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Related Experiment Videos

The five year school medical--time for change.

G C Smith1, A Powell, K Reynolds

  • 1Department of Paediatrics, City General Hospital, Stoke-on-Trent.

Archives of Disease in Childhood
|February 1, 1990
PubMed
Summary

Routine school nurse screening, followed by doctor examinations, efficiently identifies significant childhood health issues. This approach effectively detects conditions like speech and developmental problems in children.

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Area of Science:

  • Pediatrics
  • Public Health
  • School Health Services

Background:

  • School-based health screenings are crucial for early detection of childhood conditions.
  • Evaluating the efficiency of current school health screening protocols is essential for resource allocation and effectiveness.

Purpose of the Study:

  • To assess the effectiveness of routine school nurse screening combined with selective medical examinations.
  • To determine the prevalence of treatable medical conditions identified through this screening process in a cohort of children.

Main Methods:

  • Retrospective analysis of school medical records for 1000 children born in 1981.
  • Exclusion of pre-existing conditions and issues identified by school nurse screenings (hearing, vision, growth).
  • Identification and categorization of newly discovered medical problems requiring treatment.

Main Results:

  • Only 17 new medical problems requiring treatment were identified after exclusions.
  • The majority of identified issues were speech-related (n=10), followed by developmental (n=3), undescended testes (n=3), and phimosis (n=1).
  • This suggests a low yield of new diagnoses from selective medical examination after initial nurse screening.

Conclusions:

  • Routine screening by school nurses, supported by selective medical examinations, is an efficient method for identifying significant childhood health concerns.
  • The study supports the effectiveness of this tiered approach in school health programs.
  • Further research could explore optimizing screening protocols based on these findings.

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