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Research Article| Volume 20, ISSUE 1, P43-50, March 2013

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Barriers to providing school-based health care: International case comparisons

      Summary

      Background

      This article reports on an international collaborative study which compared school-based health care in the United States of America, Canada and Australia.

      Method

      Tri-nation school-based health care was compared and contrasted through the utilisation of a series of interpretive case studies. Grounded theory approaches informed the data analysis and reporting processes.

      Findings

      Unlike the US, Canadian and Australian school students rarely have access to school-based health care on site. All three nations face structural, cultural and societal barriers, often related to limited resources which limit the effectiveness of school-based health care.

      Discussion

      The benefits of school-based health care and providing comprehensive services through schools can include healthier children, better learning, healthier parents, and healthier communities. Unfortunately, based on our research, comprehensive school health services have not been adequately implemented in the US, Canada or Australia.

      Implications for practice

      Given the findings of this study, increased comprehensive school-based health services are urgently needed in the US, Canada and Australia.

      Keywords

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      References

      1. Affordable Health Care Act. (2010). 111th United States Congress. Retrieved from: http://www.whitehouse.gov/healthreform/healthcare-overview#healthcare-menu

        • Cameron R.
        • Manske S.
        • Brown K.
        • Jolin M.
        • Murnaghan D.
        • Lovato C.
        Integrating public health policy, practice, evaluation, surveillance, and research: The school health action planning and evaluation system.
        American Journal of Public Health. 2007; 97: 648-654
        • Couzos S.
        • Murray R.
        Aboriginal primary health care: An evidence-based approach.
        Oxford University Press, New York2008
        • Dryfoos J.
        • Maguire S.
        Inside full service community schools.
        Corwin Press, Corwin Thousand Oaks, California2002
        • Feld M.
        Lillian Wald: A biography.
        University of North Carolina Press, Chapel Hill2008
        • Gall G.
        • Pagano M.
        • Desmond M.
        • Perrin J.
        • Murphy J.
        Utility of psychosocial screening at a SBHC.
        Journal of School Health. 2000; 70: 292-298
        • Griffin P.
        • Edgecombe G.
        School entrant health questionnaire: Longitudinal analysis 1998 to 2004: Report to the Department of Human Services.
        Department of Education and Early Childhood Development, Victoria, Melbourne2006
        • Guba E.
        • Lincoln Y.
        Fourth generation evaluation.
        Sage, Newbury Park1989
        • Guo J.
        • Jang R.
        • Keller K.
        • McCracken A.
        • Pan W.
        • Cluxton J.
        Impact of school-based health centers on children with asthma.
        Journal of Adolescent Health. 2005; 37: 266-274
        • Gustafson E.
        History and overview of school-based health centers in the U.S..
        Nursing Clinics in North America. 2005; 40: 595-606
      2. Hall, L. (2001). Final Report — Youth and Family Centers Program 2000–2001 (REIS01-172-2). Dallas Independent Schools District.

        • Kolbe L.
        A framework for school health programs in the 21st Century.
        Journal of School Health. 2005; 75: 226-228
        • Kruger B.
        • Toker K.
        • Radjenovic D.
        • Comeaux M.
        • Macha K.
        School nursing for children with special needs: Does number of schools make a difference?.
        Journal of School Health. 2009; 79: 337-346
      3. Lamontagne, P. (2009, April 13). Editorial: Make room for nurse practitioners. Montreal Gazette.

        • Lear J.
        Health at school: A hidden health care system emerges from the shadows.
        Health Affairs. 2007; 26: 409-419
      4. MacDougall, C. (2008). Healthy schools: Overview and opportunities. Paper presented at North Bay Community Conference, March 2008. North Bay, Ontario.

        • Moses K.
        • Keneally J.
        • Bibby H.
        • Chiang F.
        • Robards F.
        • Bennett D.
        Beyond bandaids: Understanding the role of school nurses in NSW.
        in: School Nurses Association of NSW Annual Conference. 2008, January
        • Nabors L.
        • Troillett A.
        • Nash T.
        • Masiulis B.
        School nurse perceptions of barriers and supports for children with diabetes.
        Journal of School Health. 2005; 75: 119-124
      5. National Assembly on School-Based Health Care (NASBHC). (2009a). 2007–2008 Census. Retrieved from: http://www.nasbhc.org/site/c.jsJPKWPFJrH/b.4664127/k.21AA/census_20072008.htm

      6. National Assembly on School-Based Health Care. (2009b). NASBHC mobilization update to State Chapters, October 19th, 2009. Washington, D.C.

      7. National Association of School Nurses (NASN). (2009). National Association of School Nurses position statement: Caseload assignments. Retrieved from: http://www.nasn.org/Default.aspx?tabid=209

      8. National Public Health Partnership. (2005). Healthy children-strengthening promotion and prevention across Australia. National public health strategic framework for children 2005–2008. National Public Health Partnership. Melbourne: NPHP.

        • Patton M.
        Qualitative research and evaluation methods.
        Sage, Thousand Oaks, California2002
        • Pheterson M.
        School-based health centers help keep students healthy and in school.
        New York Nurses Network. 2008; : 15-17
        • Ricketts S.
        • Guernsey B.
        School-based health centers and the decline in black teen fertility during the 1990s in Denver, Colorado.
        American Journal of Public Health. 2006; 96: 1588-1592
        • Scudder L.
        • Papa P.
        • Bray L.
        School-based health centers: A model for improving the health of the nation's children.
        The Journal for Nurse Practitioners. 2007; 3: 713-720
        • Sidebottom A.
        • Birnbaum A.
        • Nafstad S.S.
        Decreasing barriers for teens: Evaluation of a new teenage pregnancy prevention strategy in school-based clinics.
        American Journal of Public Health. 2003; 93: 1890-1892
      9. Siegel, E., & Bachmann, M. (2009). “Sex clinics” in schools will result from health care reform. The Huffington Post. Retrieved from: http://www.huffingtonpost.com/2009/10/01/bachmann-sex-clinics-will_n_306292.html

        • Straus A.
        • Corbin J.
        Basics of qualitative research: Grounded theory procedures and techniques.
        Sage, Newbury Park1990
        • Summers L.
        • Williams J.
        • Borges W.
        • Ortiz M.
        • Schaefer S.
        • Liehr P.
        School-based health center viability: Application of the COPC model.
        Issues in Comprehensive Pediatric Nursing. 2003; 26: 231-251
        • Veugelers P.
        • Fitzgerald A.
        Effectiveness of school programs in preventing childhood obesity: A multilevel comparison.
        American Journal of Public Health. 2005; 95: 432-435
        • Webber M.P.
        • Carpiniello K.E.
        • Oruwariye T.
        • Lo Y.
        • Burton W.B.
        • Appel D.K.
        Burden of asthma in elementary school children: Do SBHCs make a difference?.
        Archives of Pediatric Adolescent Medicine. 2003; 157: 125-129
        • Winnail S.
        • Bartee T.
        • Kaste S.
        Existence of the school health coordinator in a frontier state.
        Journal of School Health. 2005; 75: 329-332
        • Wood Johnson R.
        Unlocking the potential of school nursing: Keeping children healthy, in school, and ready to learn.
        Charting Nursing's Future. 2010, July; : 1-8