The health of Persian Gulf veterans

Article Abstract:

Several research centers and Veteran's Administration (VA) medical centers are studying Persian Gulf veterans who have encountered health problems resulting from their service in Operations Desert Shield and Desert Storm in 1990. Exposure to environmental smoke and chemicals may have caused symptoms ranging from skin rashes and chronic fatigue to respiratory and gastrointestinal illnesses. Some of the illnesses cannot be diagnosed or explained. The studies will describe the symptoms and look at the effects of environmental chemicals and biological hazards on health, the relationship between multiple symptoms and clinical diseases, and environmental stress and risk factors. VA centers in Washington DC, Los Angeles and Houston will evaluate veterans with undiagnosed conditions and provide consultations with specialists.

Diseases, Persian Gulf War veterans, Persian Gulf syndrome

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Transforming the Veterans health care system - the 'new VA'

Article Abstract:

The U.S. Veterans Health Administration is gradually transforming the system of VA hospitals. The 950 VA health care facilities have been organized into 22 networks called Veterans Integrated Service Networks or VISNs. Each VISN will focus on ambulatory care and will assign a primary care physician to all patients. The VHA has consolidated hospital management and redistributed hospital beds. It has reduced beds by 2,294, staff by 3,436 full-time equivalent employees and cut the average hospital stay by 6%. However, outpatient visits have risen almost 10%. Almost one-quarter of all forms used were eliminated and others were simplified. The agency has instituted bulk purchasing agreements and has implemented a pharmaceutical program that could save $20 million annually.

Management, Hospitals, Veterans', Veterans hospitals

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Results of a Nationwide Veterans Affairs Initiative to Align Graduate Medical Education and Patient Care

Article Abstract:

The US Veterans Health Administration increased funding for primary care training in graduate medical education from 38% to 48% between 1996 and 1998. One thousand specialty training positions were dropped, and 750 primary care training positions were added.

Social policy, Family medicine, Training, Study and teaching, Residents (Medicine)

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