Barriers and Strategies Used to Continue School-Based Health Services During the COVID-19 Pandemic.
Barriers and Strategies Used to Continue School-Based Health Services During the COVID-19 Pandemic.
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COVID-19 大流行期间用于继续提供基于学校的卫生服务的障碍和策略。
DOI：
10.1007/s10995-023-03824-z
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发表时间：
2024
影响因子：
2.3
通讯作者：
Steiner,ElizabethD
中科院分区：
文献类型：
--
作者：
Mitchell,JeanM;Kranz,AshleyM;Steiner,ElizabethD
目的研究在2021年秋季新冠肺炎疫情期间学校重新开放时，为继续提供校本卫生服务而感知的障碍和采取的策略。方法我们开发并随后对2021年5月在弗吉尼亚州1178所公立小学工作的学校护士进行了在线调查，以描述这些障碍和策略是否因地区而异。2019冠状病毒病大流行对提供校本医疗服务的影响。我们比较了感知的障碍，采取的战略和战略的有效性，以继续提供以学校为基础的卫生服务的地理位置（城市与农村;郊区与农村和城市与郊区）。在城市、郊区和农村地区的答复学校中，50%以上的学校表示，它们无法控制的外部障碍，包括资金不足和家庭无法送学生上学，可能是提供保健的障碍。被确定为“非常有效”的战略并不因地点而异。在所有地区，更多的学校报告虚拟策略不如面对面策略有效。实践结论COVID-19大流行早期阶段的经验教训为自然灾害和公共卫生应急准备提供了重要信息。在制定计划，以便在自然灾害后或公共卫生紧急情况期间继续提供学校保健服务时，应考虑到学校所在地。
ObjectiveTo examine perceived barriers and strategies adopted to continue the delivery of school-based health services when schools reopened in Fall of 2021 during the COVID-19 pandemic and to assess whether these barriers and strategies varied by locality.MethodsWe developed and subsequently conducted an online survey of school nurses who worked at the 1178 public elementary schools in Virginia in May 2021 to describe the impact of the COVID-19 pandemic on the delivery of school-based health services. We compared perceived barriers, strategies adopted and the effectiveness of strategies to continue the delivery of school-based health services by geographic locality (city vs. rural; suburban vs. rural and city vs. suburban).ResultsMore than half of schools located in cities expected nine of ten potential barriers to affect the delivery of school-based health services during Fall 2021. More than 50% of responding schools located in urban, suburban and rural area indicated that external barriers outside of their control, including insufficient funding and families not able to bring students to school, were likely to be barriers to delivering care. Strategies identified as “very effective” did not vary by locality. Across all localities, more schools reported virtual strategies were less effective than in-person strategies.Conclusions for PracticeLessons from the early stages of the COVID-19 pandemic provide critical information for natural disaster and public health emergency preparedness. School locality should be considered in the development of plans to continue the delivery of school-based health services after natural disasters or during public health emergencies.