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dc.contributor.authorAmara, Jomana
dc.contributor.authorIverson, Katherine M.
dc.contributor.authorKrengel, Maxine
dc.contributor.authorPogoda, Terri K.
dc.contributor.authorHendricks, Ann
dc.contributor.otherDefense Resources Management Institute (DRMI)
dc.date.accessioned2018-09-10T15:13:43Z
dc.date.available2018-09-10T15:13:43Z
dc.date.issued2013-12-10
dc.identifier.citationAmara, Jomana, et al. "Anticipating the traumatic brain injury–related health care needs of women veterans after the Department of Defense change in combat assignment policy." Women's health issues 24.2 (2014): e171-e176.en_US
dc.identifier.urihttp://hdl.handle.net/10945/59927
dc.descriptionThe article of record as published may be found at http://doi.org/10.1016/j.whi.2013.12.004en_US
dc.description.abstractBackground: Female service members’ presence in combat zones during Operation Enduring Freedom and Operation Iraqi Freedom is unprecedented both in terms of the number of women deployed and the nature of their involvement. In light of changing Department of Defense policy governing the deployment of women in combat zones, this article intends to set the groundwork for estimating future combat-related injuries and subsequent Veterans Health Administration (VHA) utilization while focusing on traumatic brain injury (TBI). Methods: The article summarizes and presents the results of a study that examines veterans who present to VHA for TBI evaluation. For a national sample of veterans, a dataset including information on post-screening utilization, diagnoses, and location of care was constructed. The dataset included self-reported health symptoms and other information obtained from a standardized national VHA post-screening clinical evaluation, the comprehensive TBI evaluation (CTBIE). Findings: Both women and men utilize high levels of VHA health care after a CTBIE. However, there are gender differences in the volume and types of services used, with women utilizing different services than their male counterparts and incurring higher costs, including higher overall and outpatient costs. Conclusion: As women veterans seek more of their health care from the VHA, there will be a need for more coordinated care to identify and manage deployment-related TBI and common comorbidities such as posttraumatic stress disorder, depression, and chronic pain. Deployment-connected injuries are likely to rise because of the rescinding of the ban on women in combat. This in turn has critical implications for VHA strategic planning and budgeting.en_US
dc.description.sponsorshipOffice of Research and Development, Health Services R&D Service, Department of Veterans Affairs, through SDR 08-405
dc.format.extent6 p.en_US
dc.publisherElsevieren_US
dc.rightsThis publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.en_US
dc.titleAnticipating the Traumatic Brain Injury-Related Health Care Needs of Women Veterans After the Department of Defense Change in Combat Assignment Policyen_US
dc.typeArticle
dc.contributor.corporateNaval Postgraduate School (U.S.)
dc.description.funderOffice of Research and Development, Health Services R&D Service, Department of Veterans Affairs, through SDR 08-405
dc.description.funderOffice of Research and Development, Health Services R&D Service, Department of Veterans Affairs, through SDR 08-405


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