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Analysis of Newborn Hearing Screening Results in South Korea after National Health Insurance Coverage: A Nationwide Population-Based Study

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  • Kyu Young Choi

    (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, Republic of Korea)

  • Su-Kyoung Park

    (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, Republic of Korea)

  • Sun Choi

    (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, Republic of Korea)

  • Jiwon Chang

    (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, Republic of Korea)

Abstract

Newborn hearing screening (NHS) has been covered by national health insurance since October 2018 in Korea. However, the results of the NHS are not reported due to the absence of a follow-up tracking system. This study analyzed the status and the predicted referral rates of NHS after the Korean national health insurance coverage by analyzing the National Health Insurance Service database in 2019 and 2020. The NHS coverage was 91.7% of total birth in 2019 and 92.1% in 2020. The predicted referral rate of NHS calculated by the duplicated NHS cases was 1.05% in 2019 and 0.99% in 2020. However, another predicted referral rate calculated by the number of diagnostic auditory brainstem responses (ABRs) performed was 1.44% in 2019 and 1.43% in 2020. The first NHS was performed within one day of birth for 96.5% of the babies and within three days of birth for 97%. However, diagnostic ABR was adequately performed within three months of birth for only 4.3%, while 82.3% performed the test after six months which delays appropriate intervention for hearing loss. National support such as national coordinators, follow-up tracking, and data management systems are needed for early hearing detection and intervention of newborns and infants in Korea.

Suggested Citation

  • Kyu Young Choi & Su-Kyoung Park & Sun Choi & Jiwon Chang, 2022. "Analysis of Newborn Hearing Screening Results in South Korea after National Health Insurance Coverage: A Nationwide Population-Based Study," IJERPH, MDPI, vol. 19(22), pages 1-7, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15052-:d:973867
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    References listed on IDEAS

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    1. Kyu Young Choi & Bum Sang Lee & Hyo Geun Choi & Su-Kyoung Park, 2020. "Analysis of the Risk Factors Associated with Hearing Loss of Infants Admitted to a Neonatal Intensive Care Unit: A 13-Year Experience in a University Hospital in Korea," IJERPH, MDPI, vol. 17(21), pages 1-9, November.
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