Does filing a post-traumatic stress disorder disability claim promote mental health care participation among veterans?
Does filing a post-traumatic stress disorder disability claim promote mental health care participation among veterans?
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DOI：
10.7205/milmed.172.6.572
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发表时间：
2007-06-01
影响因子：
1.2
通讯作者：
Nugent, Sean
中科院分区：
文献类型：
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作者：
Spoont, Michele R.;Sayer, Nina A.;Nugent, Sean
本研究探讨了参与退伍军人事务部（VA）残疾系统对退伍军人在创伤后应激障碍（PTSD）的基础上提出残疾索赔的医疗保健使用的影响。退伍军人管理局的行政数据库被用来检查医疗保健的使用在3个月的时间间隔之前，期间和之后退伍军人的创伤后应激障碍残疾索赔。受试者都是退伍军人，他们在1997年至1999年期间在中西部的一个大地区申请了创伤后应激障碍索赔。与申请前相比，PTSD索赔人在提交残疾索赔后使用了更多的医疗和心理健康服务。只有那些索赔被批准的退伍军人在索赔确定后才继续使用提高的精神卫生保健。在残疾检查前使用VA精神卫生保健与索赔批准的可能性增加有关。对于患有创伤后应激障碍的退伍军人来说，残疾系统的参与既可以促进，也可以通过接受精神卫生保健来促进。
This study examined the impact of participation in the Department of Veterans Affairs (VA) disability system on health care use by veterans filing disability claims on the basis of post-traumatic stress disorder (PTSD). VA administrative databases were used to examine health care use in 3-month intervals before, during, and after veterans' filing of PTSD disability claims. Subjects were all veterans using some VA health care who filed PTSD claims between 1997 and 1999 in a large Midwestern region. PTSD claimants used more medical and mental health services after filing a disability claim, compared with the preapplication period. Continuation of elevated mental health care use after claim determination occurred only for those veterans whose claims were approved. Use of VA mental health care before the disability examination was associated with an increased likelihood of claim approval. For veterans with PTSD, disability system participation may both promote and be promoted by receipt of mental health care.