Belanger Heather G, Uomoto Jay M, Vanderploeg Rodney D
Department of Psychology, James A.Haley VeteransHospital, 13000 Bruce B Downs Blvd, 117, Tampa, FL 33612, USA.
J Head Trauma Rehabil. 2009 Jan-Feb;24(1):4-13. doi: 10.1097/HTR.0b013e3181957032.
The Veterans Health Administration's (VHA's) Polytrauma System of Care, developed in response to a new cohort of patients back from Iraq and Afghanistan, is described with particular focus on the assessment and treatment of mild traumatic brain injury (mild TBI). The development of systemwide TBI screening within the VHA has been an ambitious and historic undertaking. As with any population-wide screening tool, there are benefits and costs associated with it. The purpose of this article is to identify and discuss the strengths and weaknesses of the VHA's TBI clinical reminder and subsequent evaluation and treatment processes. Complicating factors such as increased media attention and other contextual factors are discussed.
退伍军人健康管理局（VHA）的多创伤护理系统是为应对从伊拉克和阿富汗归来的新一代患者而开发的，本文将特别关注轻度创伤性脑损伤（轻度TBI）的评估和治疗。在VHA范围内开展全系统TBI筛查是一项雄心勃勃且具有历史意义的工作。与任何全人群筛查工具一样，它有好处也有成本。本文的目的是识别和讨论VHA的TBI临床提醒以及后续评估和治疗流程的优缺点。还将讨论诸如媒体关注度增加等复杂因素以及其他背景因素。
