Mills D, Gold R, Curran M
University Health Service, Northern Illinois University, DeKalb, USA.
J Am Coll Health. 1996 Nov;45(3):106-117. doi: 10.1080/07448481.1996.9936870.
As federal legislators moved closer to enacting significant healthcare reform during fall 1994, it was apparent to the college health community that campus health programs could be significantly affected. Uncertainty over the impending legislation led college health directors to consider two important questions: What is the federal government going to do? and What could college health directors do to position their organizations more effectively to respond to pending reform? The former question was debated on a daily basis throughout the United States with no resolution in sight. The latter question was the ultimate focus of this survey research involving 56 of 79 schools (71% response rate from institutions in 38 states). Half of the schools had enrollments between 15,001-25,000 students; 86% used prepaid fees as their primary financing mechanism. Survey results identified college health directors' preferences for 27 different organizational strategies in response to possible healthcare reform initiatives.
1994年秋季，随着联邦立法者朝着颁布重大医疗改革法案的方向不断推进，校园健康领域明显意识到校园健康项目可能会受到重大影响。即将出台的立法所带来的不确定性促使高校健康主任们思考两个重要问题：联邦政府将会采取什么行动？高校健康主任们能做些什么来让他们的机构更有效地应对即将到来的改革？在美国，前一个问题每天都在被讨论，却看不到任何解决方案。后一个问题是这项调查研究的最终重点，该研究涉及79所学校中的56所（来自38个州的机构的回复率为71%）。一半的学校学生人数在15001至25000人之间；86%使用预付费作为其主要融资机制。调查结果确定了高校健康主任们针对可能的医疗改革举措对27种不同组织策略的偏好。
