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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR978 |
来源ID | RR-978-OSD |
Quality of Care for PTSD and Depression in the Military Health System: Phase I Report | |
Kimberly A. Hepner; Elizabeth M. Sloss; Carol P. Roth; Heather Krull; Susan M. Paddock; Shaela Moen; Martha J. Timmer; Harold Alan Pincus | |
发表日期 | 2016-02-18 |
出版年 | 2016 |
语种 | 英语 |
结论 | Service Members with PTSD and Depression Have Complex Service Needs
Administrative Data–Based Quality Measures for PTSD and Depression Identified Important Strengths and Some Areas for Improvement
Adequate Medication Trial Rate is Similar to or Higher than Estimates from Other Health Care Systems, and Rates of Follow-Up Medication Management are Similar but LowA High Proportion of Service Members with PTSD or Depression Received at Least Some Psychotherapy, But the Number of Visits Appear to Be Inadequate to Allow Delivery of Evidence-Based Psychotherapy
The MHS Is a Leader in Achieving High Rates of Follow-up After Psychiatric Hospitalization
Quality of Care for PTSD and Depression Varied by Service Branch, TRICARE Region, and Service Member Characteristics
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摘要 | The U.S. Department of Defense (DoD) strives to maintain a physically and psychologically healthy, mission-ready force, and the care provided by the Military Health System (MHS) is critical to meeting this goal. Given the rates of posttraumatic stress disorder (PTSD) and depression among U.S. service members, attention has been directed to ensuring the quality and availability of programs and services targeting these and other psychological health (PH) conditions. Understanding the current quality of care for PTSD and depression is an important step toward improving care across the MHS. To help determine whether service members with PTSD or depression are receiving evidence-based care and whether there are disparities in care quality by branch of service, geographic region, and service member characteristics (e.g., gender, age, pay grade, race/ethnicity, deployment history), DoD's Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) asked the RAND Corporation to conduct a review of the administrative data of service members diagnosed with PTSD or depression and to recommend areas on which the MHS could focus its efforts to continuously improve the quality of care provided to all service members. This report characterizes care for service members seen by MHS for diagnoses of PTSD and/or depression and finds that while the MHS performs well in ensuring outpatient follow-up following psychiatric hospitalization, providing sufficient psychotherapy and medication management needs to be improved. Further, quality of care for PTSD and depression varied by service branch, TRICARE region, and service member characteristics, suggesting the need to ensure that all service members receive high-quality care. |
目录 |
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主题 | Depression ; Evidence Based Health Practice ; Health Care Quality Measurement ; Mental Health Treatment ; Military Health and Health Care ; Posttraumatic Stress Disorder |
URL | https://www.rand.org/pubs/research_reports/RR978.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/522962 |
推荐引用方式 GB/T 7714 | Kimberly A. Hepner,Elizabeth M. Sloss,Carol P. Roth,et al. Quality of Care for PTSD and Depression in the Military Health System: Phase I Report. 2016. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR978.pdf(1139KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1501700126914.jpg(9KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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