2014
DOI: 10.1542/peds.2014-0296
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School-Based Health Centers as Patient-Centered Medical Homes

Abstract: OBJECTIVE: School-based health centers (SBHCs) have been suggested as possible patient-centered medical homes. Our objectives were to determine, in a low-income, urban population, adolescents’ reasons for visiting SBHCs and the value parents place on SBHC services, and adolescents’ and parents’ assessment of how well SBHCs fulfill criteria for a medical home as defined by the American Academy of Pediatrics. METHODS: A cross-s… Show more

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Cited by 29 publications
(54 citation statements)
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“…34 For this portion of the study, English- and Spanish-speaking parents or guardians of adolescent girls who had not initiated or not completed the HPV vaccination series were recruited for participation in focus groups or interviews from July 2012 to January 2013. Eligible participants were parents of adolescent girls aged 12 to 15 years who had received well child care within the previous 2 years at 1 of 2 large safety net health care systems in the Denver, Colorado metropolitan area, had received childhood vaccinations, but had either not initiated or not completed the 3-dose HPV vaccination series.…”
Section: Methodsmentioning
confidence: 99%
“…34 For this portion of the study, English- and Spanish-speaking parents or guardians of adolescent girls who had not initiated or not completed the HPV vaccination series were recruited for participation in focus groups or interviews from July 2012 to January 2013. Eligible participants were parents of adolescent girls aged 12 to 15 years who had received well child care within the previous 2 years at 1 of 2 large safety net health care systems in the Denver, Colorado metropolitan area, had received childhood vaccinations, but had either not initiated or not completed the 3-dose HPV vaccination series.…”
Section: Methodsmentioning
confidence: 99%
“…SBHCs are frequently the main source of care for a large percentage of their adolescent patients, especially when the adolescent is uninsured . Most SBHCs are also based in schools with adolescents.…”
Section: Discussionmentioning
confidence: 99%
“…Recognizing the importance of improving health care services for children as part of a larger strategy to improve our nation's health, the Affordable Care Act (ACA) designated $200 million toward supporting the improvement and expansion of services at SBHCs through the Health Resources and Services Administration (HRSA) SBHC Capital program and the number of SBHCs grew by 20% between 2010 and 2014 . SBHCs have been suggested as a possible setting for PCMH implementation, but may encounter challenges offering this model of continuous and comprehensive care because many SBHCs are only open when school is in session . SBHCs also rely heavily on grant funding and see many uninsured patients, so many not be able to afford the health information technology or staffing needed to be a PCMH.…”
mentioning
confidence: 99%
“…While the Expert Panel guidelines focus on clinic-based screening, school-based health services are a vital and expanding part of pediatric care in many areas, and school-based screening was included in the prior review. 4,15 We included studies with total cholesterol, LDL, HDL, or triglycerides as the initial screen and accepted both fasting and non-fasting screening. We did not pre-specify principal summary measures (e.g., risk ratio, difference in means), given the expected wide range of included studies.…”
Section: Search Strategymentioning
confidence: 99%
“…A C C E P T E D ACCEPTED MANUSCRIPT 15 Wald et al performed concurrent heel prick for blood cholesterol and immunization in children aged 1 to 2 years during routine vaccination appointments (N=200 children). 19 Of the 94% parents who agreed to cholesterol testing, 98% reported screening was acceptable.…”
Section: A N U S C R I P Tmentioning
confidence: 99%