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• W4384936745 abstract "Introduction School-based health centers (SBHCs) provide students with critical, cost-effective access to health care. The pandemic accelerated a shift in SBHC care delivery. From the viewpoint of SBHC state leadership, this study aimed to describe changes since the last national SBHC health policy survey in 2017 through the COVID-19 pandemic. Method Leaders from state offices funding SBHCs and of School-Based Health Alliance affiliates participated in semistructured virtual focus groups in early 2022. Qualitative researchers triangulated focus group data with open-ended survey questions and performed thematic content analysis. Results The results confirmed a priori themes of increased funding, challenges in alignment around the definition, standardization, and metrics of SBHCs, and pandemic-related changes. Emerging themes included: (1) increased mental health services, (2) a shift toward telehealth and increased access delivery models, and (3) workforce challenges. Discussion These themes drive further exploration to sustain positive change, overcome challenges, and guide future quantitative SBHC policy analysis. School-based health centers (SBHCs) provide students with critical, cost-effective access to health care. The pandemic accelerated a shift in SBHC care delivery. From the viewpoint of SBHC state leadership, this study aimed to describe changes since the last national SBHC health policy survey in 2017 through the COVID-19 pandemic. Leaders from state offices funding SBHCs and of School-Based Health Alliance affiliates participated in semistructured virtual focus groups in early 2022. Qualitative researchers triangulated focus group data with open-ended survey questions and performed thematic content analysis. The results confirmed a priori themes of increased funding, challenges in alignment around the definition, standardization, and metrics of SBHCs, and pandemic-related changes. Emerging themes included: (1) increased mental health services, (2) a shift toward telehealth and increased access delivery models, and (3) workforce challenges. These themes drive further exploration to sustain positive change, overcome challenges, and guide future quantitative SBHC policy analysis. Kristen Miller, MPH Intern, The Milken Institute of Public Health, The George Washington University, at School-Based Health Alliance, Washington, DC; Assistant Professor of Pediatrics, University of Pennsylvania, Philadelphia, PA. Anna Goddard, Former Vice President of Quality, Research, & Evaluation, School-Based Health Alliance, Washington, DC; Managing Director of Medical Services and Quality Improvement, Child and Family Agency of Southeastern Connecticut, New London, CT. Katherine Cushing, Senior Program Manager of Quality, Research, & Evaluation, School-Based Health Alliance, Washington, DC." @default.
• W4384936745 created "2023-07-22" @default.
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• W4384936745 date "2023-07-01" @default.
• W4384936745 modified "2023-10-14" @default.
• W4384936745 title "Exploratory Qualitative Focus Group Analysis of School-based Health Center Policy Issues: Insights From State Leaders" @default.
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• W4384936745 doi "https://doi.org/10.1016/j.pedhc.2023.06.006" @default.
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