2.50
Hdl Handle:
http://hdl.handle.net/10755/158295
Type:
Presentation
Title:
Evaluation of a Preschool-Based Health Center
Abstract:
Evaluation of a Preschool-Based Health Center
Conference Sponsor:Western Institute of Nursing
Conference Year:2003
Author:Gance-Cleveland, Bonnie
P.I. Institution Name:University of Colorado Health Science Center
Contact Address:School of Nursing, 4200 East Ninth Avenue, Box C288, Denver, CO, 80262, USA
Contact Telephone:303.315.4637
Co-Authors:Yousey, Y.
Problem: School-based health centers (SBHCs) have been proposed as an effective delivery system for improving access to care for vulnerable children but the evaluation of their effectiveness is not well documented. Of the 53 SBHCs in Colorado, only a few exist in pre-schools and efforts to measure their effectiveness are limited. The purpose of this study is to assess the feasibility of using the school health survey in conjunction with selected HEDIS measures to evaluate the impact of a Pre-school Based Health Center. The study attempts to identify the impact of an SBHC on pre-school children's physical and mental health. Theoretical Framework: Poverty has been linked with increased health risks and decreased access to care. Flaskerud reported lack of access to healthcare leads to increased morbidity and premature mortality (1998). The United Census Bureau reported in 1997 that 7% of the children in the United States had no usual source of health care. Furthermore, 13% of children had no health care visits, 21.6% had incomplete immunizations, and 25% did not have a dental visit. SBHCs increase access to health care for children in poverty, improving the health disparities for this at risk group. Sample: Families of pre-school children with access to an SBHC were compared to families without access to an SBHC. The sample was comprised of 261 families with a preschool aged child, 129 with access to a SBHC and 132 without access to a SBHC. Average age of child was 4.3 years, 52% male and 48% female. Methods: The School Health Survey developed by Brindis, Kaplan, and Phibbs (1998) was revised to focus specifically on the preschool population. The instrument was pilot tested to establish reliability and validity. After revision, the survey was sent home with preschool children with information about parent teacher conferences. Parents were offered a $20 grocery certificate for completing the survey and returning it at the time of the conference. Findings: There were no significant differences between the groups in physical or mental health problems or use of health services. There were significant differences between the groups on satisfaction with care specifically related to convenience of school-based health center with no problems with transportation, child not missing school and parent not missing work. Conclusions: Outcome data were shared with funders of the health center. Data indicate the Pre-school-Based Health Centers provide access to care for vulnerable youth and decrease the barriers of transportation, missing school and missing work.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of a Preschool-Based Health Centeren_GB
dc.identifier.urihttp://hdl.handle.net/10755/158295-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of a Preschool-Based Health Center </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gance-Cleveland, Bonnie</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Colorado Health Science Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 4200 East Ninth Avenue, Box C288, Denver, CO, 80262, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">303.315.4637</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bonnie.gance-cleveland@uchsc.e</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yousey, Y. </td></tr><tr><td colspan="2" class="item-abstract">Problem: School-based health centers (SBHCs) have been proposed as an effective delivery system for improving access to care for vulnerable children but the evaluation of their effectiveness is not well documented. Of the 53 SBHCs in Colorado, only a few exist in pre-schools and efforts to measure their effectiveness are limited. The purpose of this study is to assess the feasibility of using the school health survey in conjunction with selected HEDIS measures to evaluate the impact of a Pre-school Based Health Center. The study attempts to identify the impact of an SBHC on pre-school children's physical and mental health. Theoretical Framework: Poverty has been linked with increased health risks and decreased access to care. Flaskerud reported lack of access to healthcare leads to increased morbidity and premature mortality (1998). The United Census Bureau reported in 1997 that 7% of the children in the United States had no usual source of health care. Furthermore, 13% of children had no health care visits, 21.6% had incomplete immunizations, and 25% did not have a dental visit. SBHCs increase access to health care for children in poverty, improving the health disparities for this at risk group. Sample: Families of pre-school children with access to an SBHC were compared to families without access to an SBHC. The sample was comprised of 261 families with a preschool aged child, 129 with access to a SBHC and 132 without access to a SBHC. Average age of child was 4.3 years, 52% male and 48% female. Methods: The School Health Survey developed by Brindis, Kaplan, and Phibbs (1998) was revised to focus specifically on the preschool population. The instrument was pilot tested to establish reliability and validity. After revision, the survey was sent home with preschool children with information about parent teacher conferences. Parents were offered a $20 grocery certificate for completing the survey and returning it at the time of the conference. Findings: There were no significant differences between the groups in physical or mental health problems or use of health services. There were significant differences between the groups on satisfaction with care specifically related to convenience of school-based health center with no problems with transportation, child not missing school and parent not missing work. Conclusions: Outcome data were shared with funders of the health center. Data indicate the Pre-school-Based Health Centers provide access to care for vulnerable youth and decrease the barriers of transportation, missing school and missing work. </td></tr></table>en_GB
dc.date.available2011-10-26T20:42:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:42:12Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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