Wilson Kristin D, Moonie Sheniz, Sterling David A, Gillespie Kathleen N, Kurz Richard S
Department of Health Management and Policy, Saint Louis University School of Public Health, 3545 Lafayette Ave, Salus Center, Suite 300, Saint Louis, MO 63104, USA.
J Sch Health. 2009 Jan;79(1):1-7. doi: 10.1111/j.1746-1561.2008.00367.x.
The Centers for Disease Control and Prevention's Strategies for Addressing Asthma Within a Coordinated School Health Program recommends a consulting physician for schools to help manage asthma. The literature examines the effects when a school nurse is present, but the addition of a consulting physician is not well understood. The purpose of this study is to assess the effect of having a consulting physician on school absenteeism and children sent home due to health reasons for children with asthma and all children pooled together.
A 2-year preimplementation group cohort and 1-year implementation group cohort of grades K-6 in an urban school district were used to determine the impact of a consulting physician on school absenteeism for children with asthma and all children pooled together.
A consulting physician was significantly associated with reduced missed school days for children with asthma and all children as a group. All children pooled together were 44% more likely (OR = 1.44, 95% CI = 1.31-1.58) to be sent home without the consulting physician. There was a reduction from 13.8% to 12.6% of sent home events in children with asthma.
Having consulting physicians in school districts appears to be associated with fewer days of school absence. The results provide additional evidence and suggest that more research is required to determine if this association is valid and to better understand the cause of such an association.
疾病控制与预防中心的《在协调的学校健康计划中应对哮喘的策略》建议学校配备咨询医生以帮助管理哮喘。文献研究了学校护士在场时的效果，但咨询医生的加入效果尚不清楚。本研究的目的是评估咨询医生对哮喘儿童以及所有儿童因病缺课和被送回家情况的影响。
采用城市学区一个为期2年的实施前组队列和一个为期1年的实施组队列，涵盖幼儿园至6年级，以确定咨询医生对哮喘儿童以及所有儿童因病缺课情况的影响。
咨询医生与哮喘儿童以及所有儿童总体缺课天数减少显著相关。在没有咨询医生的情况下，所有儿童被送回家的可能性高出44%（比值比=1.44，95%置信区间=1.31-1.58）。哮喘儿童被送回家的情况从13.8%降至12.6%。
学区配备咨询医生似乎与缺课天数减少有关。研究结果提供了更多证据，并表明需要更多研究来确定这种关联是否有效，以及更好地理解这种关联的原因。
