Rand health quarterly最新文献_第3页

The Road to Reintegration: Status and Continuing Support of the U.S. Air Force's Wounded, Ill, and Injured. 重返社会之路：美国空军伤病员的状况和持续支持。

Rand health quarterly Pub Date : 2024-03-04 eCollection Date: 2024-03-01

Carra S Sims, Christine Anne Vaughan, John A Hamm, Brent Anderson, Angela Clague

{"title":"The Road to Reintegration: Status and Continuing Support of the U.S. Air Force's Wounded, Ill, and Injured.","authors":"Carra S Sims, Christine Anne Vaughan, John A Hamm, Brent Anderson, Angela Clague","doi":"","DOIUrl":"","url":null,"abstract":"The U.S. Air Force asked RAND Project AIR FORCE (PAF) to help assess the well-being of its wounded members and the quality of services provided to facilitate their recovery and reintegration. RAND PAF fielded a survey in the fall of 2016 to assess wounded airmen's functioning in the domains of physical health, mental health, interpersonal relationships, unemployment, and financial status, as well as their utilization and perceptions of Air Force nonmedical programs for wounded airmen. The authors of this study invited all 713 wounded airmen enrolled in the Air Force Wounded Warrior program to complete the survey, and 270 airmen (38 percent) completed it. One-third of airmen reported difficulty obtaining care for physical or mental health conditions, and one-quarter expressed dissatisfaction with coordination of care. Similar proportions of airmen reported barriers to care for physical and mental health conditions. Difficulty scheduling appointments was the most commonly endorsed barrier for both types of conditions. Small but notable proportions of airmen reported potential social support deficits, unemployment, and financial problems. For many of the Air Force's programs for wounded airmen, over 80 percent of program users reported overall program satisfaction. The authors recommend that the Air Force consider focusing on improving care coordination, increasing health care system capacity, continuing employment assistance, and improving marketing of programs with low uptake.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 2","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter from the Editor. 编辑来信

Rand health quarterly Pub Date : 2024-03-04 eCollection Date: 2024-03-01

引用次数: 0

Data Collection and Sharing for Pathogen Surveillance: Making Sense of a Fragmented Global System. 病原体监测的数据收集与共享：理顺支离破碎的全球系统。

Rand health quarterly Pub Date : 2024-03-04 eCollection Date: 2024-03-01

Sarah Parkinson, Jessica Dawney, Avery Adams, Ben Senator

引用次数: 0

Identifying Strategies for Strengthening the Health Care Workforce in the Commonwealth of Virginia. 确定加强弗吉尼亚州卫生保健人员队伍的战略。

Rand health quarterly Pub Date : 2024-03-04 eCollection Date: 2024-03-01

Megan Andrew, Brian Briscombe, Raffaele Vardavas, Nazia Wolters, Nabeel Qureshi, Wilson Nham, Mahshid Abir

引用次数: 0

Artificial Intelligence-Based Student Activity Monitoring for Suicide Risk: Considerations for K-12 Schools, Caregivers, Government, and Technology Developers. 基于人工智能的学生自杀风险活动监控：K-12 学校、护理人员、政府和技术开发人员的考虑因素。

Rand health quarterly Pub Date : 2024-03-04 eCollection Date: 2024-03-01

Lynsay Ayer, Benjamin Boudreaux, Jessica Welburn Paige, Pierrce Holmes, Tara Laila Blagg, Sapna J Mendon-Plasek

{"title":"Artificial Intelligence-Based Student Activity Monitoring for Suicide Risk: Considerations for K-12 Schools, Caregivers, Government, and Technology Developers.","authors":"Lynsay Ayer, Benjamin Boudreaux, Jessica Welburn Paige, Pierrce Holmes, Tara Laila Blagg, Sapna J Mendon-Plasek","doi":"","DOIUrl":"","url":null,"abstract":"In response to the widespread youth mental health crisis, some kindergarten-through-12th-grade (K-12) schools have begun employing artificial intelligence (AI)-based tools to help identify students at risk for suicide and self-harm. The adoption of AI and other types of educational technology to partially address student mental health needs has been a natural forward step for many schools during the transition to remote education. However, there is limited understanding about how such programs work, how they are implemented by schools, and how they may benefit or harm students and their families. To assist policymakers, school districts, school leaders, and others in making decisions regarding the use of these tools, the authors address these knowledge gaps by providing a preliminary examination of how AI-based suicide risk monitoring programs are implemented in K-12 schools, how stakeholders perceive the effects that the programs are having on students, and the potential benefits and risks of such tools. Using this analysis, the authors also offer recommendations for school and district leaders; state, federal, and local policymakers; and technology developers to consider as they move forward in maximizing the intended benefits and mitigating the possible risks of AI-based suicide risk monitoring programs.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 2","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential Changes to Veterans' Benefits Under the Major Richard Star Act: Veterans' Issues in Focus. 重大理查德-斯塔法案》下退伍军人福利的潜在变化：退伍军人问题聚焦。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Stephanie Rennane

引用次数: 0

Assessing Technology Platforms for Global Health Engagement to Support Integration of Efforts Across Geographic Combatant Commands. 评估全球卫生参与的技术平台，以支持跨地域作战司令部的工作整合。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Padmaja Vedula, Trupti Brahmbhatt, Jonathan Tran, Chandler Sachs

