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Article: Costs of screening children for hearing disorders and delivery of hearing aids in China

TitleCosts of screening children for hearing disorders and delivery of hearing aids in China
Authors
Issue Date2009
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmchealthservres/
Citation
Bmc Health Services Research, 2009, v. 9 How to Cite?
AbstractBackground. The burden of disease of hearing disorders among children is high, but a large part goes undetected. School-based screening programs in combination with the delivery of hearing aids can alleviate this situation, but the costs of such programs are unknown. Aim. To evaluate the costs of a school-based screening program for hearing disorders, among approximately 216,000 school children, and the delivery of hearing aids to 206 children at three different care levels in China. Methods. In a prospective study design, screening and hearing aid delivery costs were estimated on the basis of program records and an empirical assessment of health personnel time input. Household costs for seeking and undergoing hearing health care were collected with a questionnaire, administered to the parents of the child. Data were collected at three study sites representing primary, secondary and tertiary care levels. Results. Total screening and hearing aid delivery costs ranged between RMB70,000 (US$9,000) and RMB133,000 (US$17,000) in the three study sites. Health care cost per child fitted ranged from RMB5,900 (US$760) at the primary care level, RMB7,200 (US$940) at the secondary care level, to RMB8,600 (US$1,120) at the tertiary care level. Household costs were only a small fraction of the overall costs. Cost per child fitted ranged between RMB1,608 and RMB2,812 (US$209-US$365), depending on perspective of analysis and study site. The program was always least costly in the primary care setting. Conclusion. Hearing screening and the delivery of hearing aids in China is least costly in a primary care setting. Important questions remain concerning its implementation.
Persistent Identifierhttp://hdl.handle.net/10722/60112
ISSN
2015 Impact Factor: 1.606
2015 SCImago Journal Rankings: 1.128
ISI Accession Number ID
Funding AgencyGrant Number
Christian Blind Mission
WWHearing
Funding Information:

The study received funding from the Christian Blind Mission and WWHearing.

References

 

DC FieldValueLanguage
dc.contributor.authorBaltussen, Ren_HK
dc.contributor.authorLi, Jen_HK
dc.contributor.authorWu, LDen_HK
dc.contributor.authorGe, XHen_HK
dc.contributor.authorTeng, BYen_HK
dc.contributor.authorSun, XBen_HK
dc.contributor.authorHan, Ren_HK
dc.contributor.authorWang, XLen_HK
dc.contributor.authorMcPherson, Ben_HK
dc.date.accessioned2010-05-31T04:03:49Z-
dc.date.available2010-05-31T04:03:49Z-
dc.date.issued2009en_HK
dc.identifier.citationBmc Health Services Research, 2009, v. 9en_HK
dc.identifier.issn1472-6963en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60112-
dc.description.abstractBackground. The burden of disease of hearing disorders among children is high, but a large part goes undetected. School-based screening programs in combination with the delivery of hearing aids can alleviate this situation, but the costs of such programs are unknown. Aim. To evaluate the costs of a school-based screening program for hearing disorders, among approximately 216,000 school children, and the delivery of hearing aids to 206 children at three different care levels in China. Methods. In a prospective study design, screening and hearing aid delivery costs were estimated on the basis of program records and an empirical assessment of health personnel time input. Household costs for seeking and undergoing hearing health care were collected with a questionnaire, administered to the parents of the child. Data were collected at three study sites representing primary, secondary and tertiary care levels. Results. Total screening and hearing aid delivery costs ranged between RMB70,000 (US$9,000) and RMB133,000 (US$17,000) in the three study sites. Health care cost per child fitted ranged from RMB5,900 (US$760) at the primary care level, RMB7,200 (US$940) at the secondary care level, to RMB8,600 (US$1,120) at the tertiary care level. Household costs were only a small fraction of the overall costs. Cost per child fitted ranged between RMB1,608 and RMB2,812 (US$209-US$365), depending on perspective of analysis and study site. The program was always least costly in the primary care setting. Conclusion. Hearing screening and the delivery of hearing aids in China is least costly in a primary care setting. Important questions remain concerning its implementation.en_HK
dc.languageengen_HK
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmchealthservres/en_HK
dc.relation.ispartofBMC Health Services Researchen_HK
dc.rightsB M C Health Services Research. Copyright © BioMed Central Ltd.en_HK
dc.titleCosts of screening children for hearing disorders and delivery of hearing aids in Chinaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1472-6963&volume=9&spage=64&epage=&date=2009&atitle=Costs+of+screening+children+for+hearing+disorders+and+delivery+of+hearing+aids+in+China+en_HK
dc.identifier.emailMcPherson, B: dbmcpher@hkucc.hku.hken_HK
dc.identifier.authorityMcPherson, B=rp00937en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1186/1472-6963-9-64en_HK
dc.identifier.pmid19371419-
dc.identifier.scopuseid_2-s2.0-65549092293en_HK
dc.identifier.hkuros157194en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-65549092293&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume9en_HK
dc.identifier.isiWOS:000266689400001-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridBaltussen, R=6603838913en_HK
dc.identifier.scopusauthoridLi, J=35205744100en_HK
dc.identifier.scopusauthoridWu, LD=7404903172en_HK
dc.identifier.scopusauthoridGe, XH=26535849500en_HK
dc.identifier.scopusauthoridTeng, BY=26536773500en_HK
dc.identifier.scopusauthoridSun, XB=35212130300en_HK
dc.identifier.scopusauthoridHan, R=35204906200en_HK
dc.identifier.scopusauthoridWang, XL=35206681200en_HK
dc.identifier.scopusauthoridMcPherson, B=7006800770en_HK
dc.identifier.citeulike4360774-

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