Abstract

This article presents an overview of legal, methodological, organisational, financial, structural and technical aspects of the initial audiological measurement of newborns (screening), follow-up (diagnosis) and tracking the results (tracking) within the German newborn hearing screening programme.

Highlights

  • Universal Newborn Hearing Screening (NHS), as defined in the Children’s Directive [1], has been part of the national programme for the screening of infants in Germany since 2009

  • Two automated methods for testing hearing in newborn hearing screening are permitted in Germany: automated auditory brainstem response audiometry (AABR) and automated measurement of transient-evoked otoacoustic emissions (ATEOAE) [1,6]

  • Parents/carers should be informed about the medical background of the newborn hearing screening programme and the screening test procedure, and have the right to refuse to have their child screened

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Summary

Introduction

Universal Newborn Hearing Screening (NHS), as defined in the Children’s Directive [1], has been part of the national programme for the screening of infants in Germany since 2009. The aim of this article is to present some legal, methodological, organizational, financial, structural and technical aspects of audiological measurement in newborns (screening), tracking and diagnosis in Germany. The information provided here is based on the standards and protocols specified in the Children’s Directive [1] and the consideration of structures that have been developed before and after the introduction of the NHS in Germany. The tracking of findings in need of further monitoring by hearing screening centres (tracking) and specialist medical follow-up (confirmation diagnostics) are presented in separate sections

Prevalence
Newborn Hearing Screening
Programme Objectives and Responsibilities
Approved Measurement Techniques
Screening Test Procedure
Quality Requirements
Screening Devices
Service Funding for Inpatient Births
Responsibility and Funding for Screen Tests outside the Hospital
Evaluation
Problems and Opportunities
15. Neugeborenen-Hörscreening
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