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Related Experiment Videos

School-based health centers: accessibility and accountability.

Claire D Brindis1, Jonathan Klein, John Schlitt

  • 1Department of Pediatrics, Division of Adolescent Medicine, University of California-San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94143-0936, USA.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|June 5, 2003
PubMed
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School-based health centers (SBHCs) have expanded significantly, serving diverse student populations and adapting services. However, sustainable financing remains a challenge for these vital community health resources.

Area of Science:

  • Public Health
  • Pediatric Healthcare
  • Health Services Research

Background:

  • School-based health centers (SBHCs) are crucial for addressing the healthcare needs of children and adolescents.
  • The landscape of SBHCs has evolved, necessitating an examination of their current services, sponsorship, and adaptations.

Purpose of the Study:

  • To assess the current state of school-based health centers (SBHCs) in meeting student health needs.
  • To analyze changes in SBHC services, sponsorship, and adaptations within the evolving medical market.

Main Methods:

  • Data collected via a 1998-1999 questionnaire sent to school-based health centers.
  • Analysis of responses from 806 SBHCs, yielding a 70% response rate.
  • Descriptive statistics and cross-tabulation analyses were employed.

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Main Results:

  • SBHCs grew from 120 in 1988 to nearly 1200 by 1998, serving 1.1 million students across diverse geographic areas and grade levels.
  • Sponsorship shifted towards hospitals and health departments (73%), with widespread adoption of computer-based tracking (88%) and third-party billing (73%).
  • SBHCs now operate in varied settings, not just urban high schools, indicating significant program expansion and adaptation.

Conclusions:

  • SBHCs demonstrate leadership in providing accountable healthcare and implementing standards of care.
  • Despite responsiveness to community needs, SBHCs serve only 2% of U.S. schoolchildren, highlighting a gap in access.
  • Sustainable financing remains a critical challenge for SBHCs, despite lessons learned in delivering comprehensive and accessible services.