Abbasali Dorosti, Majid Karamouz, Vahab Asl Rahimi, Solmaz Azimzadeh, Hojatolah Gharaee, Saber Azami-Aghdash, Mostafa Farahbakhsh
Mental Health Services Integration in Primary Health Care in Iran: A Policy Analysis
Iranian journal of psychiatry
covid19 pandemic spread school district administrators united states faced difficult decisions regarding implementation virtual inperson learning reduce risk infection throughout student staff populations coordinated effort surrounding districts would beneficial encountering highly infectious respiratorybased infectious disease determinants type education delivery unclear data missouri department elementary secondary education assessing education delivery method school district across state missouri n 514 august 2020 used crosssectional study using results school districtlevel survey local covid19 rates communitylevel sociodemographic characteristics conducted spatially adjusted analysis variance anova determine associations education delivery type geographiclevel sociogeographic characteristics among missouri school districts 172 334 reported starting 20202021 academic year inperson policy 52 101 distantvirtual policy 242 471 inperson distance option 48 93 blended policy study found districts lower household income levels less likely offer students virtual learning options additionally community covid19 infection rates associated selection virtual inperson education delivery findings suggest presence specific school policy spatially random regard neighboring community policies even accounting community characteristics efficacy policy likely benefit upon application spatial framework addressing crisis fundamentally tied location future planning highlights focuses regional coordination community resilience face pandemic incorporate data sources inform decisions made families students communities