Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20892, USA.
Explore (NY). 2012 Sep-Oct;8(5):282-90. doi: 10.1016/j.explore.2012.06.006.
Traumatic brain injury and posttraumatic stress disorder are the signature injuries of the Iraq and Afghanistan wars. Holistic medicine (comprising multispecialty care integration, patient/family-centered care, wellness interventions, and the construction of architectural "healing environments") has much to offer these patients. In this work we describe the architecture and holistic medicine programming of the National Intrepid Center of Excellence (NICoE), a new clinical research center for traumatic brain injury and posttraumatic stress disorder in the Military Health System. Architecture and clinical process are united in a "design/care continuum" for optimal healing. A groundbreaking institution, the NICoE foreshadows many trends in national healthcare for the 21st century.
创伤性脑损伤和创伤后应激障碍是伊拉克和阿富汗战争的标志性伤害。整体医学(包括多专科护理整合、以患者/家庭为中心的护理、健康干预措施以及建筑“康复环境”的构建)为这些患者提供了很多帮助。在这项工作中,我们描述了国家坚韧卓越中心(NICoE)的建筑和整体医学规划,该中心是军事医疗系统中创伤性脑损伤和创伤后应激障碍的新临床研究中心。建筑和临床流程在“设计/护理连续体”中统一,以实现最佳康复。NICoE 是一个开创性的机构,预示着 21 世纪国家医疗保健的许多趋势。