Koenig Kevin T, Ramos Mary M, Fowler Tara T, Oreskovich Kristin, McGrath Jane, Fairbrother Gerry
NORC at the University of Chicago, 55 E. Monroe St. 30th Floor, Chicago, IL 60603.
Department of Pediatrics, University of New Mexico, 625 Silver Ave. SW Suite 324, Albuquerque, NM 87102.
J Sch Health. 2016 Apr;86(4):250-7. doi: 10.1111/josh.12374.
The purpose of this study is to describe patterns of care and service use among adolescent school-based health center (SBHC) users in New Mexico and contrast patterns and services between frequent and infrequent users.
Medical claims/encounter data were analyzed from 59 SBHCs located in secondary schools in New Mexico during the 2011-2012 school year. We used Pearson's chi-square test to examine the differences between frequent (≥ 4 visits/year) and infrequent users in their patterns of SBHC care, and we conducted logistic regression to examine whether frequent use of the SBHC predicted receipt of behavioral, reproductive, and sexual health; checkup; or acute care services.
Most of the 26,379 adolescent SBHC visits in New Mexico were for behavioral health (42.4%) and reproductive and sexual health (22.9%). Frequent users have greater odds of receiving a behavioral, reproductive, and sexual health; and acute care visit than infrequent users (p < .001). American Indians, in particular, have higher odds of receiving behavioral health and checkup visits, compared with other races/ethnicities (p < .001).
SBHCs deliver core health care services to adolescents, including behavioral, reproductive, and checkup services, to high need populations. American-Indian youth, more than their peers, use SBHCs for behavioral health and checkups.
本研究旨在描述新墨西哥州青少年学校健康中心（SBHC）使用者的护理模式和服务使用情况，并对比频繁使用者和不频繁使用者之间的模式及服务差异。
对2011 - 2012学年新墨西哥州中学的59个SBHC的医疗理赔/就诊数据进行分析。我们使用Pearson卡方检验来研究频繁使用者（每年≥4次就诊）和不频繁使用者在SBHC护理模式上的差异，并进行逻辑回归分析，以检验频繁使用SBHC是否能预测行为、生殖和性健康；体检；或急性护理服务的接受情况。
新墨西哥州26379次青少年SBHC就诊中，大多数是为了行为健康（42.4%）以及生殖和性健康（22.9%）。与不频繁使用者相比，频繁使用者接受行为、生殖和性健康以及急性护理就诊的几率更高（p <.001）。特别是与其他种族/族裔相比，美国印第安人接受行为健康和体检就诊的几率更高（p <.001）。
SBHC为高需求人群中的青少年提供核心医疗服务，包括行为、生殖和体检服务。美国印第安青年比同龄人更多地利用SBHC进行行为健康和体检。
