Hayley E. Love (
John Schlitt is president of the School-Based Health Alliance.
Health Aff (Millwood). 2019 May;38(5):755-764. doi: 10.1377/hlthaff.2018.05472.
Youth in underserved communities lack access to consistent sources of high-quality health care. School-based health centers (SBHCs) address this challenge through the provision of primary care, mental health care, and other health services in schools. This article describes the current status of SBHCs nationally, including changes over the past twenty years. Data were collected through the School-Based Health Alliance's National School-Based Health Care Census. The number of SBHCs doubled from 1,135 in 1998-99 to 2,584 in 2016-17. During this time they adapted to the changing health care landscape and community needs. Sponsorship shifted predominantly to federally qualified health centers, and SBHCs provided access to primary care and, often, to mental, oral, and other health services to 10,629 schools and over 6.3 million students. SBHCs have grown steadily since 1998, and recent expansion through federally qualified health centers and telehealth technology forecasts even greater growth, innovation, and access for underserved communities.
服务不足社区的年轻人无法获得持续的高质量医疗服务。学校保健中心(SBHC)通过在学校提供初级保健、心理健康保健和其他健康服务来解决这一挑战。本文描述了全国 SBHC 的现状,包括过去二十年来的变化。数据是通过学校保健联盟的全国学校保健普查收集的。SBHC 的数量从 1998-99 年的 1,135 所增加到 2016-17 年的 2,584 所。在此期间,它们适应了不断变化的医疗保健环境和社区需求。赞助主要转向联邦合格的健康中心,SBHC 为 10,629 所学校和超过 630 万名学生提供初级保健,通常还提供精神、口腔和其他健康服务。自 1998 年以来,SBHC 稳步增长,最近通过联邦合格的健康中心和远程医疗技术的扩张,预计为服务不足的社区带来更大的增长、创新和获得机会。