A Work Sampling Study of Provider Activities in School‐Based Health Centers

Abstract

A significant amount of provider activity was directed at the delivery of health care; direct patient care and clinic operations combined accounted for approximately 75% of clinic activity. Patient, classroom, and group education activities, as well as contacts with parents and school staff accounted for 20% of all clinic activity and represent important SBHC functions that other productivity measures such as billing data might not consistently track. Overall, the method was acceptable to professional staff as a means of tracking activity and was adaptable to meet their needs.

Childhood Obesity and Schools: Evidence From the National Survey of Children's Health

“…Results suggest a statistically significant positive relationship between fitness and academic achievement 14 . There are also studies examining the impact of local school‐based policy to increase physical activity 15,16 …”

“…14 There are also studies examining the impact of local school-based policy to increase physical activity. 15,16 The role of the National School Lunch Program (NSLP) has been studied in part by considering high school students' food choices for labeled foods comparing the nutrient density of NSLP and competitive foods in the cafeteria. 17 Another study examined the influences of participation in the NSLP and food insecurity on child well-being.…”

Case study of child, parent and teacher perceptions of a school-based health clinic in the model schools paediatric health clinic in the model schools paediatric health initiative of the Toronto District School Board

“…Fostering an environment of improved communication pathways between the home and school can increase the parent-provider conversations that benefit children's health (Peacock & Lin, 2012).For example, the coordination of care can significantly improve the early detection of autistic spectrum disorder (ASD) where children can show inconsistent signs (Peacock & Lin, 2012). An integral part of the roles and responsibilities of SBHC staff is to consult with families, community agencies, and school administrative staff (Mavis, Pearson, Stewart, & Keefe, 2009) which can improve treatment plans and assessment (e.g., Yau & Newton, 2013). In line with the ecological systems theory (e.g., Bronfenbrenner, 1979;1986), these connections across the microsystems of home, school, and community health services, represent mesosystem influences on children's development.…”