Swept away: use of general medical and mental health services among veterans displaced by Hurricane Katrina.

Swept away: use of general medical and mental health services among veterans displaced by Hurricane Katrina.
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被带走:因卡特里娜飓风而流离失所的退伍军人使用一般医疗和心理健康服务。

DOI:
10.1176/ajp.2007.164.1.154
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发表时间:
2007
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
Rosenheck,RobertA
Rosenheck,RobertA
中科院分区:
--
文献类型:
--
作者:
Druss,BenjaminG;Henderson,KathyL;Rosenheck,RobertA

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本研究探讨了全国模式的门诊服务使用退伍军人从受卡特里娜飓风影响的地区。MethodsAnalyses跟踪使用一般医疗和精神/物质使用服务,在9月和10月至2005年12月在新奥尔良和比洛克西-格尔夫波特相比,队列接受护理在同一个月在前2 years.ResultsIn调整模型,退伍军人从新奥尔良和比洛克西-格尔夫波特,在2005年9月,与2003-2004年同期相比,使用任何门诊服务的可能性分别降低了73%和41%。特别是在新奥尔良,服务使用的相对下降是专业的心理健康和物质使用服务比一般medical service.ConclusionsAlthough许多退伍军人能够获得卡特里娜飓风后的照顾,有一个很大的中断提供退伍军人管理局的服务,与心理健康和物质使用护理不成比例的下降。
ObjectiveThis study examined national patterns of outpatient service use by veterans from regions affected by Hurricane Katrina.MethodsAnalyses tracked use of general medical and mental/substance use services in September and October through December 2005 in New Orleans and Biloxi-Gulfport compared to a cohort receiving care during the same months in the previous 2 years.ResultsIn adjusted models, veterans from New Orleans and Biloxi-Gulfport were, respectively, 73% and 41% less likely in September 2005 to use any outpatient services as were cohorts from 2003–2004. Particularly in New Orleans, the relative decline in service use was substantially greater for specialty mental health and substance use services than for general medical services.ConclusionsAlthough many veterans were able to obtain care after Hurricane Katrina, there was a substantial disruption in delivery of Veterans Administration services, with disproportionate declines in mental health and substance use care.
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