School-based health centers: improving access and quality of care for low-income adolescents.
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| Title: | School-based health centers: improving access and quality of care for low-income adolescents. |
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| Authors: | Allison MA (AUTHOR), Crane LA (AUTHOR), Beaty BL (AUTHOR), Davidson AJ (AUTHOR), Melinkovich P (AUTHOR), Kempe A (AUTHOR) |
| Source: | Pediatrics. Oct2007, Vol. 120 Issue 4, pe887-94. 1p. |
| Abstract: | OBJECTIVES: We sought to compare visit rates, emergency care use, and markers of quality of care between adolescents who use school-based health centers and those who use other community centers within a safety-net health care system for low-income and uninsured patients. PATIENTS AND METHODS: In this retrospective cohort study we used Denver Health electronic medical chart data, the Denver Health immunization registry, and Denver Public Schools enrollment data for the period from August 1, 2002, to July 31, 2003. The cohort included all 14- to 17-year-old Denver Public Schools high school enrollees who were active Denver Health patients and were either uninsured or insured by Medicaid or the State Children's Health Insurance Program. 'School-based health center users' were those who had used a Denver Health school-based health center; 'other users' were those who had used a Denver Health community clinic but not a school-based health center. Markers of quality included having a health maintenance visit and receipt of an influenza vaccine, tetanus booster, and hepatitis B vaccine if indicated. Multiple logistic regression analysis that controlled for gender, race/ethnicity, insurance status, chronic illness, and visit rate was used to compare school-based health center users to other users. RESULTS: Although school-based health center users (n = 790) were less likely than other users (n = 925) to be insured (37% vs 73%), they were more likely to have made > or = 3 primary care visits (52% vs 34%), less likely to have used emergency care (17% vs 34%), and more likely to have received a health maintenance visit (47% vs 33%), an influenza vaccine (45% vs 18%), a tetanus booster (33% vs 21%), and a hepatitis B vaccine (46% vs 20%). CONCLUSIONS: These findings suggest that, within a safety-net system, school-based health centers augment access to care and quality of care for underserved adolescents compared with traditional outpatient care sites. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106002983 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: School-based health centers: improving access and quality of care for low-income adolescents. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Allison+MA%22">Allison MA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Crane+LA%22">Crane LA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Beaty+BL%22">Beaty BL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davidson+AJ%22">Davidson AJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Melinkovich+P%22">Melinkovich P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kempe+A%22">Kempe A</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Oct2007, Vol. 120 Issue 4, pe887-94. 1p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVES: We sought to compare visit rates, emergency care use, and markers of quality of care between adolescents who use school-based health centers and those who use other community centers within a safety-net health care system for low-income and uninsured patients. PATIENTS AND METHODS: In this retrospective cohort study we used Denver Health electronic medical chart data, the Denver Health immunization registry, and Denver Public Schools enrollment data for the period from August 1, 2002, to July 31, 2003. The cohort included all 14- to 17-year-old Denver Public Schools high school enrollees who were active Denver Health patients and were either uninsured or insured by Medicaid or the State Children's Health Insurance Program. 'School-based health center users' were those who had used a Denver Health school-based health center; 'other users' were those who had used a Denver Health community clinic but not a school-based health center. Markers of quality included having a health maintenance visit and receipt of an influenza vaccine, tetanus booster, and hepatitis B vaccine if indicated. Multiple logistic regression analysis that controlled for gender, race/ethnicity, insurance status, chronic illness, and visit rate was used to compare school-based health center users to other users. RESULTS: Although school-based health center users (n = 790) were less likely than other users (n = 925) to be insured (37% vs 73%), they were more likely to have made > or = 3 primary care visits (52% vs 34%), less likely to have used emergency care (17% vs 34%), and more likely to have received a health maintenance visit (47% vs 33%), an influenza vaccine (45% vs 18%), a tetanus booster (33% vs 21%), and a hepatitis B vaccine (46% vs 20%). CONCLUSIONS: These findings suggest that, within a safety-net system, school-based health centers augment access to care and quality of care for underserved adolescents compared with traditional outpatient care sites. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106002983 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1542/peds.2006-2314 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 1 StartPage: e887 Titles: – TitleFull: School-based health centers: improving access and quality of care for low-income adolescents. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Allison MA – PersonEntity: Name: NameFull: Crane LA – PersonEntity: Name: NameFull: Beaty BL – PersonEntity: Name: NameFull: Davidson AJ – PersonEntity: Name: NameFull: Melinkovich P – PersonEntity: Name: NameFull: Kempe A IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2007 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 00314005 Numbering: – Type: volume Value: 120 – Type: issue Value: 4 Titles: – TitleFull: Pediatrics Type: main |
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