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首页> 外文期刊>The Journal of school health >The role of school-based health centers in increasing universal and targeted delivery of primary and preventive care among adolescents
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The role of school-based health centers in increasing universal and targeted delivery of primary and preventive care among adolescents

机译：校内保健中心在增加青少年普及初级保健和预防保健方面的作用

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BACKGROUND: School-based health centers (SBHC) can provide equitable and comprehensive care for adolescents; yet, few studies have described how patterns of health service utilization differ among groups. The purpose of this study was to investigate differences in utilization and perceptions of SBHC care among adolescents. METHODS: This study sample included 414 adolescent respondents to the Healthy Schools, Healthy Communities User Survey. Three outcome measures represented utilization of care, while 4 represented perceptions of care. Multivariate logistic regressions modeled the effects of user characteristics on outcome measures. RESULTS: There were few notable and significant differences in either utilization or perceptions of care, based on sociodemographic or health status characteristics. CONCLUSIONS: SBHCs can eliminate differences in utilization based on sociodemographic characteristics. However, null findings show that they fall short in delivering comprehensive care to high-risk adolescents, and may not be capitalizing on opportunities to offer targeted services. Results showing positive perceptions of care suggest that adolescents would be amenable to additional counseling or education services offered at SBHCs. To foster positive health outcomes among adolescents, SBHC administrators should regularly evaluate their scope of services and support quality improvement efforts.
机译：背景：以学校为基础的保健中心（SBHC）可以为青少年提供公平，全面的保健;但是，很少有研究描述各组之间卫生服务利用的方式如何不同。这项研究的目的是调查青少年对SBHC护理的利用和看法的差异。方法：本研究样本包括414名健康学校，健康社区用户调查的青少年受访者。三项结果指标代表对护理的利用，而四项指标代表对护理的看法。多元逻辑回归建模用户特征对结果度量的影响。结果：基于社会人口统计学或健康状况特征，在利用或对护理的看法上几乎没有显着和显着的差异。结论：SBHCs可以消除基于社会人口统计学特征的利用差异。但是，没有发现的结果表明，他们在向高危青少年提供全面医疗服务方面是不足的，并且可能没有利用提供定向服务的机会。结果显示出对护理的积极认识，表明青少年将可以接受SBHC提供的额外咨询或教育服务。为了在青少年中促进积极的健康结果，SBHC管理者应定期评估其服务范围并支持质量改进工作。

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