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  1. A comparison study of an Elementary school-based health center : Effects on health care access and use.

    Article - En anglais

    Objective 

    To assess the effects of an elementary school-based health center (SBHC) on access to and the use of physical and mental health services by children aged 4 to 13 years.

    Study Design 

    A retrospective cohort analysis of parent surveys from a comparable intervention (SBHC) and a comparison of urban elementary schools.

    Intervention 

    Elementary SBHC services, including preventive physical health care ; the care of minor short-term illnesses, injuries, and stable ongoing medical conditions ; dental screenings ; and mental health counseling.

    Participants 

    All parents of students at both schools were asked to complete a survey.

    Return rates on the survey were 78.3% (570/728) and 77.0% (440/571) at the intervention and comparison schools, respectively.

    Main Outcome Measures 

    The use of health services, access to health services, and health service satisfaction.

    Results 

    Compared with respondents at comparison schools, respondents whose children had access to an SBHC had less difficulty (P=01) receiving physical health care for their children, ie, treatment of illnesses and injuries, immunizations, and physical examinations (odds ratio, 0.66 ; 95% confidence interval, 0.48-0.91).

    Access to an SBHC was independently and significantly related to less emergency department use (odds ratio, 0.63 ; 95% confidence interval, 0.40-0.99 ; P<. 05), a greater likelihood of having had a physician's visit since the school year began (...)

    Mots-clés Pascal : Utilisation, Service santé, Accessibilité, Soin, Satisfaction, Evaluation, Enfant, Homme, Système santé, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Use, Health service, Accessibility, Care, Satisfaction, Evaluation, Child, Human, Health system, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0197272

    Code Inist : 002B30A01B. Création : 16/11/1999.