Abstract
In The Lancet Global Health, Susan Emmett and colleagues present compelling evidence in favour of mobile health screening for hearing loss in rural children and the effectiveness and economic value of telemedicine referral to improve access to specialty follow-up care.1 The cluster-randomised trial was conducted in 15 rural communities populated almost entirely by Alaska Native people. Telemedicine referral more than doubled the percentage of children who received medical follow-up within 9 months compared with standard primary care referral (68·5% vs 32·1%); mobile health screening outperformed standard school screening for detecting possible hearing impairment; and both mobile health screening and telemedicine referral were extraordinarily cost-effective.
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