临床医生对学校卫生中心的不良童年经历查的观点:一项定性研究
Rebecca K Tsevat1, Rosina Franco2, Roberta Villanueva2
1Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA.
Academic pediatrics
|December 28, 2025
概括
基于学校的健康中心 (SBHC) 可以识别有不良童年经历 (ACE) 的年轻人,并将他们与资源联系起来. 然而,诸如有限的后续能力和查准确度等挑战需要解决,以充分支持弱势学生.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 心理学 心理学 心理学
背景情况:
- 儿童不良经历 (ACE) 与负面的健康和教育结果有关.
- 基于学校的健康中心 (SBHC) 能够很好地应对青少年的ACE.
- 了解SBHC中ACE查的障碍和促进因素至关重要.
研究的目的:
- 描述在SBHC中解决ACE的障碍和促进因素.
- 探索SBHC临床医生对ACE查和反应的观点.
- 确定改善学校环境中ACEs支持的机会.
主要方法:
- 使用半结构面试对10名SBHC临床医生进行定性研究.
- 在南加利福尼亚州的一个学区进行,该学区已建立了ACEs查.
- 使用主题分析,直到主题和为止.
主要成果:
- SBHC 作为关键的关键环节,为患有 ACE 的年轻人提供护理和资源.
- 临床医生在解决ACE方面表现出了多功能性.
- SBHCs的结构方面支持查,但发现后续能力有限,以及获得准确查结果的挑战.
- 响应ACE查结果的复杂性是一个重大挑战.
结论:
- SBHCs显示了识别和应对青少年ACE的潜力.
- 解决能力和查准确性的挑战对于有效的支持至关重要.
- 政策和实践应利用SBHC来帮助处于有毒压力风险的弱势群体.
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