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交叉维度:健康政策中学校氛围与伤害预防的高级分析方法

Intersecting dimensions: advanced analytical approach to school climate and injury prevention in health policy.

作者信息

Khalemsky Anna, Jaffe Eli, Khalemsky Michael

机构信息

Management Department, Hadassah Academic College, Jerusalem, Israel.

MDA: Magen David Adom, Jerusalem, Israel.

出版信息

Isr J Health Policy Res. 2024 Dec 9;13(1):72. doi: 10.1186/s13584-024-00659-z.

Abstract

BACKGROUND

Child safety in schools is paramount for decision-makers globally, with a focus on ensuring children return home safely. However, the prevalent issue of injuries across educational systems demands a comprehensive investigation into their causes, incorporating interdisciplinary perspectives and social dynamics, to develop effective prevention strategies. The objective of this study is to comprehensively analyze the factors contributing to school-related injuries and examine the impact of school climate on student safety. By employing advanced data analysis techniques, the research aims to develop targeted, effective strategies to enhance child safety in educational settings. This research aims to develop a multidimensional taxonomy to understand child injuries in elementary schools better, enhancing precision in decision-making.

METHODS

Data from 363 Israeli primary schools and 10,855 school injuries attended to by MDA, the principal EMS provider, were analyzed. The study utilized a two-level taxonomy, employing clustering methodology to classify schools into distinct climate "patterns," with each pattern further delineating school injury characteristics into sub-patterns. The chosen method proved effective in revealing nuanced relationships between school injuries and climate characteristics.

RESULTS

Analysis revealed five school climate clusters, ranging from "good" to "bad," each exhibiting two homogeneous sub-clusters of school injuries. Schools with a "positive" climate witnessed boys predominantly experiencing head injuries during breaks, while girls often sustained limb injuries from playing in corridors. Conversely, within the "negative" climate cluster, subgroups emerged based on injury nature, whether linked to playing or falling from a height.

CONCLUSION

The research delineates a nuanced association between school climate and injury rates, emphasizing the necessity for sophisticated analytical techniques beyond conventional methodologies. Utilizing a diverse dataset from various disciplines, the study highlights the multidimensional aspects of school health. The developed taxonomy reveals the complex dynamics within school environments, advocating for customized health policies to mitigate injuries. Critical findings prompt a reevaluation of established assumptions about the school climate-injury relationship, informing strategic policymaking. For example, it suggests collaboration to enhance school safety through targeted, gender-sensitive interventions and improvements. Integrating different data sources offers a holistic understanding crucial for effective health policy formulation in educational contexts.

摘要

背景

全球范围内对决策者来说,学校中的儿童安全至关重要,重点在于确保孩子们安全回家。然而,教育系统中普遍存在的伤害问题需要对其成因进行全面调查,纳入跨学科视角和社会动态,以制定有效的预防策略。本研究的目的是全面分析导致与学校相关伤害的因素,并考察学校氛围对学生安全的影响。通过运用先进的数据分析技术,该研究旨在制定有针对性的、有效的策略,以提高教育环境中的儿童安全。本研究旨在开发一个多维分类法,以更好地理解小学中的儿童伤害情况,提高决策的精准度。

方法

分析了来自363所以色列小学的数据以及主要急救医疗服务提供商MDA处理的10855起学校伤害事件。该研究采用了两级分类法,运用聚类方法将学校分类为不同的氛围“模式”,每种模式进一步将学校伤害特征细分为子模式。所选方法在揭示学校伤害与氛围特征之间的细微关系方面被证明是有效的。

结果

分析揭示了五个学校氛围类别,从“好”到“坏”,每个类别都呈现出两个关于学校伤害的同质子类别。氛围“积极”的学校中,男孩主要在课间休息时头部受伤,而女孩常在走廊玩耍时四肢受伤。相反,在“消极”氛围类别中,根据伤害性质出现了不同的子群体,无论伤害是与玩耍还是从高处坠落有关。

结论

该研究描绘了学校氛围与伤害率之间的细微关联,强调了超越传统方法采用复杂分析技术的必要性。利用来自不同学科的多样化数据集,该研究突出了学校健康问题的多维度性。所开发的分类法揭示了学校环境中的复杂动态,倡导制定定制化的健康政策以减轻伤害。关键研究结果促使重新评估关于学校氛围与伤害关系的既定假设,为战略决策提供信息。例如,这表明需要通过有针对性的、对性别敏感的干预措施和改进措施来加强学校安全方面的合作。整合不同数据源对于在教育背景下制定有效的健康政策提供全面理解至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/11626754/cbd1477dec80/13584_2024_659_Fig1_HTML.jpg

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