimed at early diagnosis and intervention in children with hearing impairments and it is an example of a well-managed program. Presenting the results of the PUNHSP activity as well as organizational aspects and own experience can significantly help institutions managing other programs to achieve high efficiency in their functioning. The aim of this work is a detailed analysis of the Program evaluation during the 15 years of its activity, i.e. the identification of changes and the consequences of their introduction in the perspective of improving quality and efficiency.
Materials And Methods:
The material is PUNHSP data, registered in the Central Database of the Program and organizational information related to management, IT support and PUNHSP infrastructure. The analysis was based on quality assessment parameters (identification of changes and the purpose of their introduction) and effectiveness (consequences of introducing changes). The analysis concerns the whole period of PUNHSP activity - from 2002 to 2017.
Results:
As a result of the analysis, 13 main modifications of the Program were identified as the "change" criteria and 11 smaller ones - side ones resulting from the necessity to adapt the PUNHSP functionality to current needs. The changes were grouped into five categories: legal, administrative, management, audit and control, as well as IT, changes.
Discussion:
When analyzing the PUNHSP evaluation, it can be assumed that the changes introduced positively influenced the various aspects of the PUNHSP activity, but do not exhaust the possibilities of further optimization of its activity.
Conclusions:
The Program requires constant development in order to increase the efficiency and effectiveness of its operation, and the solutions used in it could be a stimulus to improve and create other pro-health programs.
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