Differences in Access to Care Among Students Using School-Based Health Centers

Sarika Rane Parasuraman, Leiyu Shi

Research output: Contribution to journalArticle

Abstract

Health care reform has changed the landscape for the nation’s health safety net, and school-based health centers (SBHCs) remain an important part of this system. However, few large-scale studies have been conducted to assess their impact on access to care. This study investigated differences in access among a nationally representative sample of adolescent SBHC users. An analysis using multivariate logistic regression examined the association between student characteristics and access to care. We found no differences based on race/ethnicity or insurance status among adolescent SBHC users; however, we did observe significant differences with regard to unmet health needs. School nurses serve as invaluable frontline staff who can facilitate equitable access to care, provide high-quality primary care, coordinate care for students with community health services, and advocate for policy and funding support of SBHCs as a critical part of the safety net for underserved adolescents.

Original languageEnglish (US)
Pages (from-to)291-299
Number of pages9
JournalJournal of School Nursing
Volume31
Issue number4
DOIs
StatePublished - Aug 21 2015

Keywords

  • access to care
  • adolescent health
  • disparities
  • logistic regression
  • school health

ASJC Scopus subject areas

  • Nursing (miscellaneous)

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