2023 Fiscal Year Final Research Report
A follow-up survey on nweborn hearing screening in Niigata, Japan.
| Project/Area Number |
19K02961
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 09060:Special needs education-related
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| Research Institution | Niigata University of Health and Welfare |
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Principal Investigator |
Kuwahara Katsura 新潟医療福祉大学, リハビリテーション学部, 准教授 (00734047)
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| Co-Investigator(Kenkyū-buntansha) |
泉 修司 新潟大学, 医歯学総合病院, 講師 (20452055)
廣田 栄子 筑波大学, 人間系(名誉教授), 名誉教授 (30275789)
石上 和男 新潟医療福祉大学, 医療経営管理学部, 教授 (60092665)
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| Project Period (FY) |
2019-04-01 – 2024-03-31
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| Keywords | NHS（新生児聴覚検査） / refer（要精密検査） / refer児の追跡調査 / 医療機関 / 教育機関 / 行政機関 |
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| Outline of Final Research Achievements |
In 2005, Niigata Prefecture indicated the roles of administrative, medical, and educational institutions in a guidebook regarding the NHS, which was revised in 2014. The NHS examination rate has remained above 90% since 2015. However, there is no system for tracking all referrals. The guidebook has a Form No. 7 including a list of NHS results and a parental consent form for disclosure of information to the support organizations. We thought this Form 7 would help us to track the status of early detection and support of hearing loss. However, we went to the municipalities to check the Form 7, they did not provide us with any information. Therefore, we investigated whether Form 7 was sent from delivery facilities to six otolaryngology, which are the facilities of precision and second precision giving diagnosis, and the connection to early support. We found that the presence of Form 7 in these facilities speeds up the detection of hearing loss and support.
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| Free Research Field |
教育オーディオロジー（Educational Audiology）
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| Academic Significance and Societal Importance of the Research Achievements |
この調査では様式７号にNHSに係る行政・医療・教育機関内の情報開示の同意書が含まれるため行政の研究協力は困難であったが，NHS受検後のrefer児の難聴の早期発見はこの様式７号の有無で変わることが分かった．また６つの耳鼻科（精密・二次精密医療機関）の中にも耳鼻科医が様式７号の存在を知らない，出生率の低い過疎地では人事異動等もあるため，様式７号の存在が忘れられてしまう，等の問題があることも理解できた．しかし，様式７号に保護者が同意のサインを行うため，難聴早期発見，早期支援につながることが分かり，NHSに係る医療，行政の全ての人が共有できるNHS後の追跡調査システム作りにつながると感じた．
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