School-based health centers: accessibility and accountability.
نویسندگان
چکیده
PURPOSE To examine the current experience of school-based health centers (SBHCs) in meeting the needs of children and adolescents, changes over time in services provided and program sponsorship, and program adaptations to the changing medical marketplace. METHODS Information for the 1998-1999 Census of School-Based Health Centers was collected through a questionnaire mailed to health centers in December 1998. A total of 806 SBHCs operating in schools or on school property responded, representing a 70% response rate. Descriptive statistics and cross-tab analyses were conducted. RESULTS The number of SBHCs grew from 120 in 1988 to nearly 1200 in 1998, serving an estimated 1.1 million students. No longer primarily in urban high schools, health centers now operate in diverse areas in 45 states, serving students from kindergarten through high school. Sponsorship has shifted from community-based clinics to hospitals, local health departments, and community health centers, which represent 73% of all sponsors. Most use computer-based patient-tracking systems (88%), and 73% bill Medicaid and other third-party insurers for student-patient encounters. CONCLUSIONS SBHCs have demonstrated leadership by implementing medical standards of care and providing accountable sources of health care. Although the SBHC model is responsive to local community needs, centers provide care for only 2% of children enrolled in U.S. schools. A lack of stable financing streams continues to challenge sustainability. As communities seek to meet the needs of this population, they are learning important lessons about providing acceptable, accessible, and comprehensive services and about implementing quality assurance mechanisms.
منابع مشابه
Task Force Finding and Rationale Statement - Promoting Health Equity Through Education Programs and Policies: School-Based Health Centers
متن کامل
Considering social accountability in rehabilitation therapy school
As you know, there is increasing attention insocial accountability concept for medicaland other health professional schools. Despite theuniqueness of the concept of social accountability,it has different definitions in various fields. TheWorld Health Organization (WHO) has describedsocial accountability generally as follows: “theobligation to direct education, research andservice activities tow...
متن کاملComparing the Accessibility of Rescue Centers in the Districts of Tehran Municipality after Catastrophic Earthquakes
In this research, the centers involved in relief operations in Tehran traffic area districts have been compared and the supply-demand ratio has been specified through a relation presented separately for each district. The supply has been evaluated based on three parameters: 1) No of relief centers, 2) congestion of the main road (the ratio of the length of the main road to the area of the distr...
متن کاملPresenting a public accountability model based on the use of social media in public universities of medical sciences and hospitals and medical centers in Tehran
Background: Social media is one of the low cost tools used by many organizations. The purpose of this qualitative research is to present a public accountability model based on the use of social media in public universities of medical sciences in Tehran. Materials and Methods: The present study was performed using Clark's position data analysis method. In-depth interviews were conducted with 21...
متن کاملSurvey Paper on Wavelet Based Ecg Steganography
The patient's confidential data should be safe and secure this is Act by Health Insurance Portability and Accountability Act (HIPAA). At the same time, there is a significantly growth in population. Numbers of patient care centers are used usually around the world in a Point Of care (PoC) applications. The Security systems are implemented to provide data integrity, privacy, and accessibility. T...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of adolescent health : official publication of the Society for Adolescent Medicine
دوره 32 6 Suppl شماره
صفحات -
تاریخ انتشار 2003