Comparison of Attention-Deficit/Hyperactivity Disorder Care between School-Based Health Centers and a Continuity Clinic

Autor/inn/en	MacGeorge, Claire A.; King, Kathryn L.; Simpson, Annie N.; Abramson, Erika L.; Bundy, David G.; McElligott, James T.
Titel	Comparison of Attention-Deficit/Hyperactivity Disorder Care between School-Based Health Centers and a Continuity Clinic
Quelle	In: Journal of School Health, 89 (2019) 12, S.953-958 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (MacGeorge, Claire A.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12836
Schlagwörter	Attention Deficit Hyperactivity Disorder; School Health Services; Guidelines; Clinics; Drug Therapy; Reports; Child Health; Institutional Characteristics; Access to Health Care + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Richtlinien; Abschlussbericht; Berichten
Abstract	Background: School-based health centers (SBHC) are in a unique position to provide guideline-driven attention-deficit/hyperactivity disorder (ADHD) care. In this study, we compared adherence to 2 components of ADHD guidelines in SBHC versus a continuity clinic. Methods: We compared proportions of ADHD visits that had a structured symptom report available and timely follow-up in SBHC to a continuity clinic using chart review. We used multiple logistic regression to estimate the association between guideline adherence and clinic type. Results: Participants who had a medication dose change were 3.9 times more likely (relative risk [RR] = 3.9, 95% confidence interval [CI] 3.0-5.1) to have a structured report present and 1.7 times more likely (RR = 1.7, 95% CI 1.2-2.2) to have follow-up within 30 days if they were seen in SBHC versus continuity clinic. Participants who were stable on their medication dose were 18 times more likely (RR = 18.0, 95% CI 11.3-29.0) to have a structured report present and 1.4 times more likely (RR = 1.4, 95% CI 1.3-1.6) to have follow-up within 100 days if they were seen in SBHC versus continuity clinic. Conclusions: Care provided in SBHC was associated with improved adherence to guidelines and has the potential to the improve pediatric ADHD outcomes. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01