Women Veterans Cohort Study 2
女性退伍军人队列研究 2
基本信息
- 批准号:8921847
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2014
- 资助国家:美国
- 起止时间:2014-07-01 至 2019-09-30
- 项目状态:已结题
- 来源:
- 关键词:Adjustment DisordersAdjustment DisordersAfghanistanAfghanistanAmbulatory CareAmbulatory CareCardiovascular systemCardiovascular systemCaregiversCaregiversCaringCaringCatchment AreaCatchment AreaChronicChronicChronic DiseaseChronic DiseaseClinicClinicClinicalClinicalCohort StudiesCohort StudiesCollectionCollectionComorbidityComprehensive Health CareComprehensive Health CareConflict (Psychology)Conflict (Psychology)DataDataData CollectionData CollectionDatabasesDatabasesDevelopmentDevelopmentDiseaseDiseaseDisease ProgressionDisease ProgressionElectronic Health RecordElectronic Health RecordEnrollmentEnrollmentEnvironmentEnvironmentExpenditureFocus GroupsFocus GroupsFutureFutureGenderGenderGoalsGoalsHealthHealthHealth ExpendituresHealthcareHealthcareHealthcare SystemsHealthcare SystemsIncidenceIncidenceIndividualIndividualInjuryInjuryIraqIraqLow PrevalenceLow PrevalenceMental DepressionMental DepressionMental HealthMental HealthMental Health ServicesMental Health ServicesMilitary PersonnelMilitary PersonnelMusculoskeletalMusculoskeletalOnset of illnessOnset of illnessOutcomeOutcomeOutpatientsOutpatientsPainPainPain ClinicsPain ClinicsPatientsPatientsPatternPatternPatterns of CarePatterns of CarePerformancePerformancePharmacy facilityPharmacy facilityPost-Traumatic Stress DisordersPost-Traumatic Stress DisordersPrevalencePrevalencePreventionPreventionPreventivePreventive servicePsyche structurePsyche structurePsychiatric DiagnosisPsychiatric DiagnosisPsychosocial FactorPsychosocial FactorPublic HealthPublic HealthReportingReportingResearchResearch MethodologyResearch MethodologyRiskRiskRisk FactorsRisk FactorsRisk ReductionRisk ReductionRoleRoleServicesServicesSex BiasSex BiasSex CharacteristicsSiteSiteSocial supportSocial supportStructureStructureSurveysSurveysTraumaVeteransVeteransWomanWomanWomen&aposs Healthbarrier to carebasecardiovascular disorder riskcardiovascular disorder riskcardiovascular risk factorcardiovascular risk factorchronic painchronic paincohortcohortcontextual factorscontextual factorscostcostdisabilitydisabilityevidence baseevidence baseexperienceexperiencefollow-upfollow-upgender differencehealth care deliveryhealth care deliveryhealth care disparityhealth care servicehealth practicehigh riskhigh riskimprovedimprovedmedical specialtiesmedical specialtiesmenmenpatient orientedpatient orientedpractice-based research networkprogramsprogramsprospectiveprospectivepsychosocialpsychosocialrecruitstandard of carestandard of caretrauma exposuretreatment group
项目摘要
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.
