学校关闭对校医院服务利用的影响。
The Impact of School Closures on Service Utilization in School-Based Health Centers.
机构信息
Cambridge Health Alliance, Harvard Medical School, Cambridge, MA 02139, USA.
出版信息
Int J Environ Res Public Health. 2023 Mar 5;20(5):4588. doi: 10.3390/ijerph20054588.
BACKGROUND
The pandemic was followed by a severe mental health crisis in youth with both an increase in the prevalence of mental health problems and a decrease in requests for and access to care.
METHODS
data were extracted from the school-based health center records in three large public high schools that include under-resourced and immigrant communities. Data from 2018/2019 (pre-pandemic), 2020 during the pandemic, and then in 2021 after the return to in-person school were compared regarding the impact of in-person, telehealth, and hybrid care.
RESULTS
Despite the increase in mental health needs globally, there was a dramatic decrease in referrals, evaluations, and the total number of students seen for behavioral health care. The time course of this decrease in care was specifically associated with the transition to telehealth, although treatment did not return to pre-pandemic levels, even after in-person care became available.
CONCLUSIONS
Despite ease of access and increased need, these data suggest that telehealth has unique limitations when delivered in school-based health centers.
背景
疫情之后，青少年群体中出现了严重的心理健康危机，心理健康问题的患病率上升，寻求和获得治疗的机会减少。
方法
从三所大型公立高中的学校健康中心记录中提取数据，这些学校包括资源不足和移民社区。比较了 2018/2019 年（大流行前）、2020 年大流行期间以及 2021 年恢复面对面授课后的情况，比较了面对面、远程医疗和混合医疗的影响。
结果
尽管全球心理健康需求增加，但转介、评估和接受行为保健的学生总数大幅下降。这种护理减少的时间过程与向远程医疗的转变特别相关，尽管即使在提供面对面护理后，治疗也没有恢复到大流行前的水平。
结论
尽管远程医疗易于获取且需求增加，但这些数据表明，远程医疗在学校健康中心提供时具有独特的局限性。
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