- Intro: Meconium Aspiration Syndrome (MAS)12:21Paper Chase #1 | Trigeminal nerve stim for ADHD9:02The Gifted Child19:14Paper Chase #2 | Risk Stratification of Febrile Young Infants7:08Access, Equity, and School-Based Health CentersFree Chapter24:50Paper Chase #3 | Abx prescribing in telemedicine8:33The Electronic Medical Record (EMR): The Good, the Bad & the Ugly23:12Antinuclear Antibodies (ANA) Testing15:47Paper Chase #4 | Montelukast and Psych Events6:09Rare Diseases25:26MOCA Time: Supraventricular Tachycardia30:07Paper Chase #5 | Psychosis and ADHD Meds7:56Mailbag6:58
Access, Equity, and School-Based Health Centers
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Andi and Jess talk about the importance of social determinants for children’s health outcomes, particularly where the child lives as an important factor for their health. Jess also talks us through school-based health centers as a model to address equity and the role pediatricians can play in advocating for children’s health.
Along with providing evidence-based clinical care, it is also important to acknowledge and address issues surrounding where kids and families live, learn, sleep, eat, and play.
The saying “a person’s ZIP code is more important than their genetic code” helps underscore how highly relevant social determinants are to an individual’s well-being.
There are several different models of school-based health. Some have clinics on campus with the family signing waivers and the child able to go to the clinic on their own. Some clinics are co-located school clinics with parents having to bring their child for visits as if it were like any community-based clinic. Another model is the a mobile van clinic.
A 2016 systematic review by The Community Preventive Services Task Force found that the presence and the use of school-based health centers was associated with improved educational outcomes (e.g. higher grade point averages, lower suspension rates) and improved health related outcomes (e.g. higher vaccination rates, decreased asthma morbidity and decreased emergency department use).
The review concludes that because school-based health clinics improve educational and health-related outcomes in disadvantaged students, they can be effective in advancing health equity.
Knopf JA et al. PSchool-Based Health Centers to Advance Health Equity: A Community Guide Systematic Review.. Am J Prev Med. 2016 Jul;51(1):114-26. PMID: 27320215
Asking about missed school days can help provide a better sense of how much a disease is affecting school life.
- As Dr. Schumer shares, Pediatricians can get involved and advocate for their patients in a number of different ways such as writing an op-ed, joining a local chapter of the American Academy of Pediatrics, going to a neighborhood association meeting or getting involved in the local government. The School-Based Health Alliance is another great resource to find ways to participate.