title: Timeliness of service delivery for children with later-identified mild-to-severe hearing loss.
abstract: OBJECTIVE
  In this study, the authors examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period.
  
  
  METHODS
  The authors compared ages at service delivery and length of delays between service delivery steps for 57 later-identified children with HL and 193 children who referred for assessment from the newborn hearing screen (NHS). For only later-identified children, regression models were used to investigate relationships among predictor variables and dependent variables related to service delivery.
  
  
  RESULTS
  Children who referred from the NHS received follow-up services at younger ages than later-identified children. Later-identified children had significantly longer delays from HL confirmation to entry into early intervention, compared to children who referred from the NHS. For later-identified children, degree of HL predicted ages at follow-up clinical services. Children with more severe HL received services at younger ages compared to children with milder HL. Gender predicted the length of the delay from confirmation to entry into early intervention, with girls demonstrating shorter delays.
  
  
  CONCLUSIONS
  The current results lend support to the need for ongoing hearing monitoring programs after the neonatal period, particularly when children enter early intervention programs because of language/developmental delays.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Walker
authors.forename: Lenore
authors.initials: L
authors.lastname: Holte
authors.forename: Meredith
authors.initials: M
authors.lastname: Spratford
authors.forename: Jacob
authors.initials: J
authors.lastname: Oleson
authors.forename: Anne
authors.initials: A
authors.lastname: Welhaven
authors.forename: Melody
authors.initials: M
authors.lastname: Harrison
mesh_terms: D057210:Delayed Diagnosis; D005260:Female; D034381:Hearing Loss / Q000175:diagnosis / Q000534:rehabilitation*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening; D012189:Retrospective Studies; D012720:Severity of Illness Index; D061665:Time-to-Treatment / Q000706:statistics & numerical data*
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