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School health in Europe: a review of workforce expenditure across five countries

BACKGROUND: Most European countries have implemented a form of school health services (SHS) to provide young children and adolescents with various types of healthcare. No estimations on SHS expenditure for European countries have been published until now. We estimated SHS workforce expenditure in Eu...

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Autores principales: van der Pol, Simon, Postma, Maarten J., Jansen, Danielle E. M. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068946/
https://www.ncbi.nlm.nih.gov/pubmed/32164689
http://dx.doi.org/10.1186/s12913-020-05077-w
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author van der Pol, Simon
Postma, Maarten J.
Jansen, Danielle E. M. C.
author_facet van der Pol, Simon
Postma, Maarten J.
Jansen, Danielle E. M. C.
author_sort van der Pol, Simon
collection PubMed
description BACKGROUND: Most European countries have implemented a form of school health services (SHS) to provide young children and adolescents with various types of healthcare. No estimations on SHS expenditure for European countries have been published until now. We estimated SHS workforce expenditure in Europe, expected to serve as the main driver of school healthcare costs. METHODS: Using two networks of experts on healthcare provision for children we contacted various country representatives to provide data on the number of professionals working in SHS and salaries. These data were used, together with publicly available data, to estimate annual SHS workforce expenditure on the national level. RESULTS: We received sufficient data for five European countries, and estimated the SHS workforce expenditure. Nurses were the most widely reported professionals working in this field, followed by doctors and psychologists. Our SHS expenditure estimations ranged from €43,000 for Estonia to €195,300 in Norway (per 1000 pupils). For Norway, Estonia, Finland and Iceland, school nurses were the main drivers of SHS expenditure, mainly due to their large numbers, while in Austria, school doctors played the largest role in SHS expenditure. CONCLUSIONS: We estimated the spending on SHS workforce for five European countries, which comprises relatively minor parts of total healthcare spending (0.16 to 0.69%). Many questions regarding SHS spending in Europe remain, due to a general lack of data on national levels.
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spelling pubmed-70689462020-03-18 School health in Europe: a review of workforce expenditure across five countries van der Pol, Simon Postma, Maarten J. Jansen, Danielle E. M. C. BMC Health Serv Res Research Article BACKGROUND: Most European countries have implemented a form of school health services (SHS) to provide young children and adolescents with various types of healthcare. No estimations on SHS expenditure for European countries have been published until now. We estimated SHS workforce expenditure in Europe, expected to serve as the main driver of school healthcare costs. METHODS: Using two networks of experts on healthcare provision for children we contacted various country representatives to provide data on the number of professionals working in SHS and salaries. These data were used, together with publicly available data, to estimate annual SHS workforce expenditure on the national level. RESULTS: We received sufficient data for five European countries, and estimated the SHS workforce expenditure. Nurses were the most widely reported professionals working in this field, followed by doctors and psychologists. Our SHS expenditure estimations ranged from €43,000 for Estonia to €195,300 in Norway (per 1000 pupils). For Norway, Estonia, Finland and Iceland, school nurses were the main drivers of SHS expenditure, mainly due to their large numbers, while in Austria, school doctors played the largest role in SHS expenditure. CONCLUSIONS: We estimated the spending on SHS workforce for five European countries, which comprises relatively minor parts of total healthcare spending (0.16 to 0.69%). Many questions regarding SHS spending in Europe remain, due to a general lack of data on national levels. BioMed Central 2020-03-12 /pmc/articles/PMC7068946/ /pubmed/32164689 http://dx.doi.org/10.1186/s12913-020-05077-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
van der Pol, Simon
Postma, Maarten J.
Jansen, Danielle E. M. C.
School health in Europe: a review of workforce expenditure across five countries
title School health in Europe: a review of workforce expenditure across five countries
title_full School health in Europe: a review of workforce expenditure across five countries
title_fullStr School health in Europe: a review of workforce expenditure across five countries
title_full_unstemmed School health in Europe: a review of workforce expenditure across five countries
title_short School health in Europe: a review of workforce expenditure across five countries
title_sort school health in europe: a review of workforce expenditure across five countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068946/
https://www.ncbi.nlm.nih.gov/pubmed/32164689
http://dx.doi.org/10.1186/s12913-020-05077-w
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