Opening School-Based Health Centers in a Rural Setting: Effects on Emergency Department Use

Autor/inn/en	Schwartz, Katherine E.; Monie, Daphne; Scribani, Melissa B.; Krupa, Nicole L.; Jenkins, Paul; Leinhart, August; Kjolhede, Chris L.
Titel	Opening School-Based Health Centers in a Rural Setting: Effects on Emergency Department Use
Quelle	In: Journal of School Health, 86 (2016) 4, S.242-249 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12375
Schlagwörter	School Health Services; Rural Schools; Program Effectiveness; Hospitals; Quasiexperimental Design; Comparative Analysis; School Districts; Access to Health Care; New York + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Rural area; Rural areas; School; Schools; Ländlicher Raum; Schule; Schulen; Krankengymnast; Krankenhaus; School district; Schulbezirk
Abstract	Background: Previous studies of urban school-based health centers (SBHCs) have shown that SBHCs decrease emergency department (ED) utilization. This study seeks to evaluate the effect of SBHCs on ED utilization in a rural setting. Methods: This retrospective, controlled, quasi-experimental study used an ED patient data set from the Bassett Healthcare Network in rural New York to compare ED visits between school-aged children from 12 SBHC schools before and after the SBHC opening. Time series analysis was used to determine trends in SBHC schools and 2 control schools without SBHCs over the 18-year study period. Results: ED visit incidence densities for all 12 school districts combined showed a significant increase in ED visits post-SBHC (Rate ratio (RR) = 1.15; p < 0.0001). This increase may, in part, be explained by the upward trend of ED visits in the region, as seen in the small, but significant, positive slope (RR = 0.0033, p < 0.0001) for control schools. There was variation in the change in incidence density post-SBHC among school districts, with increases in 78% of schools. Conclusions: The opening of SBHCs in rural settings results in a slight, but significant, increase in ED use, which is contrary to previous cross-sectional studies in urban settings. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01