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Modelling the cost-effectiveness of a newborn hearing screening programme; usability and pitfalls.

Hans L J Hoeve1, André Goedegebure1, Gwen Carr2

  • 1Department of Otorhinolaryngology, Erasmus University Medical Centre, Rotterdam, The Netherlands.

International Journal of Audiology
|February 17, 2023
PubMed
Summary

This study developed an online tool for designing and analyzing newborn hearing screening (NHS) programs. The tool helps stakeholders evaluate costs and benefits to improve hearing health outcomes.

Keywords:
Newborn hearing screeningcost-effectivenessmodellingonline toolpreventive health care

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Area of Science:

  • Public Health
  • Health Economics
  • Audiology

Background:

  • European vision and hearing screening programmes are crucial for early detection.
  • Cost-effectiveness analysis is vital for optimizing public health interventions.
  • Developing adaptable tools is essential for managing screening programmes.

Purpose of the Study:

  • To describe the development and usability of an online tool for newborn hearing screening (NHS) programmes.
  • To enable stakeholders to design, analyze, or modify NHS programmes.
  • To provide a cost-effectiveness model for evaluating NHS programmes.

Main Methods:

  • Utilized data from literature, existing NHS programmes, and user observations.
  • Incorporated inputs such as prevalence, test sequence, attendance, sensitivity, and specificity.
  • Developed an online tool for stakeholder use in programme analysis.

Main Results:

  • The tool requires specific inputs on programme parameters and outputs detection numbers and costs.
  • Analyses explored the impact of attendance, screening steps, and timing on programme outcomes.
  • Demonstrated the importance of epidemiological knowledge for effective tool utilization.

Conclusions:

  • Presents a user-friendly online tool for designing and analyzing newborn hearing screening programmes.
  • Aids stakeholders in assessing the benefits and costs of proposed or existing NHS programmes.
  • Facilitates informed decision-making to optimize hearing screening initiatives.