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Open Access A School and Community Healthcare Model Integrating Services and Finance

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Objectives: This paper describes the historical healthcare provisions and financing in many Louisiana school districts and identifies both the need and opportunities for restructuring financing and clinical models to fit within a broader, more contemporary system of public health services. Methods: We reviewed existing services and financing data, existing funding and services policy, and conducted on-site assessment and discussion of school district services and funding. These methods involved participant observers over a 10-year period. Results: There is a deep database of both fiscal and clinical patterns of school district health services in Louisiana. Conclusions: There are numerous opportunities to restructure service patterns that will become clinically more effective and fiscally more sustainable through internal school district reorganization and external partnerships.

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Keywords: BEHAVIORAL HEALTH; FUNDING; MANAGED CARE; POPULATION HEALTH; SCHOOL DISTRICTS; SUSTAINABILITY

Document Type: Research Article

Affiliations: Cecil Picard Center for Child Development and Lifelong Learning, University of Louisiana-Lafayette, Lafayette, LA, USA

Publication date: May 1, 2015

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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