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An urban primary school health program.

R B Birrer1, J M Fleisher, L Cortese

  • 1Department of Family Practice, University of New York, Brooklyn.

New York State Journal of Medicine
|August 1, 1991
PubMed
Summary
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An integrated school health program significantly improved children's health, increasing the Health Guarded Index by 37% and reducing absenteeism by 36.2% over three years.

Area of Science:

  • Public Health
  • Pediatrics
  • Family Medicine

Background:

  • Inner-city elementary schools face challenges in providing adequate primary health care.
  • A family practice model offers a framework for integrated, on-site health services.

Purpose of the Study:

  • To evaluate the impact of a three-year on-site school health demonstration project.
  • To assess changes in the Health Guarded Index and absenteeism rates.

Main Methods:

  • Implemented an integrated on-site school health program based on a family practice model.
  • Collected data on the Health Guarded Index and absenteeism for 712 students over three years.

Main Results:

  • The Health Guarded Index increased from 58% to 95% over three years.

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  • Absentee rates decreased by 8.7% in year one and 36.2% in year three.
  • Corrected preventable health defects, including immunizations and dental care.

    • Conclusions:

    • A well-coordinated, family practice-based school health program can significantly improve child health outcomes.
    • On-site health services effectively reduce morbidity and recovery time, leading to decreased absenteeism.