The Veterans Health Administration System of Care for Mild Traumatic Brain Injury: Costs, Benefits, and Controversies

The Veterans Health Administration System of Care for Mild Traumatic Brain Injury: Costs, Benefits, and Controversies
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DOI:
10.1097/htr.0b013e3181957032
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发表时间:
2009-01-01
影响因子:
2.4
通讯作者:
Vanderploeg, Rodney D.
Vanderploeg, Rodney D.
中科院分区:
医学3区
文献类型:
--
作者:
Belanger, Heather G.;Uomoto, Jay M.;Vanderploeg, Rodney D.

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退伍军人健康管理局(VHA!多创伤护理系统是针对从伊拉克和阿富汗返回的一组新患者而开发的,特别关注轻度创伤性脑损伤(轻度TBI)的评估和治疗。在VHA内发展全系统TBI筛查是一项雄心勃勃的历史性事业。与任何人口范围的筛查工具,有好处和成本与it. This文章的目的是确定和讨论的VHA的TBI临床提醒和随后的评估和治疗过程的优点和缺点。复杂的因素,如增加媒体的关注和其他上下文因素进行了讨论。
The Veterans Health Administration's (VHA!s) Polytrauma System of Care, developed in response to a new cohort of patients back from Iraq and Afghanistan, is described with particular focus on the assessment and treatment of Mild traumatic bra-In Injury (mild TBI). The development of systemwide TBI screening within the VHA has been an ambitious and historic undertaking. As with any population-wide screening tool, there are benefits and costs associated with it. The purpose of this article is to identify and discuss the strengths and weaknesses of the VHA's TBI clinical reminder and subsequent evaluation and treatment processes. Complicating factors such as increased media attention and other contextual factors are discussed.