Schuch R J, Tranmer P A, Bhatia R, Olthoff A J, Bloom S, Adamek M L, Forman P M
Department of Family Practice, University of Illinois, Chicago College of Medicine.
J Fam Pract. 1990 May;30(5):585-91.
The Department of Family Practice, College of Medicine, in partnership with the University of Illinois at Chicago, was responsible for the reorganization of the Student Health Service into a health maintenance organization (HMO), Campus Care. Historically, the two campuses of the University of Illinois at Chicago operated student health as an infirmary model. Reorganization of student health into the Campus Care HMO provided expanded health care services to students, preserved more health care dollars in the university system, and provided a nonincremental increase in the size and responsibility of the Department of Family Practice. One year's experience showed that while the capitation was low compared with standard HMOs, the variable and less frequent use of services by the student population resulted in a fiscally viable operation. Numerous transition difficulties were encountered, including the need for rapid systems conversion within a complex university system, reeducation of students as well as traditional university-based practitioners for operation in a managed care system, and the rapid expansion of a small family practice department. The positive experience of the University of Illinois at Chicago supports the notion that family practice is better suited to providing student health care than other primary care disciplines. Three issues are paramount to success: (1) approval, support, and protection by higher level administration from university territorialism, (2) a core family practice faculty with strong leadership and experience in high-volume clinical activity, and (3) a close examination of financial resources in light of expected utilization.
医学院家庭医学系与伊利诺伊大学芝加哥分校合作，负责将学生健康服务重新组织为一个健康维护组织（HMO），即校园保健。从历史上看，伊利诺伊大学芝加哥分校的两个校区以医务室模式运营学生健康服务。将学生健康服务重组为校园保健HMO为学生提供了扩展的医疗服务，在大学系统中节省了更多的医疗费用，并使家庭医学系的规模和职责得到了非增量式的增加。一年的经验表明，虽然与标准HMO相比，人头费较低，但学生群体对服务的使用变化较大且频率较低，使得运营在财务上可行。遇到了许多过渡困难，包括在复杂的大学系统内快速进行系统转换的必要性、对学生以及传统的大学执业医生进行在管理式医疗系统中运营的再教育，以及一个小型家庭医学系的快速扩张。伊利诺伊大学芝加哥分校的积极经验支持了这样一种观点，即与其他初级保健学科相比，家庭医学更适合提供学生医疗保健。成功有三个至关重要的问题：（１）高层管理部门的批准、支持和保护，使其免受大学本位主义的影响；（２）一个核心家庭医学教师团队，具备强大的领导力和在大量临床活动中的经验；（３）根据预期利用率对财务资源进行仔细审查。
