School-Based Health Center Utilization during COVID-19 Pandemic-Related School Closures

Autor/inn/en	Gallardo, Michelle; Zepeda, Alex; Biely, Christopher; Jackson, Nicholas; Puffer, Maryjane; Anton, Patricia; Dudovitz, Rebecca
Titel	School-Based Health Center Utilization during COVID-19 Pandemic-Related School Closures
Quelle	In: Journal of School Health, 92 (2022) 11, S.1045-1050 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Dudovitz, Rebecca)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.13226
Schlagwörter	School Health Services; COVID-19; Pandemics; Help Seeking; School Closing; Urban Schools; School Districts; Use Studies; Incidence; Prevention; Low Income Students; Mental Health; Student Needs; Health Needs; California + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Help-seeking behavior; Help-seeking behaviour; Hilfe suchendes Verhalten; School closings; Schule; Schließung; Schließung (von Schulen); Urban area; Urban areas; School; Schools; Stadtregion; Stadt; School district; Schulbezirk; Benutzerschulung; Vorkommen; Prävention; Vorbeugung; Psychohygiene; Kalifornien
Abstract	Background: Little is known regarding utilization of school-based health centers (SBHCs) during prolonged school closures, such as those that occurred during the COVID-19 pandemic. We sought to compare SBHC utilization before and after pandemic-related school closures across a network of SBHCs affiliated with a large Southern Californian urban school district. Methods: We conducted a secondary analysis of encounter data extracted from electronic health records from 12 SBHCs that remained open despite school closures, including patient demographics and diagnostic and billing codes. We used the Clinical Classifications Software Refined to group encounters for common primary care conditions. Utilization before and during pandemic-related school closures was compared using logistic regression with cluster-robust standard errors to account for clustering within clinics, after adjusting for month of encounter. Results: During the pandemic, study SBHCs conducted 52,530 encounters and maintained [approximately]4040 encounters/month. The frequency of encounters for annual preventative health exams increased for school-aged patients but decreased for other age groups while the frequency of encounters for mental health problems increased for all age groups. Implications for School Health Policy, Practice, and Equity: Despite pandemic-related school closures, SBHCs appeared play a critical role in providing primary care to vulnerable communities. Conclusions: SBHCs may hold value beyond their co-location with academic instruction. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01