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Assessing the Effect of School-Based Health Centers on Achievement of National Performance Measures
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9 2021
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Source: J Sch Health. 91(9):714-721
[PDF-240.81 KB]
Details:
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Alternative Title:J Sch Health
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Personal Author:
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Description:BACKGROUND:
We assess the impact of School-Based Health Centers (SBHCs) on National Performance Measures (NPMs) related to health care access and utilization among Medicaid-insured youth in Delaware.
METHODS:
Our retrospective analysis of Delaware’s SBHC program data linked with Medicaid claims during 2014–2016 for 13 to 18-year-olds assessed achievement of NPMs and use of mental health services using propensity scores. We estimated crude and adjusted prevalence ratios (APR) for SBHC-enrolled compared with non-enrolled youth.
RESULTS:
Students enrolled in SBHCs had more health care visits (M = 8.7; 95% CI: 7.9–9.5) compared with non-SBHC-enrolled youth (M = 4.5; 95% CI: 4.3–4.7). Compared with non-SBHC, those enrolled in SBHCs were more likely to receive: well-child visits (APR = 1.2; 95% CI: 1.1–1.3); annual risk assessment (APR = 11.0; 95% CI: 6.9–17.5); BMI screening (APR = 5.6; 95% CI: 3.3–9.4); nutrition counseling (APR = 4.1; 95% CI: 2.8–6.0); physical activity counseling (APR = 6.3; 95% CI: 4.2–9.4); STIs and chlamydia screening (APR = 1.9; 95% CI: 1.3–2.8); mental health visits (APR = 2.6; 95% CI: 2.2–3.1).
CONCLUSIONS:
We found that among Medicaid-insured youth, those enrolled in SBHCs vs not enrolled in SBHCs had greater health care utilization as evident from NPMs and mental health services.
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Pubmed ID:34254315
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Pubmed Central ID:PMC10949088
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Volume:91
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Issue:9
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