Clinical Services for World Trade Center Responders

描述（由申请人提供）：本提案建立在我们为世贸中心应急人员制定的医疗监测计划的基础上，旨在为患者评估、跟踪、数据收集、治疗和协调创建一个长期计划，以进一步阐明、描述和治疗这场灾难的医疗、社会和心理后遗症。我们还寻求通过在当地提供综合服务，改善LI响应者获得护理的机会。具体而言，我们将：具体目标1。通过参与临床设施的协调网络，为世贸中心应急人员提供与世贸中心相关的全面健康监测和治疗服务，包括门诊和必要时的住院治疗; 2.使用来自所有相关WTC响应者临床和研究计划的最佳可用证据，根据需要确定，实施，评估和修订WTC相关健康状况治疗的适当方案，程序和结果; 3.描述WTC响应者中与WTC相关的健康状况的演变，包括新健康状况的检测; 4.协助世贸中心应急人员及其家属获得健康福利、工人补偿和其他适当服务; 5.参与项目结果的双向交流，即，a）向WTC数据协调中心提供个人健康和其他监测及治疗计划数据，以进行汇总和分析; B）向WTC响应者、其他相关方和公众传播计划结果。

DESCRIPTION (provided by applicant): This proposal builds upon our established Medical Monitoring Program for the WTC responders, seeking to create a long-term program for patient assessment, tracking, data collection, treatment and coordination to further elucidate, describe and treat the medical, social and psychological sequelae of this disaster. We seek also to improve access for care for LI responders by offering comprehensive services at local locations. Specifically, we will: SPECIFIC AIMS 1. To provide comprehensive health monitoring and treatment services of World Trade Center (WTC) - related conditions for WTC responders, including out-patient and, when needed, in-patient treatment, through the participation in a coordinated network of clinical facilities; 2. To identify, implement, evaluate, and revise as needed, appropriate protocols, procedures, and outcomes for treatment of WTC-related health conditions, using best available evidence from all relevant WTC responder clinical and research programs; 3. To characterize the evolution of WTC-related health conditions, including the detection of new health conditions, among WTC responders; 4. To assist WTC responders and their families to secure health benefits, workers' compensation and other appropriate services; 5. To engage in bi-directional communication of program results, i.e., a) to provide individual health and other monitoring and treatment program data to the WTC Data Coordination Center for aggregation and analysis, and b) to disseminate program results to WTC responders, other relevant parties, and the general public.