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Comparing frequent and average users of elementary school-based health centers in the Bronx, New York City.

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Title: Comparing frequent and average users of elementary school-based health centers in the Bronx, New York City.
Authors: Baquiran RS (AUTHOR), Webber MP (AUTHOR), Appel DK (AUTHOR)
Source: Journal of School Health. Apr2002, Vol. 72 Issue 4, p133-137. 5p.
Subjects: School health services, Medical care
Geographic Terms: New York (State), New York (N.Y.), United States
Abstract: This study analyzed health care utilization at three school-based health centers (SBHCs) in the Bronx, New York City, and compared characteristics of 'frequent' and 'average' service users. Encounter form data for visits by 2,795 students who received services at least once between September 7, 1998, and June 30, 1999, were reviewed. Demographic comparisons between clinic users and the total school population, and between 'frequent' (five or more visits/year) and 'average' (one to four visits/year) users were made. The two groups also were compared after primary diagnoses were classified into five general categories. Some 96% (3,469/3,614) of students were registered in the SBHCs, of whom 81% (2,795/3,469) used clinic services at least once during the school year. Clinic users did not differ from the general school population by gender, but were younger (p < 0.01). 'Frequent' users were more likely than 'average' users to be older (p < 0.01), but they did not differ by gender, race/ethnicity, or insurance status. 'Frequent' users comprised 28% of the clinic-using population, but accounted for 72.5% of all visits. Similarly, 'average' users comprised 72.4% of the clinic-using population, but accounted for 27.5% of all visits. 'Frequent' users generated most visits for mental health and chronic medical conditions, while 'average' users generated most visits for preventive care, acute medical care, and injuries/emergencies (p < 0.01 for all). Important challenges for elementary SBHCs include developing new approaches that meet children's needs while protecting clinic resources, like scheduling group interventions for those with on-going health care needs who require frequent use of school health services. [ABSTRACT FROM AUTHOR]
Copyright of Journal of School Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comparing frequent and average users of elementary school-based health centers in the Bronx, New York City.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+School+Health%22&quot;&gt;Journal of School Health&lt;/searchLink&gt;. Apr2002, Vol. 72 Issue 4, p133-137. 5p.
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  Data: This study analyzed health care utilization at three school-based health centers (SBHCs) in the Bronx, New York City, and compared characteristics of &#39;frequent&#39; and &#39;average&#39; service users. Encounter form data for visits by 2,795 students who received services at least once between September 7, 1998, and June 30, 1999, were reviewed. Demographic comparisons between clinic users and the total school population, and between &#39;frequent&#39; (five or more visits/year) and &#39;average&#39; (one to four visits/year) users were made. The two groups also were compared after primary diagnoses were classified into five general categories. Some 96% (3,469/3,614) of students were registered in the SBHCs, of whom 81% (2,795/3,469) used clinic services at least once during the school year. Clinic users did not differ from the general school population by gender, but were younger (p &lt; 0.01). &#39;Frequent&#39; users were more likely than &#39;average&#39; users to be older (p &lt; 0.01), but they did not differ by gender, race/ethnicity, or insurance status. &#39;Frequent&#39; users comprised 28% of the clinic-using population, but accounted for 72.5% of all visits. Similarly, &#39;average&#39; users comprised 72.4% of the clinic-using population, but accounted for 27.5% of all visits. &#39;Frequent&#39; users generated most visits for mental health and chronic medical conditions, while &#39;average&#39; users generated most visits for preventive care, acute medical care, and injuries/emergencies (p &lt; 0.01 for all). Important challenges for elementary SBHCs include developing new approaches that meet children&#39;s needs while protecting clinic resources, like scheduling group interventions for those with on-going health care needs who require frequent use of school health services. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of School Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106978393
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        Value: 10.1111/j.1746-1561.2002.tb06532.x
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        Text: English
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      – SubjectFull: School health services
        Type: general
      – SubjectFull: Medical care
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      – SubjectFull: New York (State)
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      – SubjectFull: New York (N.Y.)
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      – SubjectFull: United States
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      – TitleFull: Comparing frequent and average users of elementary school-based health centers in the Bronx, New York City.
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            NameFull: Baquiran RS
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            NameFull: Webber MP
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              Text: Apr2002
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              Y: 2002
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