Sigford Barbara J
Veteran Affairs Medical Center, Minneapolis, MN 55417, USA.
Arch Phys Med Rehabil. 2008 Jan;89(1):160-2. doi: 10.1016/j.apmr.2007.09.015.
The initiation of combat in Iraq and Afghanistan has resulted in a new cohort of active-duty service members and veterans seeking rehabilitation care through the U.S. Department of Veterans Affairs (VA). Service members injured in combat most often sustain multiple injuries (polytrauma) and require a unique service delivery model to meet their needs. The VA recognized this need and responded with the development of the Polytrauma System of Care (PSC). This national system of care balances access and expertise to provide specialized life-long care to the combat injured. The PSC is comprised of: 4 specialized regional rehabilitation centers that are accredited in brain injury by the Commission on Accreditation of Rehabilitation Facilities; 21 specialized outpatient and subacute rehabilitation programs; designated polytrauma teams at smaller, more remote VA facilities; and a point of contact at all other VA facilities. In addition, the PSC has developed a proactive case-management model, a specialized telehealth network, guidelines for long-term follow-up, and services for those individuals who are unable to return home. The following commentary and articles provide additional detail on this new and unique system of care.
伊拉克和阿富汗战争的爆发，使得一批现役军人和退伍军人开始通过美国退伍军人事务部（VA）寻求康复护理。在战斗中受伤的军人大多遭受多处创伤（多发伤），需要一种独特的服务提供模式来满足他们的需求。退伍军人事务部认识到了这一需求，并通过开发多创伤护理系统（PSC）做出了回应。这个全国性的护理系统平衡了可及性和专业知识，为战斗受伤人员提供专门的终身护理。多创伤护理系统包括：4个经康复设施认证委员会认证的脑损伤专业区域康复中心；21个专业门诊和亚急性康复项目；在规模较小、位置更偏远的退伍军人事务部设施中的指定多创伤团队；以及所有其他退伍军人事务部设施的一个联络点。此外，多创伤护理系统还开发了一种积极主动的病例管理模式、一个专业的远程医疗网络、长期随访指南，以及为那些无法回家的人提供的服务。以下评论和文章提供了关于这个全新且独特的护理系统的更多细节。
