Gateway to Think Tanks
来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR1542 |
来源ID | RR-1542-OSD |
Quality of Care for PTSD and Depression in the Military Health System: Final Report | |
Kimberly A. Hepner; Carol P. Roth; Elizabeth M. Sloss; Susan M. Paddock; Praise O. Iyiewuare; Martha J. Timmer; Harold Alan Pincus | |
发表日期 | 2017-08-07 |
出版年 | 2017 |
语种 | 英语 |
结论 |
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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. Attention has been directed to ensuring the quality and availability of programs and services for posttraumatic stress disorder (PTSD) and depression. This report is a comprehensive assessment of the quality of care delivered by the MHS in 2013–2014 for over 38,000 active-component service members with PTSD or depression. The assessment includes performance on 30 quality measures to evaluate the receipt of recommended assessments and treatments. These measures draw on multiple data sources including administrative encounter data, medical record review data, and patient self-reported outcome monitoring data. The assessment identified strengths and areas for improvement for the MHS. In particular, the MHS excels at screening for suicide risk and substance use, but rates of appropriate follow-up for service members with suicide risk are lower. Most service members received at least some psychotherapy, but less than half of psychotherapy delivered was evidence-based. In analyses focused on Army soldiers, outcome monitoring increased notably over time, yet preliminary analyses suggest that more work is needed to ensure that services are effective in reducing symptoms. When comparing performance between 2012–2013 and 2013–2014, most measures demonstrated slight improvement, but targeted efforts will be needed to support further improvements. RAND provides recommendations for strategies to improve the quality of care delivered for these conditions. |
目录 |
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主题 | Depression ; Health Care Quality Measurement ; Mental Health Treatment ; Military Health and Health Care ; Posttraumatic Stress Disorder |
URL | https://www.rand.org/pubs/research_reports/RR1542.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/523352 |
推荐引用方式 GB/T 7714 | Kimberly A. Hepner,Carol P. Roth,Elizabeth M. Sloss,et al. Quality of Care for PTSD and Depression in the Military Health System: Final Report. 2017. |
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_RR1542.pdf(1667KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1501867043742.jpg(7KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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