{"title":"Assessing Technology Platforms for Global Health Engagement to Support Integration of Efforts Across Geographic Combatant Commands.","authors":"Padmaja Vedula, Trupti Brahmbhatt, Jonathan Tran, Chandler Sachs","doi":"","DOIUrl":"","url":null,"abstract":"Global health engagement (GHE) is an integral part of the cooperation efforts of the U.S. Department of Defense (DoD) and the geographic combatant commands (GCCs) with partner nations and provides support in training and preparing their military and civilian health systems. These activities encompass a wide spectrum of engagements-military-to-military, military-to-civilian, and multilateral-and support joint missions of humanitarian aid and disaster response, deterrence, access and presence, counterterrorism, and homeland defense. Global health engagements and activities require extensive planning, funding, and resource allocation within the GCCs and component commands. For a continuously growing breadth of GHE and the need to support joint exercises with partner military and civilian medical professionals for partner capacity-building, GHE also requires a robust information technology infrastructure. In this study, the authors assess the technology and process requirements to support the life cycle of GHE activities and assessments-from planning to evaluation-and the information- and knowledge-sharing needs of the GHE community. To do so, they conducted a literature review related to GHE activities, funding sources, and stakeholders; the evolution of technology solutions to support GHE; systems in use by GHE practitioners; and technology solutions in the market, focusing particularly on cloud infrastructure and services and cloud service providers. They held discussions with GHE subject-matter experts to document and analyze GHE technology platform requirements. And they assessed the available and planned platforms according to their features, enhancements, support and maintenance, data integration, interoperability, and future road maps.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Brief Overview of Emerging Vaccine Technologies for Pandemic Preparedness. 用于防范大流行病的新兴疫苗技术简介。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Annette Prieto, Robert Huang, Christopher A Eusebi, Melissa Shostak

{"title":"A Brief Overview of Emerging Vaccine Technologies for Pandemic Preparedness.","authors":"Annette Prieto, Robert Huang, Christopher A Eusebi, Melissa Shostak","doi":"","DOIUrl":"","url":null,"abstract":"Over the past two decades, pandemic preparedness has proven to be critical to health, national, and economic security. Now, countries are investing billions of dollars in various pandemic preparedness tools, such as vaccines and broad-spectrum medical countermeasures (MCM), to address the threats arising from outbreaks. These tools not only offer protection against naturally occurring and accidental biological incidents but can also help provide some protection against deliberate biological attacks. Furthermore, pandemic preparedness has substantial economic implications for both the public and private sectors because of its connection with the biotechnology industry, an important component of the worldwide economy. With so many aspects of pandemic preparedness tied to public health, national security, and economic competition, understanding the key technology and policy trends of the major country stakeholders in this space provides valuable insights into pandemic preparedness gaps and ways of addressing them. This study provides a brief characterization of the trends and strategic implications associated with specific aspects of pandemic preparedness in the United States, China, and Russia. The authors discuss both technical and policy aspects of vaccine concepts and technologies, broad-spectrum MCM, and immunization facilitation.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of State Voting Processes in the 2020 Election: Estimating the Effects on Voter Turnout, Voting Method, and the Spread of COVID-19. 2020 年大选中各州投票程序的影响：估算对投票率、投票方法和 COVID-19 传播的影响》（Estimating the Effects on Voter Turnout, Voting Method, and the Spread of COVID-19）。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Samuel Absher, Jennifer Kavanagh

引用次数: 0

Virtual Behavioral Health for Army Soldiers: Soldier Perspectives and Patterns of Treatment. 陆军士兵的虚拟行为健康：士兵的观点和治疗模式。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Kimberly A Hepner, Joshua Breslau, Jessica L Sousa, Carol P Roth, Teague Ruder, Isabelle González, Cheryl K Montemayor, Beth Ann Griffin

{"title":"Virtual Behavioral Health for Army Soldiers: Soldier Perspectives and Patterns of Treatment.","authors":"Kimberly A Hepner, Joshua Breslau, Jessica L Sousa, Carol P Roth, Teague Ruder, Isabelle González, Cheryl K Montemayor, Beth Ann Griffin","doi":"","DOIUrl":"","url":null,"abstract":"Delivery of high-quality behavioral health (BH) care is essential to supporting the readiness of the U.S. armed forces and their families. The coronavirus disease 2019 (COVID-19) pandemic led to a dramatic expansion of virtual behavioral health (VBH) care: remote patient access to BH care using technology such as a computer or cellular phone. The U.S. Army asked RAND Arroyo Center to examine the use of VBH to inform recommendations on the role of VBH care in the future of BH care in the Military Health System. The authors analyzed administrative data on VBH and in-person BH care from prior to the pandemic through March 2022 and surveyed soldiers who received BH care to assess their perceptions of VBH care. Administrative data analyses showed that direct care providers were less likely to deliver VBH care than private-sector providers and relied heavily on audio rather than video VBH. In addition, soldiers who received VBH care typically received a mix of VBH and in-person visits. Survey respondents who used VBH care had similar perceptions of the quality of their care and more-positive views of VBH than respondents who did not use VBH care. Few respondents had declined VBH care in favor of in-person care. Using these findings, the authors make recommendations on the role of VBH care in overall BH delivered by the military.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0