美国陆军预备役/国民警卫队士兵的医疗保健经验,态度和偏好:基于部署状态的差异
Rachel A Hoopsick1, Bonnie M Vest2, D Lynn Homish3
1Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, IL, USA.
从来没有部署过的陆军预备役/国民警卫队士兵经常使用民用医疗保健提供者,但报告说他们对军事服务需求的理解较低. 这些士兵需要民间提供者的更好的支持,以解决与服务相关的健康问题.
科学领域:
- 军人卫生保健 军人卫生保健
- 医疗保健服务研究 医疗服务研究
- 主要护理是指初级护理.
背景情况:
- 美国陆军预备役/国民警卫队 (USAR/NG) 士兵拥有独特的健康需求,可能与服务有关,无论部署状态如何.
- 获得退伍军人事务 (VA) 福利的资格往往需要部署,导致许多USAR/NG士兵寻求平民医疗保健提供者 (HCP).
研究的目的:
- 检查从未部署和以前部署的USAR/NG士兵之间的医疗保健经验,态度和偏好之间的差异.
- 了解从未部署过的USAR/NG士兵在寻求民用医疗人员护理时所面临的挑战.
主要方法:
- 操作:SAFETY研究数据的一个子集 (N=430) 的分析.
- 使用回归模型,根据部署状态,控制人口统计和健康因素来比较医疗保健经验.
主要成果:
- 从来没有部署过的士兵不太可能被民用医疗人员询问他们的军事服务或对健康的影响.
- 从来没有部署过的士兵对平民医疗保健人员对军事相关健康问题和军事文化理解的信心较低.
- 尽管更喜欢民用护理,但从未部署过的士兵报告说,他们的医疗保健人员理解和解决他们的需求的能力存在重大差距.
结论:
- 民用医疗服务人员对于从未部署过的USAR/NG士兵来说是一个至关重要的,往往是主要的护理来源.
- 民用医疗人员需要加强支持和培训,以有效地解决USAR/NG士兵的特定健康需求和文化背景,特别是那些没有部署经验的士兵.
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