Evidence map›Paper›PMID 40890033›Full record

ArticleThe Journal of school health2026

School and Healthcare Collaboration in Implementing and Sustaining School-Based Health Centers in Rural Communities.

Xue Zhang, Mildred E Warner, Chen Wu

Abstract read
In one paragraph

Article in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. "Sacred ground for kids": Institutional perspectives on rural school-based health centers as patient-centered medical homes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
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

3 authors.

Xue ZhangThe Pennsylvania State University, University Park, Pennsylvania, USA.ORCID 0000-0002-5786-4235
Mildred E WarnerCornell University, Ithaca, New York, USA.ORCID 0000-0002-0109-338X
Chen WuCornell University, Ithaca, New York, USA.ORCID 0009-0003-3258-2869

Funding

School Based Health Centers - An approach to address health disparities among rural youth.R01MD018385 · NIMHD · CORNELL UNIVERSITY · PI Wendy Brunner, SHARON TENNYSON · 2023 to 2026
$2.5M
NIMHD NIH HHS R01 MD018385
6 · The paper itself

Abstract

backgroundThis study examines how school-based health centers (SBHCs) are implemented and sustained through schools and a healthcare system in a four-county rural region in New York State.

methodsTwelve semi-structured interviews were conducted with school superintendents and employees of the healthcare system, including SBHC medical providers (physician assistant, mental health therapist, nurse), SBHC manager, care coordinator, Chief of Pediatrics, and executive leader between January and April 2024. Interviews were thematically coded using collective impact and collective action frameworks.

resultsSBHCs are implemented and sustained through a strong collaborative culture, shared financial, physical, and human resources, and a common agenda for student well-being. Trust and open communication were essential in clarifying roles and overcoming institutional challenges. Key barriers included funding for startup costs, challenges in data sharing and confidentiality, and different institutional priorities. Regular communication, local governmental support, and community trust helped mitigate these challenges. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Policies should support schools and healthcare systems as equal partners, ensure sustainable funding, and provide clearer guidance on data sharing to advance health equity in rural areas.

conclusionsCollaborative partnerships, trust, and open communication between schools and healthcare systems are essential to support SBHCs in rural communities.

Indexed as

Cooperative BehaviorRural Health ServicesRural PopulationSchool Health ServicesSchoolsHumansInterviews as TopicNew YorkQualitative Researchcollective impactcommunicationconfidentialityrural healthschool‐based health centerstrust

Identifiers

PMID40890033
PMCPMC12669816

What OpenQuestion holds

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LicenceCC BY
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.