Public Health Rep. 1976 Nov-Dec;91(6):514-20.
A school health program, conducted by the Division of Community and Social Pediatrics of Harlem Hospital Center at two elementary schools in central Harlem, provides screening, followup, and health education services. The children attending these schools are largely dependent on public medical care, with low accessibility and lack of continuity of care. The effectiveness of the program's services were evaluated with respect to screening and referral outcomes. During the spring of 1974, the school health records were reviewed for the 221 children who had been in the program for 1 year in one of the schools. The evaluation results indicated that although major health conditions were not commonly disclosed by the screening component of the program, the examining physicians noted that 57% of the children had one or more health problems. Children with dental caries were the most frequently observed as well as the most frequently referred for care. Children with two-thirds of the medical problems who were referred for further care received medical attention. The program demonstrates the capability of relevant school-based health services in a low-income neighborhood to address the medical needs of elementary school children.
哈莱姆医院中心社区与社会儿科学部在哈莱姆市中心的两所小学开展了一项学校健康项目，提供筛查、后续跟进及健康教育服务。就读于这些学校的儿童主要依赖公共医疗服务，可及性较低且缺乏连续的医疗服务。该项目服务的有效性通过筛查和转诊结果进行评估。1974年春季，对其中一所学校参加该项目满1年的221名儿童的学校健康记录进行了审查。评估结果表明，尽管该项目的筛查部分并未普遍发现重大健康问题，但检查医生指出，57%的儿童有一个或多个健康问题。龋齿儿童是观察到的最常见的，也是转诊接受治疗最频繁的。三分之二有医疗问题并被转诊接受进一步治疗的儿童得到了医疗护理。该项目展示了低收入社区相关的学校健康服务满足小学生医疗需求的能力。
