Abstract:
:Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of mental health care for military personnel and their families. Utilizing data on the location of mental health OCTPs and demographic data, we examine the spatial accessibility of mental health OCTPs around five military installations. Variation exists in the spatial accessibility of mental health OCTPs depending on the geographic context of an installation. There is a mild correlation between the number of mental health OTCPs proximate to a base and the beneficiaries enrolled in an MTF. There is a strong correlation between the size of the general population proximate to an installation and the number of mental health OCTMPs present. Installations located in densely populated areas had high ratios of mental health OCTPs to the MTF beneficiary population but not when the civilian demand on these providers was accounted for. This study's findings open several avenues for future research and policy aimed at increasing the effectiveness of the mental health OCTP network.
journal_name
Mil Medjournal_title
Military medicineauthors
Schultheis E,Glasmeier Adoi
10.7205/MILMED-D-14-00229subject
Has Abstractpub_date
2015-09-01 00:00:00pages
979-85issue
9eissn
0026-4075issn
1930-613Xjournal_volume
180pub_type
杂志文章abstract::Very little data are available to commanders regarding gynecological problems encountered by a large female population in a combat zone for extended periods of time. The 312th Evacuation Hospital supported Operation Desert Storm, treating over 12,000 patients. Of these, 577 were treated by the gynecological service. O...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Cigarette smoking disproportionately affects veterans, particularly those with psychiatric diagnoses. Chaplains working within the Department of Veterans Affairs (VA) play key roles in emotional, physical, and spiritual health care of veterans, and veterans often turn to chaplains with mental health concerns. The VA/D...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00380
更新日期:2014-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.11.1068
更新日期:2008-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00538
更新日期:2013-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa580
更新日期:2021-01-15 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00234
更新日期:2012-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract::The two articles presented previously in this volume provide state-of-the-art reviews of the etiology, epidemiology, screening and treatment of substance use disorder (SUD). This article identifies next steps in research and development for understanding and treating SUD in Operation Enduring Freedom/Operation Iraqi F...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00126
更新日期:2012-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00085
更新日期:2017-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00119
更新日期:2014-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz096
更新日期:2019-12-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz287
更新日期:2020-01-07 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa415
更新日期:2020-11-24 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy198
更新日期:2019-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
abstract::The ultimate Navy Nurse role would be described as the Nurse Corps officer who is known to be an expert nursing practitioner and simultaneously meeting all role expectations as a naval leader. Unclear or inaccurate expectations regarding the traditional Navy Nurse role may originate from expectations of peers or super...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract::These tests were conducted to develop a database that could be used to assess risks to soldiers from exposure to aerosolized metallic particulates when the crew compartment of an Abrams tank is perforated by a kinetic energy penetrator. Quantitative data are reported for aerosols produced by kinetic energy penetrators...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.4.393
更新日期:2007-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.12.1069
更新日期:2005-12-01 00:00:00
abstract::Under operational conditions, current doctrine requires separate application of the standard military insect repellent and camouflage face paint. Working with an industrial partner, Amon Re, Inc., we developed a combined camouflage face paint and insect repellent that offers excellent protection from arthropod disease...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00057
更新日期:2012-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.10.815
更新日期:2005-10-01 00:00:00
abstract::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00482
更新日期:2011-09-01 00:00:00
abstract::A series of 51 active duty patients who elected to undergo ambulatory surgery in a Navy Fleet Hospital Training Set (a modified field hospital) over a 2-year period were followed prospectively for perioperative complications. All patients were active duty personnel, ranging in grade from E1 to O5, who voluntarily gave...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Tibial nonunions are a challenging situation for both healing and reconstruction when infection is added. In this retrospective study, we discuss the cases in which we had managed to obtain union by aggressive debridement, circular external fixature, and internal bone transport. Fourteen cases had been treated between...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00