Among the services, students are least aware of The Health Resource Center at HUHS (25% aware), The Mind Body Medical Institute at HUHS (15%), and the Patient Advocate (15%). Overall, regardless of the level of awareness, no more than 5% of students have used any of these 16 tested services in the past year.

Students are aware that their medical records are confidential (79%) and their primary care services include preventive care (64%). However, students are unaware that mental health visits are not part of their regular medical record (84%), that a 24-hour advice nurse is available for health information (82%), and that same day appointments with mental health personnel are available when needed (74%).

A majority of students strongly agree that they know how to access health care from HUHS if they are not feeling well (75%), know what to do if they have an acute illness or injury

(72%), and know how to access reliable health care information (51%). Forty-four percent of students disagree with the statement "I understand my benefits under the Student Health Plan."

Undergraduates who have a PCP are more knowledgeable on how to access reliable health care information than students without a PCP (60% vs. 44%).

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G. Other Care Providers

In addition to HUHS, 41% percent of students are covered by Harvard University's BCBS plan for Students and Affiliates, while the remainder is covered by other insurance plans.

Two-thirds of students have a PCP or nurse practitioner at HUHS while 34% do not.

Those who tend to rate HUHS poorly are enrolled in Harvard's BCBS Plan for Students and Affiliates. Similarly, those who rated HUHS "good'' are disproportionately enrolled in another plan.

H. Additional Comments

At the end of the survey, students were given the opportunity to provide additional comments, observations, and suggestions. In reading through the verbatim comments (see Appendix B) it is important to remember that the responses are qualitative in nature since just under a third (27%) of students surveyed chose to comment. That said, the comments provide valuable insight into students' experiences with HUHS, and can help HUHS fine tune its efforts to provide superior health care services.

Students gave a number of positive comments, however, the majority of comments pointed out areas where improvements could be made. This should not be surprising in light of the fact that students who rated their overall satisfaction with HUHS "fair" or "poor" were more likely to provide comments than those who rated their overall satisfaction "good," "very good'' or "excellent" (32% vs. 23% respectively.)