Reduced emergency department utilization associated with school-based clinic enrollment

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Janice D KeyThomas C Hulsey

Abstract

To evaluate the change in emergency department utilization before and after enrollment in a school-based clinic (SBC). This study was a retrospective cohort study comparing emergency department visit rate before and after SBC enrollment based on chart review. An initial cohort of 10- to 15-year-olds who used a local emergency department was divided into two samples: those who had been enrolled in the SBC and those who had not. Emergency department charts were reviewed for visits that occurred during the initial year and two subsequent school years. The change in visit rate for each sample group was measured for each school year evaluated. The initial cohort consisted of 2852 youth, 344 of whom who lived in the high school attendance zone. Of these, the number of students enrolled in both the high school and the SBC was 43; the number enrolled in the high school but not in the clinic was 48. The emergency department visit rate decreased for both groups for each school year evaluated; however, this decrease was significant only for the SBC sample with a 41% to 57% decrease in emergency department utilization, 18% greater than the decrease in students who did not use the SBC. Accessible, prevention-oriented health care provided in...Continue Reading

Citations

Aug 28, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Simon DennyElizabeth Robinson
Feb 12, 2014·Pediatric Annals·Stephen W NorthAmanda Martin
May 13, 2009·The Journal of School Health·Brian MavisCarole Keefe
Feb 12, 2009·The Journal of School Health·Charles D LarsenMurray Rosenthal
Jun 21, 2016·American Journal of Preventive Medicine·John A KnopfUNKNOWN Community Preventive Services Task Force
Oct 10, 2018·The Journal of School Health·Abbey GreggJungyoon Kim
Jun 23, 2020·The Journal of School Health·Madeline N Dunfee
Aug 29, 2009·Public Health Reports·John J SchlittNancy Haby Eichner
Jun 30, 2021·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Jennifer A GruberIgnacio D Acevedo-Polakovich
Feb 1, 2012·Pediatrics·UNKNOWN COUNCIL ON SCHOOL HEALTH

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