Evidence map›Paper›PMID 35945893›Full record

ArticleThe Journal of school health2022

School-Based Health Center Utilization During COVID-19 Pandemic-Related School Closures.

Michelle Gallardo, Alex Zepeda, Christopher Biely, Nicholas Jackson, Maryjane Puffer, Patricia Anton, Rebecca Dudovitz

Open access · greenAbstract read
In one paragraph

Article in The Journal of school health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  5. School Attendance Following Receipt of Care From a School-Based Health Center.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Michelle GallardoDavid Geffen School of Medicine at UCLA, Los Angeles, CA.
Alex ZepedaThe L.A. Trust for Children's Health, Los Angeles, CA.
Christopher BielyDavid Geffen School of Medicine at UCLA, Los Angeles, CA; UCLA Department of Pediatrics, Los Angeles, CA.
Nicholas JacksonDavid Geffen School of Medicine at UCLA, Los Angeles, CA; UCLA General Internal Medicine, Los Angeles, CA.
Maryjane PufferThe L.A. Trust for Children's Health, Los Angeles, CA.
Patricia AntonAnton Consulting, Inc., Los Angeles, CA.
Rebecca DudovitzDavid Geffen School of Medicine at UCLA, Los Angeles, CA; UCLA Department of Pediatrics, Los Angeles, CA.ORCID 0000-0001-9457-0562
University of California, Los Angeles · USChildren's Trust · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known regarding utilization of school-based health centers (SBHCs) during prolonged school closures, such as those that occurred during the COVID-19 pandemic. We sought to compare SBHC utilization before and after pandemic-related school closures across a network of SBHCs affiliated with a large Southern Californian urban school district.

methodsWe conducted a secondary analysis of encounter data extracted from electronic health records from 12 SBHCs that remained open despite school closures, including patient demographics and diagnostic and billing codes. We used the Clinical Classifications Software Refined to group encounters for common primary care conditions. Utilization before and during pandemic-related school closures was compared using logistic regression with cluster-robust standard errors to account for clustering within clinics, after adjusting for month of encounter.

resultsDuring the pandemic, study SBHCs conducted 52,530 encounters and maintained ∼4040 encounters/month. The frequency of encounters for annual preventative health exams increased for school-aged patients but decreased for other age groups while the frequency of encounters for mental health problems increased for all age groups. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Despite pandemic-related school closures, SBHCs appeared play a critical role in providing primary care to vulnerable communities.

conclusionsSBHCs may hold value beyond their co-location with academic instruction.

Indexed as

COVID-19School NursingChildHumansPandemicsSchool Health ServicesSchoolsCOVID-19 pandemicmental healthprimary careschool-based health centersutilization

Identifiers

PMID35945893
PMCPMC9538881
OpenAlexW4292661075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.