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J Adolesc Health. 2020 Dec;67(6):745-746. doi: 10.1016/j.jadohealth.2020.09.005. Epub 2020 Oct 12.
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当学校不仅仅是学校时:在新冠疫情后改善基于学校的健康状况。

When a school is more than just a school: Improving school-based health in the wake of COVID-19.

作者信息

Haeder Simon F, Maxfield Emily, Ulmen Kara, Anderson Sara

机构信息

School of Public Policy The Pennsylvania State University University Park Pennsylvania USA.

Child Trends Bethesda Maryland USA.

出版信息

World Med Health Policy. 2022 Mar;14(1):150-177. doi: 10.1002/wmh3.498. Epub 2022 Mar 14.

DOI:10.1002/wmh3.498
PMID:35600495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9111193/
Abstract

The ongoing COVID-19 pandemic has posed tremendous challenges for economies and individuals around the world. At the same time, it has also laid bare the blatant and growing inequities that many individuals, particularly children, are confronted with on a daily basis. With communities in lockdowns and schools going virtual in many parts of the United States, the important role that schools and school-based services play in the lives of many children have gained new attention. Nonetheless, only 3% of American schools have school-based health centers on campus, and they remain relegated to the fringes of both health care and education. One key limitation has been the lack of appropriately trained health-care professionals. Over the past 2 years, we have interviewed dozens of individuals about their experiences in school-based health centers. Based on this study, we explore what it means for a health-care professional to work in school-based health care and how it differs from more traditional health-care settings. Our analysis particularly focuses on training and education, work environments, and their unique demands that come from being embedded within the educational setting. We conclude by addressing the important role that governmental policies could play in augmenting this crucial workforce.

摘要

持续的新冠疫情给全球经济和个人带来了巨大挑战。与此同时,它也暴露了许多人,尤其是儿童,每天所面临的公然且日益加剧的不平等现象。随着美国许多地区社区实施封锁以及学校转向线上教学,学校和校内服务在许多儿童生活中所起的重要作用受到了新的关注。尽管如此,美国只有3%的学校在校园内设有校内健康中心,这些中心在医疗保健和教育领域仍处于边缘地位。一个关键限制因素是缺乏经过适当培训的医疗保健专业人员。在过去两年里,我们采访了几十位在学校健康中心工作的人员,了解他们的经历。基于这项研究,我们探讨了医疗保健专业人员在学校医疗保健工作中的意义,以及它与更传统的医疗保健环境有何不同。我们的分析特别关注培训与教育、工作环境,以及因融入教育环境而产生的独特需求。最后,我们阐述了政府政策在扩充这一关键劳动力队伍方面可以发挥的重要作用。