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Evaluation of an interprofessional school-based health centre: A multimethods study
Susan Tang1, Kathleen Morgan2, Jessy Gatete3
1Faculty of Agricultural and Environmental Sciences, School of Human Nutrition, McGill University, Montreal, Quebec, Canada.
Objectives:
School-based health centres (SBHCs) aim to improve access to care, especially among socially vulnerable children. Interprofessional SBHCs are emerging, though their evaluations remain limited. We evaluated an interprofessional SBHC in a low-income community.
Methods:
The evaluation of the SBHCs was guided by the RE-AIM framework. The multimethods design included (i) a document analysis and (ii) a retrospective chart review of SBHC patients from September 2021 to May 2024.
Results:
The SBHC team comprised of paediatricians, a dietitian, occupational therapist, speech language pathologist, and a nurse working alongside school staff and community providers. After 98 clinic half-days, 760 appointments were scheduled across 153 patients, with a nonattendance rate of 12%. Care needs extended beyond preventative medicine for 80% of children, with mental health conditions being the most common diagnoses.
Conclusion:
This evaluation demonstrates that interprofessional SBHCs are feasible and offer a scalable model for addressing the complex health needs of socially vulnerable children.
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