Gordon Barak, Levy Yuval, Yemini Tal, Carmon Erez, Erlich Yifat, Hermoni Doron
Medical Corps, Israeli Defense Forces, Tel Hashomer, Israel.
Aerosp Med Hum Perform. 2016 Dec 1;87(12):1036-1040. doi: 10.3357/AMHP.4406.2016.
The ecology of medical care model has been used in various populations with varying results. We aimed to apply this model in the population of Israeli Air Force (IAF) aviators.
An anonymous questionnaire was presented to all Israeli Air Force aviators during their mandatory yearly check-up over 1 yr starting on November 26th, 2012. The questionnaire contained items on demographic, personal, and military details, as well as items on the presence of clinical symptoms, and various health care contacts in the previous month. We assessed the differences between career and reserve personnel using a X2 test.
There were 325 aviators who completed the questionnaire (2 women, 132 reserves). Clinical symptoms were reported by 62.5% of the responders. Over half (52.6%) had any health care encounter: 23.7% with a dentist, 17.9% with non-MD therapists, 12.6% with a specialist, and 11.7% with a primary physician. A significant difference between reserve and career personnel was found only in primary care visits. Out of the aviators who reported having clinical symptoms, 70.9% did not visit a physician. Of those who did not seek medical care, 42.4% reported that the symptoms were viewed as unimportant, 41% thought they would disappear by themselves, 40.3% could not find time for treatment.
Aviators in the IAF have similar rate of clinical symptoms as in other unselected populations. Those who report symptoms usually do not visit a physician for treatment. When they do seek advice it is mostly from non-MD practitioners.Gordon B, Levy Y, Yemini T, Carmon E, Erlich Y, Hermoni D. The ecology of medical care among Israeli military aviators. Aerosp Med Hum Perform. 2016; 87(12):1036-1040.
医疗照护模式的生态学已应用于不同人群，结果各异。我们旨在将此模式应用于以色列空军（IAF）飞行员群体。
从2012年11月26日起的1年时间里，在所有以色列空军飞行员进行年度强制体检时，向他们发放一份匿名问卷。问卷包含人口统计学、个人及军事方面的详细信息，以及关于临床症状的出现情况和前一个月各种医疗接触的项目。我们使用卡方检验评估现役人员和预备役人员之间的差异。
325名飞行员完成了问卷（2名女性，132名预备役）。62.5%的应答者报告有临床症状。超过半数（52.6%）有过任何医疗接触：23.7%看牙医，17.9%看非医学治疗师，12.6%看专科医生，11.7%看初级医生。预备役人员和现役人员之间仅在初级医疗就诊方面存在显著差异。在报告有临床症状的飞行员中，70.9%未就医。在未寻求医疗护理的人中，42.4%报告认为症状不重要，41%认为症状会自行消失，40.3%找不到时间治疗。
以色列空军飞行员的临床症状发生率与其他未经过挑选的人群相似。报告有症状的人通常不就医治疗。当他们寻求建议时，大多是向非医学从业者咨询。戈登·B、利维·Y、耶米尼·T、卡蒙·E、埃利希·Y、赫尔莫尼·D。以色列军事飞行员的医疗照护生态学。《航空航天医学与人类表现》。2016年；87(12):1036 - 1040。
