为患有创伤后应激障碍（PTSD）的退伍军人家庭成员提供支持和培训对其获得门诊服务的影响。
The Effect of Support and Training for Family Members on Access to Outpatient Services for Veterans with Posttraumatic Stress Disorder (PTSD).
作者信息
Shepherd-Banigan Megan, Smith Valerie A, Maciejewski Matthew L, Stechuchak Karen M, Hastings Susan Nicole, Wieland G Darryl, Miller Katherine E M, Kabat Margaret, Henius Jennifer, Campbell-Kotler Margaret, Van Houtven Courtney Harold
机构信息
Department of Veterans Affairs, Durham VA Medical Center Health Services Research and Development, Durham, NC, USA.
Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA.
出版信息
Adm Policy Ment Health. 2018 Jul;45(4):550-564. doi: 10.1007/s10488-017-0844-8.
The VA Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides landmark support for family caregivers of post-9/11 veterans. This study examines PCAFC support for veterans with and without PTSD and assesses whether program effect differs by PTSD status using a pre-post, non-equivalent, propensity score weighted comparison group design (n = 24,280). Veterans with and without PTSD in PCAFC accessed more mental health, primary, and specialty care services than weighted comparisons. PCAFC participation had stronger effects on access to primary care for veterans with PTSD than for veterans without PTSD. For veterans with PTSD, PCAFC support might enhance health service use.
退伍军人事务部家庭护理员综合援助计划（PCAFC）为9·11事件后退伍军人的家庭护理员提供了具有里程碑意义的支持。本研究考察了PCAFC对患有和未患有创伤后应激障碍（PTSD）的退伍军人的支持情况，并采用前后对照、非等效、倾向得分加权比较组设计（n = 24280）评估项目效果是否因PTSD状态而异。与加权比较组相比，PCAFC中患有和未患有PTSD的退伍军人获得了更多的心理健康、初级和专科护理服务。PCAFC参与对患有PTSD的退伍军人获得初级护理的影响比对未患有PTSD的退伍军人更强。对于患有PTSD的退伍军人，PCAFC的支持可能会增加医疗服务的使用。
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