Title Adequacy of the Comprehensive Clinical Evaluation Program : Nerve Agents

Published Washington : National Academies Press, 1997

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Description 1 online resource (64 pages) Series Online access: National Academy of Sciences National Academies Press Online access: NCBI NCBI Bookshelf Contents Adequacy of the Comprehensive Clinical Evaluation Program -- Copyright -- Contents -- Executive Summary -- Introduction -- The Comprehensive Clinical Evaluation Program -- OVERVIEW -- IMPLEMENTATION -- CCEP: THE INITIAL IOM REPORT -- CCEP: IOM REVIEW CONTINUED -- Testing for and Identifying Health Effects of Exposure to Nerve Agents -- Recommendations -- References -- Appendixes -- Appendix A Recommendations of the Initial CCEP Committee -- 1.) Overall Assessment of the CCEP Goals Procedures -- 2.) General Recommendations for the Implementation of the CCEP 2.1.) Referrals of Patients from Phase I to Phase II of the CCEP2.1.1.) Structure and Revise the CCEP Protocol and Logistics to Allow the Majority of Patients to Receive a Final Diagnosis� -- 2.1.2.) Curtail Diagnostic Work-ups in Patients Not Seriously Disabled with Minor Complaints -- 2.1.3.) Require Additional Efforts to Provide More Care at the Primary Care Level -- 2.1.4.) Continue Referral of Subgroups of Patients Whose Illnesses Are Difficult to Diagnose -- 2.2.) Systematic Guidelines for Psychiatric Referrals and Adequacy of Psychiatric Resources 2.2.1.) Develop Explicit Guidelines for the Identification of Phase I Patients Who Would Benefit fro ... 2.2.2.) Alert Primary Care Physicians About the High Prevalence of Psychiatric Disorders -- 3.) Specific Observations of and Recommendations for the Implementation of the CCEP -- 3.1.) Analysis and Interpretation of the CCEP Results -- 3.1.1.) Symptoms and Diagnoses in the CCEP Population -- 3.1.1.1.) No Evidence Has Been Found that the DoD Has Been Trying To Avoid Reaching a Single Unifyin .. 3.1.1.2.) Signs and Symptoms in Many Patients Can Be Explained by Well Recognized Conditions3.1.1.3.) Provide More Detailed Information on Specific Diagnoses in Future Reports -- 3.1.1.4.) Investigate the Diagnosis in Patients with Disability Processing Actions -- 3.1.1.5.) Don't View CCEP Results as Estimates of the Prevalence of Disability Related to Persian Gu ... -- 3.1.2.) Evidence of a New, Unique Persian Gulf Syndrome -- 3.1.2.1.) There is a Lack of Clinical Evidence of a Unique Persian Gulf Syndrome 3.1.2.2.) Share the Entire CCEP Data Set with Qualified Researchers Outside of the DoD3.1.3.) Potential Relationship of Illnesses in CCEP Patients to Service in the Persian Gulf -- 3.1.3.1.) Discuss the Issue of Causality Explicitly and Unambiguously in its Future Reports -- 3.1.3.2.) Determine the Timing of the Onset of Disease -- 3.1.4.) Comparison of the CCEP Population with Other Populations -- 3.1.4.1.) Be Cautious About Comparison with Other Populations -- 3.1.4.2.) It's Difficult to Establish Causal Relationships by Relying on CCEP Data Alone Notes ""3.1.4.3.) Consider the CCEP Data to Have High Clinical Utility"" English Print version record Subject Persian Gulf War, 1991 -- Veterans -- Diseases -- United States Persian Gulf War, 1991 -- Medical care -- Veterans -- United States Persian Gulf War, 1991 -- Health aspects -- United States Outcome assessment (Medical care) Occupational diseases. Medical personnel. Diseases. Health services administration. Medical care. Persian Gulf syndrome. Medicine, Military. Federal aid. Government aid. Economics. Outcome and Process Assessment, Health Care Occupational Diseases Quality of Health Care Evaluation Studies as Topic Medicine Health Care Evaluation Mechanisms Investigative Techniques Health Occupations Disease Health Services Administration Health Care Quality, Access, and Evaluation Disciplines and Occupations Analytical, Diagnostic and Therapeutic Techniques and Equipment Delivery of Health Care Program Evaluation Persian Gulf Syndrome Process Assessment, Health Care Military Medicine Financing, Government Financing, Organized Economics Health Care Economics and Organizations Veterans Disability Claims Treatment Outcome Outcome Assessment, Health Care Health Workforce Health Personnel Patient Care Management Patient Care Management -- methods Patient Care illness. disease. federal aid. economics. War -- Health aspects Persian Gulf syndrome Outcome assessment (Medical care) Occupational diseases Medicine, Military Medical personnel Health services administration Government aid Federal aid Economics Diseases Veterans Medical care Veterans -- Diseases United States Form Electronic book ISBN 9780309590402 030959040X 9780309057431 0309057434 1280191430 9781280191435 9786610191437 6610191433 0585085854 9780585085852

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