Adequacy of the VA Persian Gulf Registry and Uniform Case Assessment Protocol

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National Academies Press, Mar 11, 1998 - Medical - 208 pages
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As mandated in Public Law 103-446, the Department of Veterns Affairs (VA) asked the Institute of Medicine (IOM) to review its Uniform Case Assessment Protocol (UCAP) for Persian Gulf veterans. The purpose of the program is to provide a systematic, comprehensive medical protocol for the diagnosis of health problems of Persian Gulf veterans. This report is the third in a series of studies by IOM reviewing the protocols used by the VA and the Department of Defense to diagnose the health complaints of Gulf veterans. The committee reviews and makes recommendations concerning the adequacy of the medical protocol and its implementation by the VA, as well as the VA's outreach and education efforts aimed at informing Persian Gulf veterans and their care providers of the purpose and availability of this program. In addition, the report contains as appendixes the findings and recommendations of the previous reports, as well as those of two related IOM reports on Health Consequences of Service During the Persian Gulf War.

 

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Contents

Executive Summary
1
1 Introduction
15
2 The Institute of Medicines Persian Gulf Activities
19
3 The Department of Veterans Affairs Persian Gulf Registry and Uniform Case Assessment Protocol
21
4 Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol
29
5 Findings and Recommendations
33
6 Conclusion
51
References and Selected Bibliography
53
Appendix F VA Phase I Protocol
113
Appendix G VA Phase II Protocol
117
Appendix H Persian Gulf Registry Code Sheet
123
Appendix I VA Persian Gulf BiMonthly Report
135
Appendix J Examples of Persian Gulf Registry FollowUp Letters
141
Appendix K VA Monitoring Instrument for Appropriate Medical Care
145
Appendix L Annual Persian Gulf Conference Agenda
155
Appendix M Site Visit Questions
163

Initial Findings and Recommendations for Immediate
55
Recommendations for Research and Information Systems
67
Overall
79
Nerve Agents
97
A Focused Assessment
105
Appendix N Summary of Responses to Requests for Information
167
Appendix O Questions Related to Traumatic Exposure
185
Appendix P Patient Satisfaction
187
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