School of Health Promotion and Human Performance, Eastern Michigan University, 318 Porter Building, Ypsilanti, MI 48197, USA.
J Sch Health. 2010 Jun;80(6):312-20. doi: 10.1111/j.1746-1561.2010.00506.x.
From January through June 2009, 6.1 million children were uninsured in the United States. On average, students with health insurance are healthier and as a result are more likely to be academically successful. Some schools help students obtain health insurance with the help of school nurses.
This study assessed public school nurses' knowledge and beliefs of the impact of health insurance on students' health and academic success. The study also determined whether public school nurses or their schools were involved in helping students obtain public health insurance, and if so, how they did so. Additionally, the study assessed the public school nurses' perceived benefits of and barriers to helping students obtain public health insurance. A paper-and-pencil survey was sent to a national random sample of 750 public school nurses. The response rate was 56%.
Nearly 60% of respondents had helped students enroll in public health insurance. The majority perceived that helping students obtain public health insurance would reduce school absenteeism (90%), improve attention during school (84%), reduce the number of students held back (80%), reduce school dropouts (72%), and increase academic test scores (69%). Although the majority (53%) of nurses thought schools should assist students' parents with filling out public health insurance enrollment forms, some expressed reservations about the process.
School nurses indicated health insurance is important for the health and academic success of students. These beliefs are congruent with state Child Health Insurance Program (CHIP) directors' perceptions, yet few schools have taken on the role of facilitating student enrollment in public health insurance programs.
2009 年 1 月至 6 月，美国有 610 万儿童没有医疗保险。一般来说，有医疗保险的学生更健康，因此更有可能在学业上取得成功。一些学校在学校护士的帮助下帮助学生获得健康保险。
本研究评估了公立学校护士对健康保险对学生健康和学业成功影响的知识和信念。该研究还确定了公立学校护士或他们的学校是否参与帮助学生获得公共健康保险，如果是，他们是如何做到的。此外，该研究评估了公立学校护士帮助学生获得公共健康保险的感知益处和障碍。一项纸质问卷调查被发送给了全国随机抽取的 750 名公立学校护士。回复率为 56%。
近 60%的受访者曾帮助学生参加公共健康保险。大多数人认为帮助学生获得公共健康保险将减少学校缺勤率（90%），提高在校注意力（84%），减少留级学生人数（80%），减少辍学学生人数（72%），并提高学业考试成绩（69%）。尽管大多数（53%）护士认为学校应该帮助学生家长填写公共健康保险登记表格，但也有人对这一过程表示保留意见。
学校护士表示，健康保险对学生的健康和学业成功很重要。这些信念与州儿童健康保险计划（CHIP）主管的看法一致，但很少有学校承担起帮助学生参加公共健康保险计划的登记工作。
