4 Page 8 - The Michigan Daily - Friday, September 9, 1988 Health services cures what ails ya Ann Barden, a physicians assistant at the University's Health Services patient at the clinic. Health Services handles nearly 100,000 cases a percent of whom are students. KAREN HANOELMAN/Daily Clinic, examines a year, close to 60 I ,,0000 YA, I BY ANNA SENKEVITCH Students break their arms falling out of lofts. They sprain ankles jumping around at football games. They bruise after smashing into each other at concerts. They catch colds, get rashes, and develop migraines. And sometimes during bouts with good health, they seek birth control, weightwatching tips, and stop- smoking programs. Located just off North University, University Health Service is the campus haven which offers to mend most physical ails of students, faculty and staff. "Most younger kids on campus come in to use Health Service for things they wouldn't look into at home," said University Health Service Director Caesar Briefer, who also serves as a physician at the complex. "They simply don't know what's serious and what isn't," he added. "They've never facilitated their own health care before." THOUGH HE estimates students make up 60 percent of the nearly 100,000 visits UHS receives annually, Briefer said he thinks new students may sometimes be intimidated by its layout. The main entrance at 207 Fletcher is only a lobby area; to get medical attention, a student must wander through a labyrinth to one of the complex's several clinics. "We're at a disadvantage because our clinics are spread out all over the place," Briefer said. He added that UHS hopes to lessen the confusion this fall by identifying the different areas with color-coded signs. Almost all UHS services, which are provided on an outpatient basis only, are covered by a mandatory fee charged to registered University students. The UHS pharmacy also offers prescription drugs at subsidized-reduced cost to its patrons. The mandatory student fee - $140.50 - does not cover UHS eye exams or psychiatric counseling. Nor does it pay for any treatments provided outside of its complex, such as major surgery at University Hospital. Briefer said UHS therefore strongly urges all students to have health insurance. The Michigan Student Assembly currently sponsors a 12-month Mutual of Omaha insurance policy for an average of about $300 per 00 y IIIII, iiiiiiii; p, 40 N0 40 ei GO V160 student, which 1800 students have purchased for 1988. School of Public Health doctoral candidate Bill McCaughrin, chair of MSA's subcommittee on student health insurance, has led committee research into both the effectiveness of the MSA insurance plan and the adequacy and patient satisfaction of care given at the UHS clinics. THE MSA subcommittee, McCaughrin said, seeks to act as a liaison between Health Services and students by opening up forums for discussion of health issues, communicating student complaints about health care to University 'All you have to do is see the face of some kid that you tell, "look, this is herpes." It's a preventable tragedy.' - University Health Service Director Caesar Briefer administration, and assisting in the development of new UHS programs. "What we're looking at (are) broad health issues of concern to U of M students by working with the students themselves," McCaughrin said. "We want to raise the awareness of the availability of UHS to the students." McCaughrin, whose committee last fall gave an open house for discussing health issues which went virtually unattended, said "It's often difficult to get people together and trigger their minds to think about health issues." But University Health Service has been successful at directing students' attentions toward health, said Robin Sarris, director of health promotion and community relations at UHS. THOUGH SARRIS indicated care for athletic injuries, skin problems, and viral and upper respiratory infection continue to be the services most utilized by students, the educational outreach programs furnished by her office have become very popular in the last decade. "We've had pretty good response to our programs, especially in the last year," she said. The UHS health education seminars, often guided by upperclass- or graduate-level peer leaders, attempt to teach students through videos and discussion about topics including alcohol and other drug abuse, contraceptive methods, nutrition, and stress management, Sarris said. The birth control program, created about 10 years ago, is the oldest of the outreach offerings. Sarris said she believes fear of catching the AIDS virus has increased student interest in health. x Responding to what it perceived as increasing student concerns, UHS one year ago began offering free anonymous testing for the AIDS- causing human immunodeficiency virus (HIV). Out of 600 students tested since the program started, two percent have tested positive for th' virus. UHS has also just developed what, it calls an "Online Health Query System," available on an MTS computer program. A student without needing a University computer account, can type questions into the program and receive answers in 24 to 48 hours. HEALTH SERVICE initiated the system last semester, and now provides an edited list of about 139 questions and answers for general viewing by students who do have accounts. McCaughrin said he believes one of UHS's strongest points is in the area of prevention. "One of the big roles they play is to keep people healthy," he said. Though more and more students seem to be utilizing UHSi educational programs as Sarris observed, Briefer said he recognizes periodic student complaints about the treatment complex. High on the list of student gripes about the medical services, Briefer consented, is the long wait students frequently must endure before getting an appointment. "If you use the appointment system, there's no wait," he said. "When you walk in, there's no way we can guarantee." Briefer did note that the UHS is equipped with an emergency unit to care for walk-in students who are "very sick...; bleeding, or about to faint." IN ADDITION, students often dislike being seen by nurse practitioners or physicians' aide rather than physicians. Briefer said he can't understand why. "The nurse practitioners and the physicians' assistants are more tha capable," he countered. "Sometimes they do even a better job. Doctors get rushed." But students can chose who they want to see if they're willing to wait, he said. Also, students have complaine$ about the fairly extensive educational process required before UHS wil prescribe birth control pills. The program, Contraception Education Program, is run by Health Educatio# Department-trained peer leaders an uses visual as well as written aides. Briefer said numbers of unwanted pregnancies are still shockingly higl among what he calls a "creme de lt creme" University population, in which around 26 percent of the nearly 1500 pregnancy testh completed at UHS last year showe positive. 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