| Autor: |
Hoopsick RA; Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, IL, USA., Vest BM; Department of Family Medicine, State University of New York at Buffalo, Buffalo, NY, USA., Homish DL; Department of Community Health and Health Behavior, State University of New York at Buffalo, Buffalo, NY, USA., Homish GG; Department of Community Health and Health Behavior, State University of New York at Buffalo, Buffalo, NY, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Psychology, health & medicine [Psychol Health Med] 2024 Aug; Vol. 29 (7), pp. 1195-1207. Date of Electronic Publication: 2024 Jan 09. |
| DOI: |
10.1080/13548506.2024.2303409 |
| Abstrakt: |
Some United States Army Reserve/National Guard (USAR/NG) soldiers have substantial health needs, which may be service-related, but not necessarily resulting from deployment. However, most USAR/NG members need to have been deployed to qualify for Veterans Administration (VA) benefits. Therefore, many USAR/NG soldiers seek care from civilian healthcare providers (HCPs). Using a subset ( N = 430 current/former soldiers) of Operation: SAFETY study data, we used regression models to examine differences in healthcare experiences, attitudes, and preferences by deployment status (never-deployed vs. previously-deployed). Final models controlled for age, sex, rank (enlisted vs. officer), military status (current vs. former military), and RAND SF-36 General Health Score. Over 40% of soldiers agreed that civilian HCPs should ask patients about their military service, but never-deployed soldiers were less likely to report being asked about their service ( p < 0.05) or how their service affects their health ( p < 0.10). Never-deployed soldiers were also less likely to attribute their health concerns to military service ( p < 0.001). Although never-deployed soldiers were more likely to prefer receiving physical ( p < 0.05) and mental ( p < 0.05) healthcare outside of the VA than previously-deployed soldiers, never-deployed soldiers had low confidence in their HCP's understanding of their needs (49% thought that their civilian HCP did not understand them; 71% did not think that their civilian HCP could address military-related health concerns; 76% thought that their civilian HCP did not understand military culture). Findings demonstrate that although civilian HCPs may be the preferred (and only) choice for never-deployed USAR/NG soldiers, they may need additional support to provide care to this population. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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