女性退伍军人队列研究(Women Veterans Cohort Study)的目的是确定独特的慢性
在伊拉克和阿富汗服役的女性退伍军人的医疗保健风险和需求
(法语国家组织/持久自由行动/刚果民主共和国)。在这些冲突期间,妇女在军队中的总人数
服务增加到20%,超过50%的女性退伍军人参加了VHA护理
相比之下,前几个时代只有11%。因此,需要了解独特的医疗保健需求,
妇女退伍军人对未来规划至关重要。在第一次世界大战的5年里,
创建,a)一个电子数据库队列,其中包括所有在伊拉克和沙姆沙伊赫国际组织/持久自由行动/OND登记的VHA退伍军人
冲突(N> 800,000),以及B)每年完成调查的潜在退伍军人队列
3年(N>700)。到目前为止,我们发现,与男性相比,女性退伍军人
OEF/OIF/OND更有可能患有肌肉骨骼和心理健康状况
(抑郁症或适应障碍),不太可能接受管理,
心血管危险因素。他们也有较高的门诊利用率和成本,
药房和门诊护理。进一步跟踪这些队列和补充数据
如果我们要了解独特的疾病轨迹和治疗需求,
如果我们要告知组织的结构和提供情况,
* 向退伍军人妇女提供医疗保健,以改变疾病和残疾的轨迹,
大大降低了未来的医疗保健支出。拟议的4年期WT 2将
利用整个队列的两个WESTERN 1组件来纵向识别,1)
的预测因子,2)的精神和心理社会调节因子,3)的治疗模式,和4)
治疗疼痛性肌肉骨骼疾病、精神健康状况和心血管疾病风险的障碍
女性退伍军人的独特经历。我们的目标是1)确定疾病的模式
与男性相比,女性OEF/OIF/OND退伍军人的发病和进展,2)确定
女性疾病进展的独特精神病学和心理社会调节剂
3)确定OIF/OEF/OND退伍军人的独特护理模式,
4)确定妇女退伍军人在护理方面遇到的障碍。主要研究
方法将包括,1)收集和分析现有的和新提供的VA电子
健康记录和行政数据,2)对扩大的集水区进行额外调查
(new从洛杉矶和达勒姆招聘),和3)从4个妇女的焦点小组的表现
基于健康实践的研究网络站点(West Haven、LA、达勒姆和Northhampton
以获得重要的定性数据。
意义第二次世界大战将提供关键信息,帮助VHA
实现其目标,提供公平,高质量,全面的医疗保健服务,
敏感和安全的环境中的所有VA设施,使VHA可以继续其作用,
在为退伍军人妇女提供医疗保健方面处于国家领先地位,从而提高了标准
关爱世界各地的女性
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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CYNTHIA A. BRANDT其他文献
CYNTHIA A. BRANDT的其他文献
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{{ truncateString('CYNTHIA A. BRANDT', 18)}}的其他基金
Predicting the Breast Cancer Risk for Women Veterans
预测女性退伍军人患乳腺癌的风险
- 批准号:
10753551 - 财政年份:2019
- 资助金额:
-- - 项目类别:
Predicting the Breast Cancer Risk for Women Veterans
预测女性退伍军人患乳腺癌的风险
- 批准号:
9484619 - 财政年份:2019
- 资助金额:
-- - 项目类别:
Predicting the Breast Cancer Risk for Women Veterans
预测女性退伍军人患乳腺癌的风险
- 批准号:
10683053 - 财政年份:2019
- 资助金额:
-- - 项目类别:
Predicting the Breast Cancer Risk for Women Veterans
预测女性退伍军人患乳腺癌的风险
- 批准号:
10884208 - 财政年份:2019
- 资助金额:
-- - 项目类别:
Pain Management Collaboratory Coordinating Center (PMC3)
疼痛管理协作中心 (PMC3)
- 批准号:
10475060 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Pain Management Collaboratory Coordinating Center (PMC3)
疼痛管理协作中心 (PMC3)
- 批准号:
10226899 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Biomedical Informatics and Data Science Training at Yale
耶鲁大学生物医学信息学和数据科学培训
- 批准号:
9531731 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Pain Management Collaboratory Coordinating Center (PMC3)
疼痛管理协作中心 (PMC3)
- 批准号:
10669987 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Pain Management Collaboratory Coordinating Center (PMC3)
疼痛管理协作中心 (PMC3)
- 批准号:
10850236 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Pain Care Quality and Integrated and Complementary Health Approaches
疼痛护理质量以及综合和补充的健康方法
- 批准号:
8757682 - 财政年份:2014
- 资助金额:
-- - 项目类别: