服务那些曾经服务过的人:为退伍军人改善结肠直肠外科手术护理
Austin Hewitt1, Melanie Fritz1, Cristina B Sanger1,2
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
退伍军人事务部为退伍军人提供高质量的结直肠外科手术护理,包括弱势群体. 对结直肠疾病的VA护理结果达到或超过民用标准.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 手术瘤学手术瘤学
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 退伍军人事务部 (VA) 是美国主要的综合医疗保健提供者.
- 退伍军人经常有严重的医学并发症,属于弱势群体.
- 结肠直肠疾病在退伍军人护理中存在独特的挑战,原因是患者和系统因素.
研究的目的:
- 评估VA提供结直肠外科手术服务的方法.
- 突出VA对退伍军人的公平和包容性护理的承诺.
- 评估VA系统内结直肠疾病管理的质量.
主要方法:
- 对大肠直肠外科手术的VA医疗保健提供模式的审查.
- 在VA内对结直肠疾病患者结局的分析.
- 将VA结果与国家民用基准进行比较.
主要成果:
- 该VA提供全面的初级和专科护理,包括结直肠外科手术.
- 尽管面临挑战,VA确保文化上有能力和公平的护理.
- 在VA的结直肠疾病患者的结果与平民的结果相似或更好.
结论:
- 在复杂的退伍军人群体中,VA有效管理结肠直肠疾病.
- 美国退伍军人局的综合系统有助于在全国范围内改善结肠直肠护理.
- 退伍军人局处于有利地位,可以加强对那些已经服役的人的护理.
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