The Ecology of Medical Care Among Israeli Military Aviators
| Autor: | Barak Gordon, Yifat Erlich, Yuval Levy, Doron Hermoni, Tal Yemini, Erez Carmon |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Population Dentists Nonprescription Drugs Primary care Primary physician Medical care Physicians Primary Care Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Health care Hum Medicine Humans Israel education Dental Health Services Aged education.field_of_study business.industry Ecology Significant difference 030208 emergency & critical care medicine General Medicine Health Services Middle Aged Patient Acceptance of Health Care 030210 environmental & occupational health Test (assessment) Pilots Military Personnel Aerospace Medicine Female business Emergency Service Hospital Specialization |
| Zdroj: | Aerospace medicine and human performance. 87(12) |
| ISSN: | 2375-6314 |
| Popis: | BACKGROUND The ecology of medical care model has been used in various populations with varying results. We aimed to apply this model in the population of Israeli Air Force (IAF) aviators. METHODS An anonymous questionnaire was presented to all Israeli Air Force aviators during their mandatory yearly check-up over 1 yr starting on November 26th, 2012. The questionnaire contained items on demographic, personal, and military details, as well as items on the presence of clinical symptoms, and various health care contacts in the previous month. We assessed the differences between career and reserve personnel using a X2 test. RESULTS There were 325 aviators who completed the questionnaire (2 women, 132 reserves). Clinical symptoms were reported by 62.5% of the responders. Over half (52.6%) had any health care encounter: 23.7% with a dentist, 17.9% with non-MD therapists, 12.6% with a specialist, and 11.7% with a primary physician. A significant difference between reserve and career personnel was found only in primary care visits. Out of the aviators who reported having clinical symptoms, 70.9% did not visit a physician. Of those who did not seek medical care, 42.4% reported that the symptoms were viewed as unimportant, 41% thought they would disappear by themselves, 40.3% could not find time for treatment. CONCLUSIONS Aviators in the IAF have similar rate of clinical symptoms as in other unselected populations. Those who report symptoms usually do not visit a physician for treatment. When they do seek advice it is mostly from non-MD practitioners.Gordon B, Levy Y, Yemini T, Carmon E, Erlich Y, Hermoni D. The ecology of medical care among Israeli military aviators. Aerosp Med Hum Perform. 2016; 87(12):1036-1040. |
| Databáze: | OpenAIRE |
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