WTC Screening, Monitoring, and Treatment Program

描述（由申请人提供）：这是一份将治疗部分纳入贝尔维尤医院/纽约大学（NYU）医学院当前世界贸易中心（WTC）筛查和监测项目的提案。世贸中心监测方案成立于2002年，由一组职业医学诊所组成，为9-11事件及其后受影响的工人提供全面的医疗筛查、转诊和福利咨询。纽约大学/贝尔维尤项目最初是在2002年提出的，是纽约大学/贝尔维尤医院与各种组织的合作，包括兄弟骑士团、金属贸易部门和社区组织，如拉丁美洲工人项目和超越归零地网络。我们将继续与这些组织合作，同时扩大我们的外展努力，包括来自纽约市其他工会和社区组织的工人和志愿者。贝尔维尤/纽约大学项目在肺和重症医学部、贝尔维尤/纽约大学职业和环境医学诊所以及纽约大学/贝尔维尤精神病学部门之间建立了强有力的合作。初步评估显示，呼吸和精神健康状况普遍存在。我们将继续这项筛查和监测计划，并建议在计划中增加治疗部分。我们预计，提供一个综合全面的筛查、监测和治疗计划将增加转介到我们计划的数量，并提高我们的保留率。我们项目的医生对世贸中心救援人员的需求很敏感。这一综合项目也将提高大量其他贝尔维尤和外部医生对这一患者群体的持续需求和新出现的疾病趋势的敏感性。该计划将利用肺部和职业医学专家、普通内科医生和护士，并由心理学家、社会工作者和医疗助理提供支持，将大大提高临床护理的连续性和协调性，并对这组患者进行长期随访。

DESCRIPTION (provided by applicant): This is a proposal to incorporate a treatment component into the current World Trade Center (WTC) Screening and Monitoring program at Bellevue Hospital / New York University (NYU) School of Medicine. The WTC monitoring program, established in 2002, consists of a group of occupational medicine clinics that provide comprehensive medical screening, referrals and benefits counseling to workers affected by the events on and after 9-11. The NYU / Bellevue program was originally proposed in 2002 as a collaboration between New York University / Bellevue Hospital and diverse organizations including the Fraternal Order of Police, the Metal Trades Department, and community organizations such as the Latin American Workers Project and the Beyond Ground Zero network. We will continue to work with these organizations while extending our outreach efforts to include workers and volunteers from other unions and community organizations throughout New York City. The Bellevue / NYU program has developed a strong collaboration among the Division of Pulmonary and Critical Care Medicine, the Bellevue/NYU Occupational and Environmental Medicine Clinic, and the NYU/Bellevue Department of Psychiatry. The initial evaluations have revealed prevalence of respiratory and mental health conditions. We will continue this screening and monitoring program and propose to add a treatment component to the program. We anticipate that offering an integrated comprehensive screening, monitoring, and treatment program will increase the number of referrals to our program and improve our retention rate. Physicians in our program are sensitive to the needs of the WTC rescue workers. This comprehensive program will also heighten the sensitivity of large numbers of other Bellevue and outside physicians to the ongoing needs and emerging disease trends of this patient population. The proposed program, utilizing a mix of pulmonary and occupational medicine specialists, general internists, and nurses, supported by a psychologist, social worker, and medical assistants, will offer much improved continuity and coordination of clinical care and long term follow-up of this group of patients.