女性退伍军人队列研究 2-猫眼课题宝

女性退伍军人队列研究 2

批准号：

8921847

负责人：

CYNTHIA A. BRANDT

金额：

$0.0万

依托单位：

VA CONNECTICUT HEALTHCARE SYSTEM

依托单位国家：

美国

项目类别：

财政年份：

2014

资助国家：

美国

项目状态：

已结题

起止时间：

2014-07-01 至 2019-09-30

来源：

https://reporter.nih.gov/project-details/8921847

关键词：

Adjustment Disorders Adjustment Disorders Afghanistan Afghanistan Ambulatory Care Ambulatory Care Cardiovascular system Cardiovascular system Caregivers Caregivers Caring Caring Catchment Area Catchment Area Chronic Chronic Chronic Disease Chronic Disease Clinic Clinic Clinical Clinical Cohort Studies Cohort Studies Collection Collection Comorbidity Comprehensive Health Care Comprehensive Health Care Conflict (Psychology)Conflict (Psychology)Data Data Data Collection Data Collection Databases Databases Development Development Disease Disease Disease Progression Disease Progression Electronic Health Record Electronic Health Record Enrollment Enrollment Environment Environment Expenditure Focus Groups Focus Groups Future Future Gender Gender Goals Goals Health Health Health Expenditures Healthcare Healthcare Healthcare Systems Healthcare Systems Incidence Incidence Individual Individual Injury Injury Iraq Iraq Low Prevalence Low Prevalence Mental Depression Mental Depression Mental Health Mental Health Mental Health Services Mental Health Services Military Personnel Military Personnel Musculoskeletal Musculoskeletal Onset of illness Onset of illness Outcome Outcome Outpatients Outpatients Pain Pain Pain Clinics Pain Clinics Patients Patients Pattern Pattern Patterns of Care Patterns of Care Performance Performance Pharmacy facility Pharmacy facility Post-Traumatic Stress Disorders Post-Traumatic Stress Disorders Prevalence Prevalence Prevention Prevention Preventive Preventive service Psyche structure Psyche structure Psychiatric Diagnosis Psychiatric Diagnosis Psychosocial Factor Psychosocial Factor Public Health Public Health Reporting Reporting Research Research Methodology Research Methodology Risk Risk Risk Factors Risk Factors Risk Reduction Risk Reduction Role Role Services Services Sex Bias Sex Bias Sex Characteristics Site Site Social support Social support Structure Structure Surveys Surveys Trauma Veterans Veterans Woman Woman Women&apos s Health barrier to care base cardiovascular disorder risk cardiovascular disorder risk cardiovascular risk factor cardiovascular risk factor chronic pain chronic pain cohort cohort contextual factors contextual factors cost cost disability disability evidence base evidence base experience experience follow-up follow-up gender difference health care delivery health care delivery health care disparity health care service health practice high risk high risk improved improved medical specialties medical specialties men men patient oriented patient oriented practice-based research network programs programs prospective prospective psychosocial psychosocial recruit standard of care standard of care trauma exposure treatment group

中文摘要

翻译

点击翻译按钮获取中文摘要

英文摘要

The purpose of the Women Veterans Cohort Study (WVCS) is to identify the unique chronic healthcare risks and needs of women Veterans who served during the Iraq and Afghanistan conflicts (OIF/OEF/OND). During these conflicts the overall representation of women in military service has increased to 20%, and over 50% of women Veterans have enrolled for VHA care compared to 11% in prior eras. Thus, the need to understand the unique healthcare needs of women veterans is essential for future planning. During the 5-years of WVCS Wave 1 we created, a) an electronic database cohort of all VHA enrolled Veterans of OIF/OEF/OND conflicts (N>800,000), and b) a prospective Veteran cohort that has completed surveys annually for 3 years (N>700). We have found so far that compared to men, women Veterans of OEF/OIF/OND are more likely to have musculoskeletal and mental health conditions (depression or adjustment disorders) and are less likely to receive management for cardiovascular risk factors. They also have higher rates of outpatient utilization and costs for pharmacy and outpatient care. Further tracking of these cohorts and complementary data collection is essential if we are to understand the unique disease trajectory and treatment needs of women OIF/OEF/OND veterans, and if we are to inform the structure and delivery of healthcare to women Veterans so as to alter the trajectory of disease and disability, and substantially reduce future healthcare expenditures by VHA. The proposed 4-year WVCS 2 will leverage the two WVCS 1 components of the overall cohort to identify longitudinally, the 1) predictors of, 2) psychiatric and psychosocial moderators of, 3) treatment patterns for, and 4) barriers to care for painful musculoskeletal conditions, mental health conditions, and CVD risk uniquely experienced by women Veterans. Our aims are to 1) determine the pattern of disease onset and progression among women OEF/OIF/OND Veterans compared to men, 2) determine the unique psychiatric and psychosocial moderators of disease progression for women OIF/OEF/OND Veterans, 3) determine unique care patterns for women OIF/OEF/OND veterans, and 4) determine the barriers to care that arise for women Veterans. The main research methods will include, 1) collection and analysis of existing and newly available VA electronic health record and administrative data, 2) additional surveys to an expanded catchment area (new recruitment from LA and Durham), and 3) performance of focus groups from 4 Women's Health Practice Based Research Network sites (West Haven, LA, Durham and Northhampton VAs) to obtain important qualitative data. Significance. The WVCS Wave 2 will provide critical information that will help the VHA to achieve its goal of providing equitable, high quality, comprehensive healthcare services in a sensitive and safe environment at all VA facilities, so that VHA may continue its role as a national leader in the provision of health care for women Veterans, thereby raising the standard of care for women everywhere.

期刊论文(0)

专著(0)

科研奖励(0)

会议论文