School-Based Health Centers as Medical Homes: Parents' and Adolescents' Perspectives

Academic Pediatrics
Karen AlbrightAllison Kempe

Abstract

Preventive 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. Middle 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. Four 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...Continue Reading

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Citations

Oct 22, 2016·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Francisco Soto Mas, Andrew L Sussman
Mar 1, 2019·Global Pediatric Health·Michael ArensonBetty Lai
Jan 22, 2020·Health Promotion Practice·Heather McCannKristina Wilson
Sep 19, 2019·The Journal of School Health·Angela A BeemAnne A Norwood
Jul 6, 2021·Current Psychology·Andrea Salvador ZaragozáMarian Pérez-Marín
Jun 30, 2021·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Jennifer A GruberIgnacio D Acevedo-Polakovich
Sep 9, 2021·The Journal of School Health·Marie A HabiyaremyeJennifer Crotty
Nov 14, 2021·The Journal of School Health·Andrea S NahumMegan E Collins

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