@article {Charette:2019:2326-4403:605,
title = "Teens' Perspectives on Barriers and Facilitators to Accessing School-based Clinics",
journal = "Health Behavior and Policy Review",
parent_itemid = "infobike://psp/hbpr",
publishercode ="psp",
year = "2019",
volume = "6",
number = "6",
publication date ="2019-11-01T00:00:00",
pages = "605-618",
itemtype = "ARTICLE",
issn = "2326-4403",
eissn = "2326-4403",
url = "https://www.ingentaconnect.com/content/psp/hbpr/2019/00000006/00000006/art00006",
doi = "doi:10.14485/HBPR.6.6.6",
keyword = "SCHOOL HEALTH SERVICES, ADOLESCENT HEALTH, SCHOOL-BASED CLINIC, HEALTHCARE ACCESS",
author = "Charette, Catherine and Metge, Colleen and Struthers, Ashley and Enns, Jennifer E. and Nickel, Nathan C. and Chartier, Mariette and Chateau, Dan and Burland, Elaine and Katz, Alan and Brownell, Marni",
abstract = "
Objective: This qualitative study explores teens' perspectives on facilitators and barriers to accessing school-based clinics, emphasizing the importance of youth self-report. Methods: We conducted in-person interviews with teens (N = 25) at 2 high schools that had school-based
clinics in Winnipeg, Manitoba (Canada). We supplemented the interviews with a brief questionnaire administered to a sample of teens at both schools (N = 105). Data were iteratively coded and analyzed using NVivo. Results: Teens framed 5 clinic attributes that facilitated access: confidential,
welcoming, judgment-free, validating and understanding, and fast/easy/convenient. Teens identified judgment from peers, fear and anxiety, hours/wait times, lack of privacy, and teens who gather at the clinic to socialize as factors that made the clinic hard to access or inhibited access entirely.
Conclusions: School-based clinics were highly regarded by teens who used them. The most important factors underlying ease of use were assurance of confidentiality and a positive client-provider relationship that made teens feel safe and comfortable. However, considerable individual
and structural barriers remain to ensuring the clinics are teen-friendly and accessible.",
}