Christmas W A
Duke University in Durham, North Carolina, USA.
J Am Coll Health. 1995 May;43(6):241-6. doi: 10.1080/07448481.1995.9940897.
Factors contributing to the establishment of the earliest college health programs are reviewed. The author considers the evolution of these programs for two periods: the first 100 years (1860-1960) and the next 30 years (1960-1990). The changing emphases in college health programs during these two periods are seen as responses to contemporaneous events, including the development of vaccines and other advances in science and medicine, the emergence of intercollegiate athletics--first as a significant element in the college experience and subsequently as a major business--and the expansion of higher education in response to the arrival of the baby boomers in the mid-1960s. Contemporary healthcare reform is briefly reviewed, and the author concludes with an assessment of the probable impact of current healthcare reform proposals on the future of college health programs and on campus-controlled health centers.
本文回顾了促成最早的大学健康项目建立的诸多因素。作者将这些项目的发展历程分为两个阶段：第一个100年（1860 - 1960年）和接下来的30年（1960 - 1990年）。这两个时期大学健康项目重点的变化被视为对同时期事件的回应，这些事件包括疫苗的研发以及科学和医学的其他进步、校际体育活动的兴起——起初是大学经历中的一个重要元素，后来成为一项主要业务——以及20世纪60年代中期婴儿潮一代进入高等教育导致的高等教育扩张。本文简要回顾了当代医疗改革，作者最后评估了当前医疗改革提案对大学健康项目未来以及校园控制的健康中心可能产生的影响。
