| [PMID]: | 28806368 |
| [Au] Autor: | Brignone E; Gundlapalli AV; Blais RK; Kimerling R; Barrett TS; Nelson RE; Carter ME; Samore MH; Fargo JD |
| [Ad] Endereço: | *Informatics, Decision Enhancement, and Analytic Sciences Center, VA Salt Lake City Health Care System, Salt Lake City †Department of Psychology, Utah State University, Logan ‡Departments of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT §National Center for PTSD ∥Center for Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA. |
| [Ti] Título: | Increased Health Care Utilization and Costs Among Veterans With a Positive Screen for Military Sexual Trauma. |
| [So] Source: | Med Care;55 Suppl 9 Suppl 2:S70-S77, 2017 Sep. |
| [Is] ISSN: | 1537-1948 |
| [Cp] País de publicação: | United States |
| [La] Idioma: | eng |
| [Ab] Resumo: | BACKGROUND: The effects of sexual trauma on long-term health care utilization and costs are not well understood due to infrequent documentation of sexual trauma history in health care systems. The Veteran's Health Administration provides a unique opportunity to address this constraint as sexual trauma is actively screened for as part of routine care. METHODS: We used a retrospective cohort design to analyze Veteran's Health Administration mental health and medical service utilization and costs as a function of a positive screen for exposure to military sexual trauma (MST) among Veterans of recent conflicts in Iraq and Afghanistan. We computed adjusted 5-year estimates of overall utilization and costs, and utilization and costs determined not to be related to MST. RESULTS: The cohort included 426,223 men and 59,611 women. A positive MST screen was associated with 50% higher health care utilization and costs relative to a negative screen. Overall, a positive relative to negative MST screen was associated with a 5-year incremental difference of 34.6 encounters and $10,734 among women, and 33.5 encounters and $11,484 among men. After accounting for MST-related treatment, positive MST screen was associated with 11.9 encounters and $4803 among women, and 19.5 encounters and $8001 among men. CONCLUSIONS: Results demonstrate significant and consistent differences in health care utilization and costs between Veterans with a positive relative to negative MST screen. Even after accounting for MST-related care, a positive screen was associated with significantly higher utilization and costs. MST-related needs may be more readily recognized in women relative to men. |
| [Mh] Termos MeSH primário: |
Transtornos Mentais/economia
Militares/psicologia
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Veteranos/psicologia
|
| [Mh] Termos MeSH secundário: |
Feminino
Seres Humanos
Masculino
Programas de Rastreamento/métodos
Transtornos Mentais/epidemiologia
Transtornos Mentais/psicologia
Estupro/psicologia
Estudos Retrospectivos
Fatores Sexuais
Assédio Sexual/psicologia
Estados Unidos
United States Department of Veterans Affairs
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| [Pt] Tipo de publicação: | JOURNAL ARTICLE |
| [Em] Mês de entrada: | 1708 |
| [Cu] Atualização por classe: | 170822 |
[Lr] Data última revisão:
| 170822 |
| [Sb] Subgrupo de revista: | IM |
| [Da] Data de entrada para processamento: | 170815 |
| [St] Status: | MEDLINE |
| [do] DOI: | 10.1097/MLR.0000000000000767 |
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