Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review
Ear & Hearing
Findlen, U. M., Davenport, C. A., et al. (2023).
Ear & Hearing, 44(3), 448-459.
This systematic review investigates barriers to and facilitators of early hearing detection and intervention for children with congenital hearing loss.
No funding received
May 9, 2021 to August 27, 2021
Empirical, peer-reviewed articles
62
Barriers to early hearing detection and intervention included individual/family factors, particularly those relating to social determinants of health such as lack of economic stability, lack of access to quality education, lack of access to quality health care, and environmental factors, as well as other medical factors. System-level barriers included social and community contexts, lack of access to qualified providers, physician dismissal, family awareness of results and need for follow-up, information gaps, and program quality.<br /><br />Facilitators included provision of family support including care coordination, financial support (e.g. reimbursement or coverage for screenings), increasing service access (e.g. regional outpatient services, outreach, and tele-audiology), quality testing, and data fidelity and tracking across systems.
