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All Veterans with Invisible Wounds Should Receive High-Quality Care That Meets These Standards | |
admin | |
2020-10-30 | |
发布年 | 2020 |
语种 | 英语 |
国家 | 美国 |
领域 | 资源环境 |
正文(英文) | Millions of post-9/11 U.S. military veterans experience invisible wounds, including posttraumatic stress disorder (PTSD) and chronic issues resulting from traumatic brain injuries (TBIs). These invisible wounds are life-changing, and can significantly interfere with veterans' abilities to function across health, occupational, and family domains. If left untreated, these wounds can result in billions of dollars of direct and indirect costs to society. While effective treatments are available, many veterans lack access to high-quality care. And what high-quality care means, exactly, has been elusive. The George W. Bush's Institute's Veteran Wellness Alliance links veteran peer networks and best-in-class clinical programs to help more veterans connect to high-quality care for their invisible wounds when they need it. Research indicates that outside of the Department of Veteran Affairs (VA), high-quality mental and brain-related health programs for veterans are limited. Therefore, in order to establish transparent and consistent expectations for care that is delivered, the Bush Institute collaborated with RAND to generate the first definition for high-quality care for PTSD and TBI. This sets the bar for all mental and brain-injury health providers who serve veterans. Additionally, it should be a source for policymakers, funders, veteran advocacy groups, and other key stakeholders. The definition is based on published literature, consumer input, and interviews with Veteran Wellness Alliance clinical partners. The consensus-based definition focuses on four pillars:
Having a shared definition of high-quality care for invisible wounds is the first step in setting the standard for and improving access to high-quality care for veterans. Share on TwitterHaving a shared definition of high-quality care for invisible wounds is the first step in setting the standard for and improving access to high-quality care for veterans. The standard for care could be used in a number of ways. It can be used to identify or “certify” high-quality care providers. This definition can also be used in consumer decisionmaking. Veterans who are seeking care and veteran-serving organizations that refer veterans to care can use this definition to guide selection of providers and to set expectations for what care should include. Payers can use this definition for network inclusion or reimbursement criteria, requiring that providers demonstrate that they provide care that meets this standard. An important next step will be to put this definition into practice and further delineate best ways to measure whether a clinical program is providing high-quality care. This process will involve determining common quantitative measures to collect across clinical programs/partners, drawing from various data sources that are available and feasible, to provide a comprehensive assessment of the veterans' needs, experiences, treatment progress, and various outcomes. In addition to using the definition in Alliance operations, the Bush Institute's Veteran Wellness Alliance will use this definition to drive policy to establish quality standards for mental and brain health care programs. All veterans experiencing invisible wounds should have access to high quality care. With quality care, veterans can recover and continue to serve their country even after they have taken off the uniform. Carrie Farmer is a senior policy researcher and director of the Health Care Quality Measurement and Improvement Program at the nonprofit, nonpartisan RAND Corporation. Lu Dong is an associate behavioral scientist at RAND and a licensed clinical psychologist. Kacie Kelly is director of Health and Wellbeing in the Military Service Initiative at the George W. Bush Institute. A version of this commentary appeared on bushcenter.org on October 29, 2020. Commentary gives RAND researchers a platform to convey insights based on their professional expertise and often on their peer-reviewed research and analysis. |
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来源平台 | RAND Corporation |
文献类型 | 新闻 |
条目标识符 | http://119.78.100.173/C666/handle/2XK7JSWQ/301153 |
专题 | 资源环境科学 |
推荐引用方式 GB/T 7714 | admin. All Veterans with Invisible Wounds Should Receive High-Quality Care That Meets These Standards. 2020. |
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