根据学期和低收入学生比例,学校医疗中心的利用情况存在差异
Jenna Van Draanen1,2, Taylor C Ryan1,2, Luciano Garofalo2
1Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA.
The Journal of school health
|July 4, 2025
概括
学校医疗中心 (SBHCs) 在秋季看到学生使用率更高,收入较低的学校显示需求增加. 这强调了需要灵活的人员来管理季节性利用趋势的需要.
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
- 儿科健康 儿科健康
背景情况:
- 学校医疗中心 (SBHC) 对学生获得医疗保健至关重要.
- 现有的研究将学生的种族和收入与SBHC使用联系起来,但时间利用趋势未得到充分研究.
- 了解时间模式对于SBHC中有效的政策和资源配置至关重要.
研究的目的:
- 分析从2017年到2021年SBHC利用的时间趋势.
- 调查学生人口统计 (种族,收入) 与 SBHC 使用与时间的关联.
- 通过SBHCs识别影响学生医疗保健获得学期水平变化的因素.
主要方法:
- 利用带有随机拦截的负二项式回归模型来分析来自西雅图国王县27个中心 (2017-2021) 的学期级SBHC利用数据.
- 对校级变量进行控制,包括学生的种族,收入和上学率.
- 通过交互模型,通过种族,收入和出席率对利用的潜在影响修改进行了检查.
主要成果:
- SBHC利用率表现出显著的季节性模式,在秋季学期观察到更高的率.
- 在整个研究期间,使用率普遍下降,可能受到COVID-19大流行的影响.
- 较低的学校收入与增加的SBHC利用有显著的关联;对于种族,收入或出勤没有发现显著的相互作用效应.
结论:
- 调查结果表明,SBHC在秋季经历了更高的需求,需要对人员和资源进行战略规划.
- 低收入地区的学校可能需要加强支持,因为SBHC利用率始终较高.
- 该研究强调了考虑季节性变化和社会经济因素在优化SBHC服务提供和政策制定方面的重要性.
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