Wright L J, Owen J P
Occupational Medicine, Reserves Training and Mobilisation Centre, Chetwynd Barracks, Chilwell, Nottingham NG9 5HA.
J R Army Med Corps. 2002 Sep;148(3):262-5. doi: 10.1136/jramc-148-03-08.
An audit was carried out on a cohort of Territorial Army (TA) personnel passing through RTMC in order to assess the quality of their previous medical assessments compared to that undertaken at the time of their mobilisation. The results confirmed the high downgrading rate (18%) amongst TA personnel compared to previous studies that identified grading error rates of 6-6.5% amongst Regular Army personnel. Errors in the entry medical assessments for TA personnel were also identified in nearly half (44%) of records examined. Possible solutions are identified through improved education of examining medical officers and by increasing the pre-deployment time available to obtain specialist referrals. A case is also made for having improved access to previous medical information, both to improve the quality of the pre-deployment medical screening and to ensure appropriate continuity of care for deployed TA personnel.
对一批通过皇家运输医疗中心（RTMC）的陆军预备役（TA）人员进行了一次审计，以评估他们之前的医学评估质量，并与动员时进行的评估作比较。结果证实，与之前确定正规军人员评级错误率为6 - 6.5%的研究相比，TA人员中的高降级率（18%）。在近一半（44%）检查的记录中还发现了TA人员入职医学评估中的错误。通过加强对体检军医的教育以及增加可用于获得专科转诊的部署前时间，确定了可能的解决方案。还提出了改善获取既往医疗信息的途径，这既能提高部署前医疗筛查的质量，又能确保为部署的TA人员提供适当的连续护理。
