| DOI: | 10.7249/RR578
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| 报告号: | RR-578-OSD
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| 报告题名: | Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S. |
| 作者: | Ryan Andrew Brown; Grant N. Marshall; Joshua Breslau; Coreen Farris; Karen Chan Osilla; Harold Alan Pincus; Teague Ruder; Phoenix Voorhies; Dionne Barnes-Proby; Katherine Pfrommer; et al.
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| 出版者: | RAND Corporation
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| 出版年: | 2015
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| 发表日期: | 2015
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| 总页数: | 170
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| 国家: | 美国
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| 语种: | 英语
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| 英文关键词: | Military Health and Health Care
; Health Information Technology
; Military Families
; Substance Abuse
; Mental Health and Illness
; Students
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| 中文主题词: | 人口
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| 主题词: | POPULATION
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| 英文摘要: | With many service members now returning to the United States from the recent conflicts in Iraq and Afghanistan, concern over adequate access to behavioral health care (treatment for mental, behavioral, or addictive disorders) has risen. Yet data remain very sparse regarding how many service members (and their dependents) reside in locations remote from behavioral health providers, as well as the resulting effect on their access to and utilization of care. Little is also known about the effectiveness of existing policies and other efforts to improve access to services among this population. To help fill these gaps, a team of RAND researchers conducted a geospatial analysis using TRICARE and other data, finding that roughly 300,000 military service members and 1 million dependents are geographically distant from behavioral health care, and an analysis of claims data indicated that remoteness is associated with lower use of specialty behavioral health care. A review of existing policies and programs discovered guidelines for access to care, but no systematic monitoring of adherence to those guidelines, limiting their value. RAND researchers recommend implementing a geospatial data portal and monitoring system to track access to care in the military population and mark progress toward improvements in access to care. In addition, the RAND team highlighted two promising pathways for improving access to care among remote military populations: telehealth and collaborative care that integrates primary care with specialty behavioral care. |
| URL: | http://www.rand.org/content/dam/rand/pubs/research_reports/RR500/RR578/RAND_RR578.pdf
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| Citation statistics: |
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| 资源类型: | 研究报告
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| 标识符: | http://119.78.100.158/handle/2HF3EXSE/27338
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| Appears in Collections: | 影响、适应和脆弱性
科学计划与规划
气候减缓与适应
气候变化事实与影响
气候变化与战略
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| RAND_RR578.pdf（2108KB） | 研究报告 | -- | 开放获取 | | View
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| Recommended Citation: | |
Ryan Andrew Brown,Grant N. Marshall,Joshua Breslau,et al. Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.. 2015-01-01.
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