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


  • Health and Medicine — Military and Veterans
  • Health and Medicine — Policy, Reviews and Evaluations

Publication Info

208 pages | 6 x 9
ISBN: 978-0-309-06046-2

Table of Contents

skim chapter
Front Matter i-xii
Executive Summary 1-14
Introduction 15-18
The Institute of Medicine's Persian Gulf Activities 19-20
The Dapartment of Veterans Affairs Persian Gulf Registry and Uniform Cse Assessment Protocol 21-28
Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol 29-32
Findings and Recommendations 33-50
Conclusion 51-52
References and Selected Bibliography 53-54
Appendix A: Health Consequences of Service During the Persian Gulf War: Initial Findings and Recommendations for Immediate Action 55-66
Appendix B: Health Consequences of Service During the Persian Gulf War: Recommendations for Research and Information Systems 67-78
Appendix C: Evaluation of the U.S. Department of Defense Persian Gulf Comprehensive Clinical Evaluation Program: Overall Assessment and Recommendations 79-96
Appendix D: Adequacy of the Comprehensive Clinical Evaluation Program: Nerve Agents 97-104
Appendix E: Adequacy of the Comprehensive Clinical Evaluation Program: A Focused Assessment 105-112
Appendix F: VA Phase I Protocol 113-116
Appendix G: VA Phase II Protocol 117-122
Appendix H: Persian Gulf Registry Code Sheet 123-134
Appendix I: VA Persian Gulf Bi-Monthly Report 135-140
Appendix J: Examples of Persian Gulf Registry Follow-Up Letters 141-144
Appendix K: VA Monitoring Instrument for Appropriate Medical Care 145-154
Appendix L: Annual Persian Gulf Conference Agenda 155-162
Appendix M: Site Visit Questions 163-166
Appendix N: Summary of Responses to Requests for Information 167-184
Appendix O: Questions Related to Traumatic Exposure 185-186
Appendix P: Patient Satisfaction 187-192
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Suggested Citation

Institute of Medicine. Adequacy of the VA Persian Gulf Registry and Uniform Case Assessment Protocol. Washington, DC: The National Academies Press, 1998.

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