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The Socioeconomic Burden of Pain From War

Bibliographic Data

ID11023552
AuthorsRollin McCulloch Gallagher (Rollin McCulloch Gallagher is with the Departments of Psychiatry and Anesthesiology, Perelman School of Medicine, University of Pennsylvania, and the Center for Health Equities Research and Programs, Michael J Crescenz Veterans Affairs Medical Center, Philadelphia. Friedhelm Sandbrink is with the Department of Neurology, Washington DC Veterans Affairs Medical Center, and the Department of Neurology, School of Medicine, George Washington University, Washington, DC.), Friedhelm Sandbrink (0000-0002-3786-7244, Rollin McCulloch Gallagher is with the Departments of Psychiatry and Anesthesiology, Perelman School of Medicine, University of Pennsylvania, and the Center for Health Equities Research and Programs, Michael J Crescenz Veterans Affairs Medical Center, Philadelphia. Friedhelm Sandbrink is with the Department of Neurology, Washington DC Veterans Affairs Medical Center, and the Department of Neurology, School of Medicine, George Washington University, Washington, DC.)
Year2019
Volume109
Issue1
Pages41-45
Publication date2019-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2018.304744
PMID30495989
OpenAlexW2902694311
LanguageEN
Citations received2
References cited21

War’s burden on the health and well-being of combatants, civilians, and societies is well documented. Although the examination of soldiers’ injuries in modern combat is both detailed and comprehensive, less is known about war-related injuries to civilians and refugees, including victims of torture. The societal burden of war-related disabilities persists for decades in war’s aftermath. The complex injuries of combat survivors, including multiple pain conditions and neuropsychiatric comorbidities, challenge health care systems to reorganize care to meet these survivors’ special needs. We use the case study method to illustrate the change in pain management strategies for injured combat survivors in one national health system, the US Department of Veterans Affairs (VA). The care of veterans’ disabling injuries suffered in Vietnam contrasts with the care resulting from the VA’s congressional mandate to design and implement a pain management policy that provides effective pain management to veterans injured in the recent Middle East conflicts. The outcomes-driven, patient-centric Stepped Care Model of biopsychosocial pain management requires system-wide patient education, clinician training, social networking, and administrative monitoring. Societies are encouraged to develop their health care system’s capacity to effectively respond to the victims of warfare, including combatants and refugees

Environmental health · Population · Socioeconomic status · Sociology · Anesthesia and Neurotoxicity Research · Demography · Medicine · Musculoskeletal pain and rehabilitation · Pediatric Pain Management Techniques

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  • Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016

    Open Access•Theo Vos, Amanuel Alemu Abajobir et al.•The Lancet•2017

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    Open Access•Theo Vos, Ryan M Barber et al.•The Lancet•2015

  • Prevalence and associated risk factors of violence against conflict–affected female adolescents

    Open Access•Lindsay Stark, Khudejha Asghar et al.•Journal of Global Health•2017

  • Our Relations to Refugees

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  • Prevalence and Costs of Co-occurring Traumatic Brain Injury With and Without Psychiatric Disturbance and Pain Among Afghanistan and Iraq War Veteran VA Users

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  • Achilles in Vietnam

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Unique citing works2
Citations per year0,67
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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