探索性定性焦点小组对学校医疗中心政策问题的分析:国家领导人的见解
概括
自2017年以来,学校医疗中心 (SBHC) 扩大了心理健康服务和远程医疗接入,尽管面临着劳动力挑战. 这一转变,由大流行加速,指导未来的政策和分析,以持续改善学生的医疗保健服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 学校医疗中心 (SBHCs) 对于为学生提供可访问和负担得起的医疗保健至关重要.
- 随着COVID-19大流行,包括在教育环境中的医疗保健提供模式受到重大影响.
- 了解2017年以来SBHCs的变化对于为未来的政策和实践提供信息至关重要.
研究的目的:
- 描述自2017年全国调查以来,从国家领导层的角度来看,学校卫生中心 (SBHC) 的变化.
- 确定SBHC运营和服务交付中的关键转变,这些转变因COVID-19大流行而加速.
主要方法:
- 在2022年初利用半结构化的虚拟焦点小组与州SBHC领导和附属机构进行定性研究.
- 焦点组数据的主题内容分析,与开放式调查答案三角化.
- 从2017年到COVID-19大流行期间,探索SBHC的变化.
主要成果:
- 确认了增加资金和定义/标准化SBHC的挑战的预先确定的主题.
- 确定了新兴主题:心理健康服务的扩大,远程医疗和创新的访问模式的日益采用,以及重要的劳动力挑战.
- 观察到流行病驱动的护理提供模式的加速.
结论:
- 这些发现突出了SBHC中改善和可持续性的关键领域.
- 需要进一步的研究来解决劳动力短缺问题,并为有效的政策分析标准化指标.
- 该研究提供了洞察力,以指导未来的定量政策研究,并维持学生医疗保健获得的积极变化.
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