DVIDS – News – Military public health experts provide tips for leaders to improve medical readiness


By V. Hauschild, MPH, Defense Centers for Public Health-Aberdeen

ABERDEEN PROVING GROUND, Md. – For more than a decade, military medical surveillance data analyzed by the Army Public Health Center, now Defense Centers for Public Health–Aberdeen, identified the same two leading reasons for Soldiers’ seeking medical care:

• Outpatient visits for injuries, especially overuse injuries to the bone and soft tissues of the musculoskeletal system, and

• Health encounters for behavioral health conditions that include adjustment disorders, depressive disorders, substance abuse, posttraumatic stress disorder, anxiety disorders and sleep disorders.

[Figure 1]

Army data repeatedly show the number of Soldiers affected by injuries and behavioral health conditions exceeds that for all other groups of medical conditions combined.

“These conditions not only require many clinical visits for treatment but also result in profiles for more days of limited duty than all other medical conditions,” says Dr. Bruce Jones, a medical doctor and retired Army colonel, now the senior injury scientist with the DCPH-A. “The temporary profiles for injuries and behavioral health conditions can affect readiness to deploy.”

Army data show approximately one out of five Soldiers may not be mission ready due to temporary medical profiles resulting from either injuries or behavioral health conditions.

The Army’s 2020 Health of the Force report, also known as the HoF, found musculoskeletal, or MSK, injuries such as overuse injuries resulted in an average of over two months of lost or limited duty time per injury. Behavioral health conditions required an average of almost three months of lost or restricted duty per Soldier receiving care.

“Reducing the severity or impact of overuse injuries and behavioral conditions on Soldiers’ health may enhance a unit’s medical readiness and fighting capability,” says Army Col. Mark Reynolds, director of the DCPH-A Clinical and Epidemiology Directorate.

Reynolds and other CPHE health experts advise commanders and leaders to optimize their unit’s health with the following tips:

TIP 1. Be a More Proactive and Engaged Leader

Leading by example and staying in touch with Soldiers is the first step toward maximizing unit strength.

According to a 2016 APHC study, less than one half of Soldiers surveyed felt leadership prioritized injury prevention and kept them informed of key injuries and risk factors. They felt many leaders were unaware of the magnitude of the adverse impacts of injury to the Army, and/or did not recognize what they as leaders can do to reduce these injuries.

According to one respondent noted in the report, “Changing the mentality of injury is a must within the military. … It starts with the drill sergeants not wanting to look weak in front of their trainees and extends up through the [Chain of Command].”

Another respondent, a medical provider, noted “Leaders … play a direct role in helping the junior Soldiers prevent and recover from injury…For example, I am treating a patient with an ankle fracture. He is in a cast and on crutches yet was made to walk for PT.”

Inconsistent leadership support or awareness

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DVIDS – News – Health care Expo bridges connections with Italy clinical products and services

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VICENZA, Italy – Soon after a crack because of to the pandemic, the 2nd edition of the Health care Expo took put April 12 at the Vicenza Center and Elementary multipurpose room in the Villaggio Housing space.

Amy Cates, U.S. Military Garrison Italy’s Local community Readiness and Resiliency Integrator, explained the function helped introduce healthcare selections to the Vicenza armed service local community so that group users really feel at ease seeking care whilst in Italy.

“Over the very last two many years the COVID-19 pandemic had prevented several from trying to find medical appointments for preventative treatment,” mentioned Cates, who added how in the course of the last five months, the CR2C has been coordinating with English talking medical vendors from the location to bring a variety of specialties to the VMC.

About 15,000 U.S. citizens dwell in Vicenza and its province. A lot of use Italian solutions for their mainly health and fitness care. Last year, team from the Department of Defense Education and learning Action asked for a healthcare expo, like individuals held in the past.

“Since civilians, retirees, and vets have been no longer capable to use the Ederle wellbeing clinic, the ‘Meet the Service provider Well being Expo’ in 2019 and the a single held this 7 days, have been helpful in bridging connections with providers on the economy,” reported Jessica Sparling, a psychologist at the center school. “Many families are outside of their convenience zones when navigating own wants abroad,” Sparling mentioned.

About one particular third of the college students are dependents of U.S. civilian who need to have aid with off-submit clinical appointments, she mentioned.

At the event, many physicians and specialists ended up current to go over programs and demonstrations, some with visible projections and samples of technological know-how used in prosthetics and casts. Suppliers appreciated the option to network with one yet another exchanging information and facts and strategies to refer people with multiple demands, Sparling said.

“We were right here 3 years in the past, ahead of the pandemic,” claimed Simone Cobetto Ghiggia, govt director of Pleasure Heart, a firm that assists People during Italy. “We are grateful to be part of this occasion because it permits us to develop and acquire our relationship with the American community.”

Tricare reps furnished information and facts to attendees. All-around 30 volunteers supported the function, to include things like staff from Vicenza Local community Club, Far better Prospects for Solitary Troopers, Junior Reserve Officers’ Teaching Corps, neighborhood U.S. college students and family customers.

“We could not have executed this function without the need of a workforce of volunteers who manufactured this probable,” Cates mentioned. “The health care companies had been so grateful to be invited and are already asking when the following party will be.”

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Day Taken: 04.22.2022
Date Posted: 04.24.2022 17:59
Story ID: 419165
Area: IT

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