Brindis C, Reyes P
Institute for Health Policy Studies, University of California, San Francisco, USA.
J Am Coll Health. 1997 May;45(6):279-88. doi: 10.1080/07448481.1997.9936898.
At a time when increasing numbers of uninsured and underinsured students are attending college, many college health programs face formidable challenges in their efforts to sustain services. As financial pressures increase, college health programs must revisit their funding options, including (1) maintaining the current level and source of funding but requiring additional out-of-pocket fees for certain services from students, (2) establishing their own insurance plans, (3) qualifying as a preferred provider organization, or (4) some combination of the above. Whatever strategies are selected and pursued, college health programs must continue to try to provide quality services at a reasonable cost while maintaining an emphasis on prevention, health education, and the provision of services most needed by the college population, including mental health and substance abuse services.
在越来越多没有保险和保险不足的学生进入大学的时代,许多大学健康项目在维持服务方面面临巨大挑战。随着经济压力的增加,大学健康项目必须重新审视其资金来源选择,包括:(1)维持当前的资金水平和来源,但要求学生为某些服务支付额外的自付费用;(2)建立自己的保险计划;(3)成为首选医疗机构;或(4)上述方法的某种组合。无论选择并采用何种策略,大学健康项目都必须继续努力以合理的成本提供优质服务,同时注重预防、健康教育以及提供大学生群体最需要的服务,包括心理健康和药物滥用服务。