Comprehensive Caregiver Supports and Ascertainment and Treatment of Veteran Pain

IF 2.4 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Medical Care Research and Review Pub Date : 2023-12-07 DOI:10.1177/10775587231210026

Courtney H. Van Houtven, Valerie A. Smith, Katherine E M Miller, T. Berkowitz, M. Shepherd-Banigan, Tyler Hein, Lauren S. Penney, Kelli D. Allen, Margaret Kabat, Timothy Jobin, S. N. Hastings

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引用次数: 0

Abstract

Disabled Veterans commonly experience pain. The Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides training, a stipend, and services to family caregivers of eligible Veterans to support their caregiving role. We compared ascertainment of veteran pain and pain treatment through health care encounters and medications (pain indicators) of participants (treated group) and non-participants (comparison group) using inverse probability treatment weights. Modeled results show that the proportion of Veterans with a pain indicator in the first year post-application was higher than that pre-application for both groups. However, the proportion of Veterans with a pain indicator was substantially higher in the treatment group: 76.1% versus 63.9% in the comparison group ( p < .001). Over time, the proportion of Veterans with any pain indicator fell and group differences lessened. However, differences persisted through 8 years post-application ( p < .001). PCAFC caregivers appear to help Veterans engage in pain treatment at higher rates than caregivers not in PCAFC.

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对护理人员的全面支持以及退伍军人疼痛的确定和治疗

残疾退伍军人通常会经历疼痛。家庭照顾者综合援助计划(PCAFC)为符合条件的退伍军人的家庭照顾者提供培训、津贴和服务，以支持他们的照顾角色。我们使用反概率治疗权比较了参与者(治疗组)和非参与者(对照组)通过医疗保健就诊和药物(疼痛指标)确定退伍军人疼痛和疼痛治疗。模型结果显示，两组退伍军人在申请后第一年具有疼痛指标的比例均高于申请前。然而，治疗组有疼痛指标的退伍军人比例明显高于对照组:76.1%比63.9% (p < 0.001)。随着时间的推移，有任何疼痛指标的退伍军人比例下降，组间差异减小。然而，差异持续到应用后8年(p < 0.001)。与非PCAFC护理人员相比，PCAFC护理人员帮助退伍军人进行疼痛治疗的比例更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Care Research and Review 医学-卫生保健

CiteScore

6.00

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Medical Care Research and Review (MCRR) is a peer-reviewed bi-monthly journal containing critical reviews of literature on organizational structure, economics, and the financing of health and medical care systems. MCRR also includes original empirical and theoretical research and trends to enable policy makers to make informed decisions, as well as to identify health care trends. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 25 days