PDF(Pubmed)
Abstract：
The U.S. Air Force asked RAND Project AIR FORCE (PAF) to help assess the well-being of its wounded members and the quality of services provided to facilitate their recovery and reintegration. RAND PAF fielded a survey in the fall of 2016 to assess wounded airmen\'s functioning in the domains of physical health, mental health, interpersonal relationships, unemployment, and financial status, as well as their utilization and perceptions of Air Force nonmedical programs for wounded airmen. The authors of this study invited all 713 wounded airmen enrolled in the Air Force Wounded Warrior program to complete the survey, and 270 airmen (38 percent) completed it. One-third of airmen reported difficulty obtaining care for physical or mental health conditions, and one-quarter expressed dissatisfaction with coordination of care. Similar proportions of airmen reported barriers to care for physical and mental health conditions. Difficulty scheduling appointments was the most commonly endorsed barrier for both types of conditions. Small but notable proportions of airmen reported potential social support deficits, unemployment, and financial problems. For many of the Air Force\'s programs for wounded airmen, over 80 percent of program users reported overall program satisfaction. The authors recommend that the Air Force consider focusing on improving care coordination, increasing health care system capacity, continuing employment assistance, and improving marketing of programs with low uptake.
摘要：
美国空军要求兰德计划空军（PAF）帮助评估其受伤成员的健康状况以及为促进其康复和重返社会而提供的服务质量。RANDPAF在2016年秋季进行了一项调查，以评估受伤的飞行员在身体健康领域的功能，心理健康,人际关系,失业,和财务状况，以及他们对空军受伤飞行员非医疗计划的利用和看法。这项研究的作者邀请了所有参加空军受伤战士计划的713名受伤飞行员完成调查，270名飞行员(38%)完成了这项工作。三分之一的飞行员报告难以获得身体或精神健康状况的护理，四分之一的人对护理的协调表示不满。类似比例的飞行员报告说，在照顾身心健康方面存在障碍。很难安排任命是两种情况下最普遍认可的障碍。一小部分但值得注意的飞行员报告了潜在的社会支持不足，失业,和财务问题。对于许多空军针对受伤飞行员的计划，超过80%的程序用户报告总体程序满意度。作者建议空军考虑将重点放在改善护理协调上，提高医疗保健系统的能力，继续就业援助，并改善低吸收计划的营销。
