School based health centers - an approach to address health disparities among rural youth

Active Project Grant Awarded Last action

Award ID
R01MD018385
Recipient
Awarding agency
Obligated
$5,093,424

Award facts

Completion date 68% complete
Place of performance
New York, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Abstract low-income rural youth face negative social determinants of health and challenges in accessing health care. School-based health centers (SBHCS) are an innovative response to increase access, but their impact in rural communities is not well documented. This project proposes a multilevel mixed-methods evaluation of an sbhc network operating in 4 low-income rural counties in new york state. Run by the bassett healthcare network, these SBHCS are permanent, on-site, year-round and attend to the full range of healthcare needs (physical, dental, mental, chronic and acute) at no out-of-pocket cost to patients. The setting permits a quasi-experimental design to assess sbhc impact by comparing 16 school districts with SBHCS and 22 school districts without. The project involves a multi-disciplinary team of cornell university and bassett researchers and community partners. The project will use both qualitative data (from semi-structured interviews and focus groups) and quantitative data (administrative data, survey, and patient healthcare visit data) and multilevel analytical methods to address three aims: aim 1. Assess the impact of SBHCS on healthcare utilization. We will assemble a panel dataset of all patient visits to bassett healthcare facilities over 12 years (2011-2022) to measure healthcare utilization (frequency, location, services) for preventive care (e.g., well-care, vaccinations) and care for acute and chronic conditions (e.g., asthma, mental health) among children in school districts with and without SBHCS. Aim 2. Assess the impact of SBHCS on cross-agency collaboration. We will assess provision of social services in the 4-county study area through document research, focus groups, interviews with school and community leaders, and a survey of agency leaders. We will identify and measure factors that differentiate the level of cross- agency collaboration among healthcare providers, community agencies, and local governments for each school district. Aim 3. Assess the impact of SBHCS and cross-agency collaboration on school performance and on community healthcare utilization. Combining data from multiple levels (patient, school district, and county) will enable US to assess the different roles SBHCS play in addressing social determinants of health. Community outcome measures include school attendance and broader community healthcare utilization. Study results will enhance understanding of how SBHCS may shape health outcomes and contribute to individual and community wellbeing to inform rural health policy.

Transactions

Action Obligated Date
Amendment $616,787
Amendment $622,522
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Amendment $564,080
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Amendment $0
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Amendment $670,521
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Original award $670,521
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Subawards

Subrecipient Amount Awarded
The Pennsylvania State University Participate in execution of research including data collection and data management in Aim 2, statistical analysis in all project Aims, and in preparation of… $72,628
The Mary Imogene Bassett Hospital Bassett will be responsible for compiling patient records from their EHR database to construct a de-identified panel dataset of patient healthcare visits that… $278,488
The Pennsylvania State University Participate in execution of research including data collection and data management in Aim 2, statistical analysis in all project Aims, and in preparation of… $56,274
The Pennsylvania State University $54,718
The Mary Imogene Bassett Hospital Bassett will be responsible for compiling patient records from their EHR database to construct a de-identified panel dataset of patient healthcare visits that… $135,048
The Mary Imogene Bassett Hospital $0

Quick answers

Who received award R01MD018385?

R01MD018385 was awarded to Cornell University by National Institute for Minority Health and Health Disparities (National Institutes of Health) on September 24, 2023.

How much is award R01MD018385 worth?

$5,093,424 has been obligated on R01MD018385.

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