基于学校的健康中心和在农村社区使用初级保健
Xue Zhang1, Sharon Tennyson2, Chris L Kjolhede3
1Department of Biobehavioral Health, Penn State University, University Park, Pennsylvania.
American journal of preventive medicine
|June 30, 2025
概括
农村地区的学校医疗中心 (SBHC) 增加了对学生的初级保健访问和免疫接种. 使用情况各不相同,混合用户显示了最高的参与度和收益.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 学校医疗中心 (SBHC) 对农村学生获得初级保健至关重要.
- 关于这些社区SBHC服务利用模式的证据有限.
研究的目的:
- 分析有或没有SBHC的学生的初级保健使用模式.
- 为了比较不同SBHC用户群 (非用户,仅SBHC,混合) 的利用率.
主要方法:
- 对纽约农村5-18岁学生的2011-2017年电子健康记录数据的分析.
- 基于SBHC访问和使用的学生分类 (非用户,仅SBHC,混合用户).
- 统计分析调整人口统计和社会经济因素.
主要成果:
- 与没有SBHC接入的学生相比,SBHC接入的学生对初级保健的利用率更高.
- 混合动力用户的利用率最高,而SBHC非用户的利用率最低.
- 与没有SBHC访问的学生相比,仅SBHC用户的办公室访问和免疫接种增加了.
结论:
- SBHC显著增加了利用初级保健的农村学生的办公室访问和免疫接种.
- 促进SBHC注册和使用至关重要,因为好处集中在用户身上.
相关概念视频
Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
Specialized Care Centers and Settings-II
780
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
780
Specialized Care Centers and Settings-I
1.0K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.0K
Community Based Intervention
97
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
97
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K


