This study examined referrals from School-based health centers (SBHCs) to a sponsoring hospital to determine factors influencing successful referral completion and to assess SBHCs'ability to coordinate care.
A total of 138 referrals from eight SBHCs to Boston City Hospital between September 1993 and October 1994 were reviewed via medical records, clinic logs, and hospital registration system.
A data extraction tool was used to collect information.
Statistical analyses were performed to identify associations between referral completion and study variables.
Seventy-five percent of all referrals were completed : 55.4% on the first attempt.
Forty-six percent of those referred a second time completed their referrals.
Statistically significant associations between referral completion and reason for referral (p=0.01), visit diagnosis (p=0.005), and usual source of health care (p=0.009) were found.
Provider documentation, including referral log and patient chart, was also associated with referral completion.
Neither gender, race, nor health insurance had any significant association with successful referrals.
This study suggests that SBHCs can significantly contribute to coordinated care for adolescents, especially for the uninsured and those without a source of health care.
SBHCs were particularly effective at facilitating referral to specific services including : family planning, tuberculosis prophylaxis, and subspecialty care. (...)
Mots-clés Pascal : Centre santé, Ecole, Coordination, Soin, Système santé, Massachusetts, Etats Unis, Amérique du Nord, Amérique, Adolescent, Homme, Filière soins
Mots-clés Pascal anglais : Health center, School, Coordination, Care, Health system, Massachusetts, United States, North America, America, Adolescent, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0022671
Code Inist : 002B30A03B. Création : 17/04/1998.