SynthesisAmerican journal of preventive medicine2016
Economic Evaluation of School-Based Health Centers: A Community Guide Systematic Review.
Synthesis in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Enablers and barriers to primary health care access for Indigenous adolescents: a systematic review and meta-aggregation of studies across Australia, Canada, New Zealand, and USA.BMC health services research · 2024Pooled it
- School-Based Health Centers to Advance Health Equity: A Community Guide Systematic Review.American journal of preventive medicine · 2016Pooled it
- Using community health workers to deliver a scalable integrated parenting program in rural China: A cluster-randomized controlled trial.Social science & medicine (1982) · 2019Trial
- The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011-2023.The Journal of school health · 2026Article
- School and Healthcare Collaboration in Implementing and Sustaining School-Based Health Centers in Rural Communities.The Journal of school health · 2026Article
- Public health interventions aimed at children aged 5-19 years funded by local authorities in England: a scoping review of economic analyses.BMC public health · 2025Article
- Micropolitics in School-Based Health Centers' Provision of Sexual Health Services.Sociological forum (Randolph, N.J.) · 2025Article
- Evaluation of a Pilot Program to Increase Mental Health Care Access for Youth-The Interprofessional Child-Centered Integrated Care (ICX2) Model.Children (Basel, Switzerland) · 2025Article
- Bridging the divide: the growing role of school-based integrated care in regional Australia.BMJ paediatrics open · 2025Article
- School-based health centers and mental health stigma before and during the pandemic.SSM. Qualitative research in health · 2024Article
- School-based health care: improving academic outcomes for inner-city children-a prospective cohort quasi-experimental study.Pediatric research · 2023Article
- Vital Signs for Pediatric Health: High School Graduation.NAM perspectives · 2023Review
- Associating school doctor interventions with the benefit of the health check: an observational study.BMJ paediatrics open · 2022Observational
- Effect of Elementary School-Based Health Centers in Georgia on the Use of Preventive Services.American journal of preventive medicine · 2020Article
- School health in Europe: a review of workforce expenditure across five countries.BMC health services research · 2020Review
- Barriers and Facilitators to School-Based Health Centers: pilot Data From 3 Sites in Georgia.The Journal of school health · 2020Article
- The Evidence on School-Based Health Centers: A Review.Global pediatric health · 2019Review
- The Use of Telehealth in School-Based Health Centers.Global pediatric health · 2019Article
- Philanthropy and Beyond: Creating Shared Value to Promote Well-Being for Individuals in Their Communities.The Permanente journal · 2017Article
- Ngaramadhi Space: An Integrated, Multisector Model of Care for Students Experiencing Problematic Externalising Behaviour.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
contextA recent Community Guide systematic review of effectiveness of school-based health centers (SBHCs) showed that SBHCs improved educational and health outcomes. This review evaluates the economic cost and benefit of SBHCs. EVIDENCE ACQUISITION: Using economic systematic review methods developed for The Community Guide, 6,958 papers were identified for the search period January 1985 to September 2014. After two rounds of screening, 21 studies were included in this review: 15 studies reported on cost and nine on benefit; three studies had both cost and benefit information. All expenditures in this review were presented in 2013 U.S. dollars. EVIDENCE SYNTHESIS: Analyses were conducted in 2014. Intervention cost had two main components: start-up cost and operating cost. All but two of the cost studies reported operating cost only (ranging from $16,322 to $659,684 per SBHC annually). Benefits included healthcare cost averted and productivity and other loss averted. From the societal perspective, total annual benefit per SBHC ranged from $15,028 to $912,878. From healthcare payers' perspective, particularly Medicaid, SBHCs led to net savings ranging from $30 to $969 per visit. From patients' perspective, savings were also positive. Additionally, two benefit studies used regression analysis to show that Medicaid cost and hospitalization cost decreased with SBHCs. Finally, results from seven estimates in two cost-benefit studies showed that societal benefit per SBHC exceeded intervention cost, with the benefit-cost ratio ranging from 1.38:1 to 3.05:1.
conclusionsThe economic benefit of SBHCs exceeds the intervention operating cost. Further, SBHCs result in net savings to Medicaid.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.