- Steven W. Hemelt
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Steven W. Hemelt
The prevalence of school-based healthcare has increased markedly over the past decade. We study a modern mode of school-based healthcare, telemedicine, that offers the potential to reach places and populations with historically low access to such care. School-based telemedicine clinics (SBTCs) provide students with access to healthcare during the regular school day through private videoconferencing with a healthcare provider. We exploit variation over time in SBTC openings across schools in three rural districts in North Carolina. We find that school-level SBTC access reduces the likelihood that a student is chronically absent by 2.5 percentage points (29 percent) and reduces the number of days absent by about 0.8 days (10 percent). Relatedly, access to an SBTC increases the likelihood of math and reading test-taking by between 1.8-2.0 percentage points (about 2 percent). Heterogeneity analyses suggest that these effects are driven by male students. Finally, we see suggestive evidence that SBTC access reduces violent or weapons-related disciplinary infractions among students but has little influence on other forms of misbehavior.
This paper introduces a new measure of the labor markets served by colleges and universities across the United States. About 50 percent of recent college graduates are living and working in the metro area nearest the institution they attended, with this figure climbing to 67 percent in-state. The geographic dispersion of alumni is more than twice as great for highly selective 4-year institutions as for 2-year institutions. However, more than one-quarter of 2-year institutions disperse alumni more diversely than the average public 4-year institution. In one application of these data, we find that the average strength of the labor market to which a college sends its graduates predicts college-specific intergenerational economic mobility. In a second application, we quantify the extent of “brain drain” across areas and illustrate the importance of considering migration patterns of college graduates when estimating the social return on public investment in higher education.
The decades-long resistance to federally imposed school desegregation entered a new phase at the turn of the new century, when federal courts stopped pushing racial balance as a remedy for past segregation, adopting in its place a color-blind approach in judging local school districts’ assignment plans. Using data that span 1998 to 2016 from North Carolina, one of the first states to come under this color-blind dictum, we examine the ways in which households and policymakers took actions that had the effect of reducing the amount of interracial contact in K-12 schools within counties. We divide these reductions in interracial contact into portions due to the private school and charter school sectors, the existence of multiple school districts, and racial disparities between schools within districts and sectors. For most counties, the last of these proves to be the biggest, though in some counties private schools, charter schools, or multiple districts played a deciding role. In addition, we decompose segregation in the state’s 13 metropolitan areas, finding that more than half can be attributed to racial disparities inside school districts. We also measure segregation by economic status, finding that it, like racial segregation, increased in the largest urban counties, but elsewhere changed little over the period.
Dual-credit courses expose high school students to college-level content and provide the opportunity to earn college credits, in part to smooth the transition to college. With the Tennessee Department of Education, we conduct the first randomized controlled trial of the effects of dual-credit math coursework on a range of high school and college outcomes. We find that the dual-credit advanced algebra course alters students’ subsequent high school math course-taking, reducing enrollment in remedial math and boosting enrollment in precalculus and Advanced Placement math courses. We fail to detect an effect of the dual-credit math course on overall rates of college enrollment. However, the course induces some students to choose four-year universities instead of two-year colleges, particularly for those in the middle of the math achievement distribution and those first exposed to the opportunity to take the course in 11th rather than 12th grade. We see limited evidence of improvements in early math performance during college.