Michael W Long, Sharon Hobson, Jacqueline Dougé, Kerrie Wagaman, Rachel Sadlon, Olga Acosta Price
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Effectiveness and Cost-Benefit of an Elementary School-Based Telehealth Program.
Utilization of telehealth in school-based health centers (SBHCs) is increasing rapidly during the COVID-19 pandemic. This study used a quasi-experimental design to evaluate the effect on school absences and cost-benefit of telehealth-exclusive SBHCs at 6 elementary schools from 2015-2017. The effect of telehealth on absences was estimated compared to students without telehealth using negative binomial regression controlling for absences and health suite visits in 2014 and sociodemographic characteristics. The sample included 7,164 observations from 4,203 students. Telehealth was associated with a 7.7% (p = 0.025; 95% CI: 1.0%, 14%) reduction in absences (0.60 days/year). The program cost $189,000/yr and an estimated total benefit of $384,995 (95% CI: $60,416; $687,479) and an annual net benefit of $195,873 (95% CI: -$128,706; $498,357). While this cost-benefit analysis is limited by a lack of data on total healthcare utilization, the use of telehealth-exclusive SBHCs can improve student health and attendance while delivering cost savings to society.
期刊介绍:
The Journal of School Nursing (JOSN) is a bi-monthly peer-reviewed forum for improving the health of school children and the school community. The JOSN includes original research, research reviews, evidenced-based innovations in clinical practice or policy, and more. In addition to nursing, experts from medicine, public health, epidemiology, health services research, policy analysis, and education administration, also contribute.