Schall E
Department of Health Policy and Management, Robert F. Wagner Graduate School of Public Service, New York University, New York 10012-1118.
Am J Prev Med. 1994 May-Jun;10(3 Suppl):30-2.
Increasingly, health care reform efforts are focusing on interdisciplinary, comprehensive approaches to health care delivery. I argue that school health education is a vital part of improving the health of this nation's citizens and that effective school-based education must be comprehensive, continuous, and interdisciplinary and must offer information, motivation, and skills. The National Center for Health Education, the nation's leading private organization focusing solely on comprehensive health education, has developed Growing Healthy, a comprehensive school-based curriculum aimed at promoting healthy lifestyle choices for children in grades kindergarten through six, now in over 9,000 elementary schools in 42 states. Students participating in the Growing Healthy program showed greater benefits in their health knowledge, attitudes, and behaviors than participants in three targeted, one-shot (health education) programs. Further studies have shown that school-based health education programs that start early and continue through several grades provide significant and sustained effects on overall health knowledge, attitudes, and practices.
医疗保健改革举措越来越多地聚焦于采用跨学科的综合方法来提供医疗服务。我认为，学校健康教育是改善该国公民健康状况的重要组成部分，有效的校本教育必须是全面、持续且跨学科的，并且必须提供信息、激发动力并传授技能。国家健康教育中心是该国唯一专注于全面健康教育的主要私人组织，它开发了“健康成长”项目，这是一个基于学校的综合课程，旨在促进幼儿园至六年级儿童选择健康的生活方式，目前该课程在42个州的9000多所小学使用。参与“健康成长”项目的学生在健康知识、态度和行为方面比参与三个针对性的一次性（健康教育）项目的学生受益更大。进一步的研究表明，早期启动并贯穿多个年级的校本健康教育项目对整体健康知识、态度和实践产生显著且持续的影响。
