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9780833024138

Army Medical Support for Peace Operations and Humanitarian Assistance

by ; ; ; ;
  • ISBN13:

    9780833024138

  • ISBN10:

    0833024132

  • Format: Paperback
  • Copyright: 1997-03-18
  • Publisher: RAND Corporation
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List Price: $15.00

Summary

Examines army medical support flexibility to meet needs of humanitarian and disaster-relief operations.

Table of Contents

Preface iii
Figures
xi
Tables
xiii
Summary xv
Acknowledgments xxvii
Abbreviations xxix
Introduction
1(4)
Background
1(1)
Objectives
2(1)
Approach
3(1)
Organization of the Report
4(1)
Traditional Army Medical Wartime Structure
5(10)
How the Army Health Service Support System Is Organized
5(1)
Structure Supporting the AMEDD's Wartime Mission
6(1)
The Wartime Medical Mission: Conserve the Fighting Strength
7(3)
Echelons of Care
8(2)
Planning the Support Requirements
10(1)
Assumptions Underlying Health Service Support in a Theater of Operations
11(4)
Assumptions About the Medical Mission
12(1)
Assumptions About the Medical Structure
13(1)
Assumptions About the Nature of the Patient Population
13(1)
Assumptions About the Demand for Services
14(1)
Unprofor and Operation Provide Promise, The Balkans: A Case Study of the Medical Mission
15(36)
Introduction
15(2)
Medical Mission Statement and Medical Structure
17(13)
Medical Mission Statement at the Outset
18(1)
Medical Structure at the Outset
18(2)
What Happened to the Medical Mission During the Operation
20(5)
What Happened to Echelons of Care During the Operation
25(4)
Medical logistics at the Outset
29(1)
What Happened to Medical Logistics During the Operation
29(1)
Demand for Services
30(10)
Expectations of Populations Served at the Outset
31(1)
Populations Served During the Operation
31(3)
Expectations of Patient Demand at the Outset
34(1)
Patient Demand During the Operation
35(5)
Requirements to Meet Demand for Services
40(5)
Medical Requirements at the Outset
40(1)
Medical Requirements During the Operation
40(5)
Overall Case-Specific Observations
45(6)
Problems Working with the UN
45(2)
Problems Working with Other Coalition Partners
47(4)
Operations Restore Hope and Continue Hope Somalia: A Case Study of the Medical Mission
51(34)
Introduction
51(2)
Medical Mission Statement and Medical Support
53(11)
Medical Mission Statement and Medical Support at the Outset
53(2)
What Happened to the Medical Mission and Medical Support During the Operation
55(8)
What Happened to the Medical Structure During the Operation
63(1)
Demand for Services
64(7)
Expectations as to Patient Demand at the Out set
64(1)
Patient Demand During the Operation
65(2)
Expectations of Populations Served at the Outset
67(1)
Populations Served During the Operation
67(4)
Requirements to Meet the Demand for Services
71(6)
How the Overall Mix Between Providers and Nursing Staff Changed
72(1)
How the Specialty Mix of Providers Changed Over Time
73(4)
Overall Case-Specific Observations
77(8)
Planning the Medical Support for Variable Demand
77(3)
Problems in Treating Civilian Populations
80(2)
Benefits of the Somalia Mission for Training
82(3)
Conclusions
85(20)
Medical Mission Expansion
85(6)
Inadequately Defined Missions
85(1)
Mission Creep
86(1)
Incomplete Mission Planning
86(2)
Changes in the Operation
88(2)
Underlying Factors Affecting Mission Expansion
90(1)
Medical Support Requirements of OOTW
91(4)
Nature of Patient Population Served
92(1)
Demand for Medical Services
92(2)
Type and Mix of Personnel and Units Required
94(1)
Medical Structure Issues Unique to UN and Coalition Operations
95(2)
Impact on Readiness and Peacetime Care
97(8)
Impact on Personnel and Unit Readiness
97(3)
Impact of OOTW on Peacetime Health Care Delivery
100(5)
Future Directions
105(42)
Defining and Scoping the Medical Mission
105(8)
Factors Driving Mission Expansion
105(2)
Defining the Medical Mission Clearly
107(4)
Launching the Medical Mission as Defined
111(2)
Building a Solid Base of OOTW Experience and Knowledge
113(4)
Pooling the Services' Information
113(1)
Relations with NGOs and International Organizations
114(1)
Individual Education and Training
114(1)
Training Exercises Integrating Medical and Nonmedical Units
115(1)
Training Involving Medical-Unique Issues
116(1)
Flexibility in Planning
117(3)
Identifying Determinants of Medical Demand
117(1)
Advance Assessment Needs
118(1)
Planning for More than the Combat Support Role
119(1)
Patient and Provider Databases
119(1)
Building a Robust and Flexible Structure
120(5)
Modular and Tailorable Structures
120(1)
Contagious Diseases
120(1)
Injuries
121(1)
Ensuring a Surge Capacity
122(1)
Medical Logistics
122(1)
Supporting a Broader Patient Population
122(1)
Telemedicine
123(2)
Minimizing the Impact of OOTW on AMEDD Readiness and on Peacetime Care
125(1)
Coalition Operations
126(7)
Echelons of Care
127(2)
Standards of Care
129(1)
Individual and Unit Readiness of Coalition Forces
129(1)
Air Evacuation and Logistics
130(1)
Maintaining the Blood Supply
130(1)
Security
131(1)
Providing Training and Support to Local Health Care Providers
132(1)
UN Accounting and Reporting Requirements
133(1)
Overall Observations
133(2)
Appendix
A. Data and Methods for Patient and Provider-Level Analyses: Unprofor and Somalia
135(8)
B. Somalia Deployment Data
143(4)
C. Education and Training Initiatives
147

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