学校卫生保健中心的远程医疗未来：新冠疫情的经验教训。

The Future of Telehealth in School-Based Health Centers: Lessons from COVID-19.

出版信息

J Pediatr Health Care. 2021 May-Jun;35(3):304-309. doi: 10.1016/j.pedhc.2020.11.008. Epub 2021 Jan 29.

DOI:10.1016/j.pedhc.2020.11.008

Abstract

INTRODUCTION

In response to COVID-19, schools rapidly transitioned to virtual learning. School-based health centers (SBHCs) required immediate shifts from in-person to telehealth services to continue supporting students.

METHOD

A qualitative analysis of nationally-led "Listening and Learning" sessions by the School-Based Health Alliance revealed substantial innovation and expansion of telehealth services.

RESULTS

Providers and sponsoring organizations shared challenges and mechanisms for troubleshooting barriers during online webinars to provide support, education, and resources to SBHCs.

DISCUSSION

Lessons learned during the COVID-19 pandemic demonstrate the value of SBHCs, which continue to target barriers to health care access, protect the most vulnerable, and decrease the spread of disease. Telehealth implementation by SBHCs can support schools and communities, mitigate future strain on the health care system by continuing to keep youth from over-burdened emergency departments and provide needed mental health care. State and federal policy changes can ensure the continued provision of telehealth by SBHCs for disadvantaged youth.

摘要

引言

为应对 COVID-19，学校迅速转向虚拟学习。校医院（SBHC）需要立即从面对面服务转为远程医疗服务，以继续为学生提供支持。

方法

通过校医院联盟主导的全国范围的“倾听与学习”会议的定性分析，发现远程医疗服务有了实质性的创新和扩展。

结果

提供者和赞助组织在在线网络研讨会中分享了在提供支持、教育和资源给 SBHC 时遇到的障碍和解决问题的机制。

讨论

在 COVID-19 大流行期间吸取的经验教训表明了 SBHC 的价值，它继续针对医疗保健获取的障碍，保护最脆弱的人群，并减少疾病的传播。SBHC 实施远程医疗可以支持学校和社区，通过继续避免让年轻人过度负担急诊部门，以及提供必要的心理健康护理，减轻未来对医疗保健系统的压力。州和联邦政策的改变可以确保为弱势青年继续提供 SBHC 的远程医疗服务。