台灣實施公費新生兒聽力篩檢之過去、現況與未來

The Past, Present and Future of Newborn Hearing Screening Program in Taiwan

陳瑞玲(Jui-Ling Chen) ； 王紀勳(Chi-Hsun Wang) ； 吳俊良(Jiunn-Liang Wu) ； 范君揚(Jun-Yang Fan) ； 周昱甫(Yu-Fu Chou) ； 林鴻清(Hung-Ching Lin)

《台灣耳鼻喉頭頸外科雜誌》 50卷2期 (2015/06) Pp. 67-73

https://doi.org/10.6286/2015.50.2.67

摘要

推動新生兒聽力篩檢計畫：2012年3月15日為台灣實施新生兒聽力篩檢的分水嶺。自此，國民健康署開始全額補助設籍本國且出生未滿3個月之新生兒接受聽力篩檢。但在此之前各個民間單位與政府機關合作所付出之心力仍為不可抹滅之歷史，正因研究成果有目共睹，才使得公費實施新生兒聽力篩檢之制度得以建立。本文之主要目的即在於呈現台灣的新生兒聽力篩檢在這16年的推動歷程，以及實施的成果，並且對未來的發展方向進行討論。新生兒聽力篩檢實施成果：2013年之全國平均新生兒聽力篩檢率為97.6%、轉介率為1.02%、完成確診率為84.8%，總共篩檢了190,534名新生兒，其中被確診有聽損之人數為709名，故該年度之聽損發生率為千分之3.72。結論：未來除了持續維護與提升前端之篩檢與確診品質外，後端之早期療育策略與資源會是下一個要努力的方向。減少聽損兒及其家屬之焦慮感與進入療育的時間，同時政府衛生單位與社福機關也能及時進行孩童的身心發展追蹤與輔導。最終，達成實施每項篩檢的初始目的，「早期診斷、早期治療」。以使每位先天性聽損兒皆能開口說話，有正常言語溝通。

關鍵字

新生兒聽力篩檢 ； 聽損兒童 ； 先天性聽損

並列摘要

NEWBORN HEARING SCREENING PROGRAM IN TAIWAN: Since March 15, 2012, Health Promotion Administration, Ministry of Health and Welfare in Taiwan provided newborn hearing screening for those neonates birth less than three months. But before our government decided to implement this policy, various civil organizations had been in cooperation with government agencies for many years. It makes public funded newborn hearing screening program can be established in Taiwan because of several domestic research findings. The main purpose of this paper is to present the progress of the promotion of newborn hearing screening in past 16 years, the outcomes of its implementation, and discussion of the future development direction of Taiwan newborn hearing screening program. THE OUTCOMES OF NEWBORN HEARING SCREENING PROGRAM: The national average newborn hearing screen rate is 97.6%, referral rate is 1.02% in 2013. This program has screened 190534 neonates in 2013, the return rate of OPD referral is 84.8%. There are 709 infant diagnosed congenital hearing loss and it means the incidence rate of congenital hearing loss in 2013 is 3.72 per mile. CONCLUSION: To maintain and upgrade the quality of the hearing screening and diagnosis, the early intervention strategies and resources will be new direction to effort. Consequently, congenital hearing loss children can start early treatment and education as soon as possible and reduce the anxiety of their families. Meanwhile, the government health and social welfare authorities can track their physical and mental development and provide appropriate counseling. Finally, we can reach the goal of each medical screening, ＂early diagnosis and treatment.＂ Every child with congenital hearing loss can have good speech & language and communication well.

並列關鍵字

newborn hearing screening ； hearing-impaired children ； congenital hearing loss