The Evidence on School-Based Health Centers: A Review
| Autor: | Philip J. Hudson, NaeHyung Lee, Betty S. Lai, Michael D. Arenson |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Context (language use) Pediatrics behavioral health 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine 030212 general & internal medicine Adverse Childhood Experiences School-based health centers Gun violence Service (business) Medical education business.industry Public health American Indian and Alaskan native health lcsh:RJ1-570 lcsh:Pediatrics Mental health Health equity school based health 3. Good health gun violence Pediatrics Perinatology and Child Health Systematic Review and Meta-analysis adverse childhood experiences business mental health |
| Zdroj: | Global Pediatric Health, Vol 6 (2019) Global Pediatric Health |
| ISSN: | 2333-794X |
| DOI: | 10.1177/2333794x19828745 |
| Popis: | Context. Pediatricians working toward health equity require health care delivery mechanisms that take on dual roles: mitigating the health effects of a maladaptive social ecosystem while simultaneously working to improve the ecosystem itself. School-based health centers (SBHCs) perform these dual roles by providing medical, mental/behavioral, dental, and vision care directly in schools where young people spend the majority of their time, maximizing their opportunity to learn and grow. Evidence Acquisition. Databases were searched extensively for research studies published between January 2000 and December 2018. Evidence Synthesis. The authors began with 3 recent high-impact reviews that covered SBHC history, health outcomes, cost-benefit, and impact on health equity. Informed by these articles, the authors organized the evidence into 4 broad categories of impact: Financial, Physical Health (including medical, vision, and dental), Mental Health, and Educational Outcomes. Using these 4 categories, the authors then performed a robust literature search using PubMed for studies that fit into these themes. Conclusions. SBHCs increase access to health services for children, families, and communities, which ultimately leads to positive short- and long-term outcomes in service of a broad range of stakeholders. Educational impact requires further attention on both outcomes and methodological approaches. Three current public health topics of importance were identified that SBHCs might be well-suited to address: Youth Gun Violence, Adverse Childhood Experiences, and the Health of American Indian/Alaskan Native communities in the United States. |
| Databáze: | OpenAIRE |
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