Department of Sociology, East Carolina University, 600 Moye Blvd, Greenville, NC, 27834, USA.
Department of Internal Medicine and Psychiatry, Duke University, 3710 Duke University Medical Center, Durham, NC, 27710, USA.
J Sch Health. 2021 Nov;91(11):876-882. doi: 10.1111/josh.13085. Epub 2021 Sep 7.
School-based health centers (SBHCs) offer primary and preventive health care for children and adolescents. Using nationally representative data, we aimed to examine which child and family characteristics are associated with using school-based health care providers as the primary source of health care, and whether care received from these providers met the criteria for a medical home.
Using data from the 2016-2018 National Survey of Children's Health (NSCH), we analyzed children's usual source of care (school-based provider, doctor's office or clinic, other location, or none), and whether they received care meeting medical home criteria.
Based on a sample of 64,710 children, 0.5% identified school-based providers as their primary source of health care. Children who were older, uninsured, or living in the Northeast were significantly more likely to report school-based providers as their usual source of care. Children whose usual source of care was a school-based provider were less likely to receive care meeting medical home criteria than children who usually received care at a doctor's office.
While SBHCs improve access to care, our findings indicate potential challenges with establishing a medical home for children who usually receive health care from a school-based provider.
学校卫生中心（SBHC）为儿童和青少年提供基本医疗和预防保健服务。本研究使用全国代表性数据，旨在探讨哪些儿童和家庭特征与将学校卫生保健提供者作为主要医疗服务来源相关，以及这些提供者提供的服务是否符合医疗之家的标准。
本研究使用了 2016-2018 年全国儿童健康调查（NSCH）的数据，分析了儿童的常规医疗服务来源（学校卫生保健提供者、医生办公室或诊所、其他地点或无），以及他们是否接受了符合医疗之家标准的服务。
基于 64710 名儿童的样本，有 0.5%的儿童将学校卫生保健提供者作为其主要医疗服务来源。年龄较大、没有保险或居住在东北部的儿童更有可能将学校卫生保健提供者作为其常规医疗服务来源。与在医生办公室接受常规医疗服务的儿童相比，通常在学校卫生保健提供者处接受医疗服务的儿童更不可能接受符合医疗之家标准的服务。
尽管 SBHC 提高了获得医疗服务的机会，但我们的研究结果表明，对于那些通常从学校卫生保健提供者处获得医疗服务的儿童，建立医疗之家可能存在潜在挑战。
