Ross Paula T, Lypson Monica L
University of Michigan Medical School, Ann Arbor, Michigan, USA.
Office of Academic Affiliations, Department of Veterans Affairs Central Office, Washington, District of Columbia, USA.
Clin Teach. 2019 Feb;16(1):53-57. doi: 10.1111/tct.12775. Epub 2018 Mar 30.
Veterans have unique experiences that warrant special consideration in health care. Unfortunately, training in veteran-centred care has not been a clear focus of medical education, and only a very small proportion of medical schools include military cultural competency in their curricula.
We conducted an 80-minute focus group with six US veterans. Open-ended questions were used to elicit their perceptions of the health care that they receive, and how it can be improved. The audio-recording was transcribed verbatim and coded for thematic content. A phenomenological analytic approach was used to analyse the 31-page transcript and arrive at the final themes.
Former service members from various periods of conflict (e.g. World War II, Vietnam, Persian Gulf) offered key insights about how to improve veterans' health care experiences. Veterans suggested that consideration of their previous military service would improve care. They lamented that the lack of military consciousness is a barrier to care. Finally, they suggested that clinicians pay close attention to the transition from service member to civilian, as reintegration to civilian life is a critical life experience. Training in veteran-centred care has not been a clear focus of medical education DISCUSSION: Veteran-centred care ensures optimal health care through ease of access to services, and through positive patient-provider interactions. Being aware of military culture can help providers to contextualise veterans' experiences and beliefs about health care seeking and illness management, particularly for invisible wounds of war, including traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).
退伍军人有着独特经历，在医疗保健中值得给予特殊考虑。不幸的是，以退伍军人为中心的护理培训并非医学教育的明确重点，只有极少数医学院校在其课程中纳入了军事文化能力培训。
我们与六名美国退伍军人进行了一次80分钟的焦点小组访谈。采用开放式问题来引出他们对所接受医疗保健的看法以及如何改进。对录音进行逐字转录并对主题内容进行编码。采用现象学分析方法来分析这份31页的文字记录并得出最终主题。
来自不同冲突时期（如第二次世界大战、越南战争、海湾战争）的退役军人就如何改善退伍军人的医疗保健体验提供了关键见解。退伍军人表示，考虑他们之前的军事服役经历将改善护理。他们 lamented 缺乏军事意识是护理的障碍。最后，他们建议临床医生密切关注从军人到平民的过渡，因为重新融入平民生活是一段关键的人生经历。以退伍军人为中心的护理培训并非医学教育的明确重点。讨论：以退伍军人为中心的护理通过易于获得服务以及积极的医患互动来确保最佳医疗保健。了解军事文化有助于医疗服务提供者将退伍军人关于寻求医疗保健和疾病管理的经历及信念置于具体情境中，特别是对于战争中的无形创伤，包括创伤性脑损伤（TBI）和创伤后应激障碍（PTSD）。
lamented这个词在原文中拼写有误，正确拼写应该是lament，表示“惋惜、抱怨”等意思 。
