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向那些服务过的人致敬:卫生专业人员如何为军人、退伍军人及其家属提供最佳护理?

Honoring those who have served: how can health professionals provide optimal care for members of the military, veterans, and their families?

机构信息

Dr. Lee is deputy secretary of health and human resources, Commonwealth of Virginia, Richmond, Virginia, and was director, Office of Community Engagement, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington, DC, at the time this was written. Dr. Sanders is acting chief academic affiliations officer, Office of Academic Affiliations, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington, DC, and was deputy chief, Office of Academic Affiliations, Veterans Health Administration, Department of Veterans Affairs, Washington, DC, at the time this was written. Dr. Cox is adjunct professor of medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, and was chief academic affiliations officer, Office of Academic Affiliations, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington, DC, at the time this was written.

出版信息

Acad Med. 2014 Sep;89(9):1198-200. doi: 10.1097/ACM.0000000000000367.

Abstract

With over one million service members separating from the military over the next several years, it seems prudent to ask whether U.S. health care professionals and systems of care are prepared to evaluate and treat the obvious and more subtle injuries ascribed to military deployment and combat. The authors suggest that several systemic interventions-adding military health history sections to electronic health records, history and physical diagnosis textbooks, and licensing exams while also ensuring that this content is adequately covered in undergraduate and graduate health professional training-will enable all health care professionals to provide service members and veterans with the high-quality care that they deserve. The authors also highlight the U.S. Department of Veterans Affairs' recent innovations in education and care delivery, which are enhancing the education of thousands of students and residents, who will be better prepared to care for veterans after receiving this training.

摘要

随着未来几年超过 100 万名军人退役,人们不禁要问,美国的医疗保健专业人员和医疗体系是否已经做好准备,来评估和治疗与军事部署和战斗相关的明显和更微妙的伤害。作者认为,有几项系统干预措施——在电子健康记录、病史和体格检查教科书以及许可考试中增加军事健康史部分,同时确保这部分内容在本科和研究生医疗专业培训中得到充分涵盖——将使所有医疗保健专业人员能够为军人和退伍军人提供他们应得的高质量护理。作者还强调了美国退伍军人事务部最近在教育和医疗服务方面的创新,这些创新正在提高数千名学生和住院医师的教育水平,他们在接受这种培训后将能够更好地为退伍军人提供护理。

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