Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713, GZ, Groningen, the Netherlands.
Department of Economics, Econometrics and Finance, University of Groningen, Groningen, the Netherlands.
BMC Health Serv Res. 2020 Mar 12;20(1):206. doi: 10.1186/s12913-020-05077-w.
Most European countries have implemented a form of school health services (SHS) to provide young children and adolescents with various types of healthcare. No estimations on SHS expenditure for European countries have been published until now. We estimated SHS workforce expenditure in Europe, expected to serve as the main driver of school healthcare costs.
Using two networks of experts on healthcare provision for children we contacted various country representatives to provide data on the number of professionals working in SHS and salaries. These data were used, together with publicly available data, to estimate annual SHS workforce expenditure on the national level.
We received sufficient data for five European countries, and estimated the SHS workforce expenditure. Nurses were the most widely reported professionals working in this field, followed by doctors and psychologists. Our SHS expenditure estimations ranged from €43,000 for Estonia to €195,300 in Norway (per 1000 pupils). For Norway, Estonia, Finland and Iceland, school nurses were the main drivers of SHS expenditure, mainly due to their large numbers, while in Austria, school doctors played the largest role in SHS expenditure.
We estimated the spending on SHS workforce for five European countries, which comprises relatively minor parts of total healthcare spending (0.16 to 0.69%). Many questions regarding SHS spending in Europe remain, due to a general lack of data on national levels.
大多数欧洲国家都实施了某种形式的学校卫生服务（SHS），为儿童和青少年提供各种类型的医疗保健。迄今为止，尚无关于欧洲国家 SHS 支出的估计数。我们估计了欧洲的 SHS 劳动力支出，预计这将是学校医疗保健费用的主要驱动因素。
我们利用两个儿童保健供应专家网络，联系了各国代表，以提供从事 SHS 工作的专业人员人数和薪酬数据。这些数据与公开提供的数据一起，用于估算国家一级的年度 SHS 劳动力支出。
我们收到了五个欧洲国家的足够数据，并估算了 SHS 劳动力支出。护士是该领域工作最广泛的专业人员，其次是医生和心理学家。我们的 SHS 支出估算范围从爱沙尼亚的 43,000 欧元到挪威的 195,300 欧元（每千名学生）。对于挪威、爱沙尼亚、芬兰和冰岛，学校护士是 SHS 支出的主要驱动因素，主要是因为他们的人数众多，而在奥地利，学校医生在 SHS 支出中发挥了最大的作用。
我们估算了五个欧洲国家 SHS 劳动力支出，这占总医疗保健支出的相对较小部分（0.16 至 0.69%）。由于缺乏国家一级的数据，欧洲 SHS 支出仍存在许多问题。
