کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4139181 1272197 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
School-Based Health Centers as Medical Homes: Parents' and Adolescents' Perspectives
ترجمه فارسی عنوان
مراکز بهداشتی در مدارس به عنوان خانه های پزشکی: دیدگاه والدین و نوجوانان
کلمات کلیدی
خانه های پزشکی بیمارستان محور ؛ تحقیق کیفی؛ مراکز بهداشتی مستقر در مدرسه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectivePreventive health services are underutilized by US adolescents, especially those from low-income populations. School-based health centers (SBHCs) have been endorsed as primary medical homes for adolescents. This study was undertaken to determine how adolescent SBHC users and their parents perceive SBHCs, particularly whether SBHCs fulfill each of the elements of a medical home as defined by the American Academy of Pediatrics.MethodsMiddle and high school adolescents who had been enrolled in a SBHC in a major metropolitan school district for a minimum of 1 year were interviewed about their perceptions of and experiences with SBHCs. English- and Spanish-speaking parents of SBHC-enrolled adolescents also participated in focus groups on this topic.ResultsFour focus groups with parents (n = 30) and 62 interviews with adolescents were completed. Both adolescents and parents indicated satisfaction with the quality and utilization of SBHC services, reporting that SBHCs were highly accessible and family centered. Many students preferred to access care at their SBHC instead of their primary care practice because of the convenience, perceived trustworthiness, compassion, and high quality of care at the SBHC. A few parents reported unmet medical needs from their adolescent's SBHC, and some differences emerged between English- and Spanish-speaking parents.ConclusionsAdolescents' and parents' perceptions of care received at these SBHCs are consistent with features of the medical home model. These findings suggest that SBHCs can provide coordinated, compassionate care to students in a large, urban school system and may be perceived as more accessible than traditional primary care settings.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 16, Issue 4, May–June 2016, Pages 381–386
نویسندگان
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