SCHOOL HEALTH CARE REFORM

新西兰利用学校来促进 儿童的健康。新西兰正在进行医疗改革 现在的时间。这种情况导致新西兰公共卫生 委员会将提出一项“健康学校倡议”。学校健康可以 在儿童和青年卫生保健改革中发挥重要作用 新西兰和美国。与建议进行的初步讨论 新西兰的合作者表示，高级医生的时间 学校健康国际奖学金将是有利的顺序 分享专业知识，交流想法和信息 发展和推进儿童保健服务提供领域和 青春年华。有机会研究拟议的示范项目 新西兰应对执行《公约》产生重大影响 在美国医疗改革背景下的类似项目 各州。 该奖学金的具体目标是：(1)发展和评估 新西兰的示范学校卫生项目，将小学 为儿童提供保健和适当的教育和社会服务 和青年在一个以预防为导向、以家庭为中心的综合系统中， (2)对上述示范项目的成果进行评估： 选定的儿童和家庭健康和教育指标； 以及，为儿童和青年制定健康政策。 对“新西兰健康学校倡议”的拟议评估 将使用一种实验设计，该设计按以下顺序随机化 在40名参与者中进行同样的具体干预 学校。学校网站将从四项干预措施的菜单中选择两项 并对他们的第一和第二选择进行优先排序。选校 相同的干预措施将被分层，一半将是随机的 被选为一对干预学校的比较学校。 对于所有40所学校，所有四项干预结果将在 基线，在T1和T2，基线后两年和三年。在……里面 此外，国家长期趋势数据将包括监测这四个 超过3年的结果。参与性和非参与性的特点 参与的学校将通过对所有2810所学校的调查来确定 在新西兰。结果指标已选定为平行指标 希望在美国开展的示范项目

New Zealand has a long history of utilizing schools in order to promote the health of children. New Zealand is undergoing Health Care Reform at the present time. This situation has led the New Zealand Public Health Commission to propose a "Healthy Schools Initiative." School health could play a major role in health care reform for children and youth in both New Zealand and the United States. Preliminary discussions with proposed collaborators in New Zealand indicate that the timing of a Senior International Fellowship for School Health would be advantageous in order to share expertise and the exchange of ideas and information on a rapidly developing, advancing field of health services delivery for children and youth. The opportunity to study the proposed demonstration projects in New Zealand should have major implications regarding the implementation of similar projects in the context of health care reform in the United States. The specific aims of the fellowship will be: (1) To develop and evaluate demonstration School Health Projects in New Zealand, linking primary health care and appropriate educational and social services to children and youth in a prevention-oriented, family-focused, integrated system, and (2) To evaluate the outcomes of the above demonstration project on: selected health and educational indicators for children and families; and, the development of health policy for children and youth. The proposed evaluation of the "New Zealand Healthy Schools Initiative" will utilize an experimental design which randomizes the order in which the same specific interventions are carried out among 40 participating schools. School sites will select two from a menu of four interventions and prioritize their first and second choices. Schools selecting identical interventions will be stratified and half will be randomly selected to serve as comparison schools to a paired intervention school. For all 40 schools, all four intervention outcomes will be monitored at baseline and at T1 and T2, two and three years post baseline. In addition, national secular trend data will include monitoring the four outcomes over 3 years. Characteristics of participating and non- participating schools will be determined by a survey of all 2,810 schools in New Zealand. Outcome indicators have been selected to parallel desired demonstration projects in the U.S.