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  • 1
    ISBN: 9780833092625 , 0833093835 , 0833092626 , 9780833093837
    Language: English
    Pages: 1 Online-Ressource (xi, 38 pages)
    Series Statement: Research report RR-1273-OSD
    Keywords: Counterinsurgency ; Asymmetric warfare ; Low-intensity conflicts (Military science) ; Peacekeeping forces ; Insurgency History 21st century ; Counterinsurgency Case studies ; Counterinsurgency ; Asymmetric warfare ; Low-intensity conflicts (Military science) ; Peacekeeping forces ; Insurgency ; Counterinsurgency ; POLITICAL SCIENCE ; Security (National & International) ; Asymmetric warfare ; Counterinsurgency ; Insurgency ; Low-intensity conflicts (Military science) ; Peacekeeping forces ; Afghanistan ; Case studies ; History ; Electronic books
    Abstract: "Previous RAND research examined 71 insurgencies begun and completed worldwide between World War II and 2010 to analyze correlates of success in counterinsurgency (COIN). A key finding was that a case's score on a scorecard of 15 equally weighted good and 11 equally weighted bad COIN factors and practices corresponded perfectly with the outcomes of the cases analyzed. That is, the balance of good and bad factors and practices was always positive when the outcome was a COIN win (insurgent loss) and always negative when the outcome was a COIN loss (insurgent win). Using the scorecard approach as its foundation, a RAND study sought to apply the findings to the case of Afghanistan in 2015. The effort involved an expert elicitation in which experts were asked to make "worst-case" assessments of the factors to complete the scorecard for ongoing operations in Afghanistan. It was the third Afghanistan-focused exercise conducted with the scorecard, allowing rough comparisons with scores assigned by expert panels in 2011 and 2013. The 2015 consensus results indicated that Afghanistan continues to have a positive score, though its score is tied with the lowest-scoring historical wins. Two factors remained absent in Afghanistan in 2015 but essential to success in historical COIN campaigns: disrupting flows of tangible support to the insurgents and a demonstration (and improvement) of commitment and motivation on the part of the Afghan National Security Forces, the primary COIN force since the coalition drawdown. Despite some potentially positive developments resulting from the 2014 election of a new government in Afghanistan, it appears that the most promising end to the conflict will be a negotiated settlement in which the Afghan government makes some concessions to the insurgents and in which external powers, including the United States and Pakistan, help broker a satisfactory power-sharing agreement that brings greater stability to the country"--Publisher's description
    Description / Table of Contents: Preface -- Figure and Tables -- Summary -- Counterinsurgency Scorecard Update: Afghanistan in Early 2015 Relative to Insurgencies Since World War II -- Findings from Previous Research on Insurgency: Findings from Previous Research on Insurgency -- The Counterinsurgency Scorecard -- Endgames for Insurgencies: Getting to Negotiated Settlements -- Scoring the Ongoing Conflict in Afghanistan: Using the Delphi Method -- Building on Previous Scorecards -- 2015 Scorecard Results: Specific Factors in the Current Case -- Notes on Factors Present or Absent in 2015 but Tenuous in the Future -- 2015 Results Compared with Previous Results and Analyses: What Improved? -- What Declined? -- What Stayed the Same? -- Scorecard and Duration of Conflict -- Summary of Scorecard Analyses -- Prospects for a Negotiated Settlement -- Conclusions and Recommendations -- APPENDIX -- References.
    Note: Includes bibliographical references (pages 37-38)
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  • 2
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND Corporation
    ISBN: 9780833091789 , 0833091816 , 0833091786 , 9780833091819
    Language: English
    Pages: 1 Online-Ressource (xxx, 317 pages)
    Series Statement: Rand Corporation research report series RR-1192-DARPA
    Parallel Title: Erscheint auch als Johnston, Patrick B Foundations of the Islamic State
    Keywords: IS (Organization) History ; IS (Organization) Management ; IS (Organization) Organization ; IS (Organization) Finance ; IS (Organization) ; IS (Organization) ; IS (Organization) ; IS (Organization) ; Armies ; Organization ; Finance ; Management ; IS (Organization) ; History ; BUSINESS & ECONOMICS ; Infrastructure ; SOCIAL SCIENCE ; General ; Electronic book
    Abstract: "Foundations of the Islamic State: Management, Money, and Terror in Iraq, 2005-2010 draws from more than 140 recently declassified documents to present a comprehensive examination of the organization, territorial designs, management, personnel policies, and finances of the Islamic State of Iraq (ISI) and al-Qa'ida in Iraq (AQI), both predecessors of the Islamic State. These records paint a clear picture of ISI practices and standard operating procedures. Leadership consciously designed the organization not just to fight but also to build an Islamic state governed by the laws dictated by its strict Islamist ideology. ISI was a vertically integrated organization with a central management structure and functional bureaus. It sought to replicate these structures at multiple lower geographic levels across territory. Each geographic unit had substantial autonomy to pursue the group's strategic objectives but was required to send frequent reports to the group's leadership; the central organization used these reports to inform decisions and provide strategic guidance. ISI paid its personnel a wage that would draw true believers rather than opportunists; trained and allocated its membership with an eye toward group effectiveness; raised revenues locally through diversified sources; and was able to maintain itself, albeit at much reduced strength, in the face of a withering counterterrorism and counterinsurgency strategy put in place by its opponents, starting in late 2006. An analysis of the Islamic State predecessor groups is more than a historical recounting. The lessons from examining the group's history are useful for setting expectations about the strengths and vulnerabilities of the Islamic State and its ability to combat its opponents, designing a coordinated and effective campaign against it, and understanding why it might be able to survive such an effort and sustain itself in the future, albeit perhaps at a lower level of threat. Defeating the Islamic State will require persistence. The record of counter-ISI operations from 2006 through 2010 shows that military action and political accommodation can work together to degrade the group substantially, if not defeat it"--Publisher's web site
    Abstract: "Foundations of the Islamic State: Management, Money, and Terror in Iraq, 2005-2010 draws from more than 140 recently declassified documents to present a comprehensive examination of the organization, territorial designs, management, personnel policies, and finances of the Islamic State of Iraq (ISI) and al-Qa'ida in Iraq (AQI), both predecessors of the Islamic State. These records paint a clear picture of ISI practices and standard operating procedures. Leadership consciously designed the organization not just to fight but also to build an Islamic state governed by the laws dictated by its strict Islamist ideology. ISI was a vertically integrated organization with a central management structure and functional bureaus. It sought to replicate these structures at multiple lower geographic levels across territory. Each geographic unit had substantial autonomy to pursue the group's strategic objectives but was required to send frequent reports to the group's leadership; the central organization used these reports to inform decisions and provide strategic guidance. ISI paid its personnel a wage that would draw true believers rather than opportunists; trained and allocated its membership with an eye toward group effectiveness; raised revenues locally through diversified sources; and was able to maintain itself, albeit at much reduced strength, in the face of a withering counterterrorism and counterinsurgency strategy put in place by its opponents, starting in late 2006. An analysis of the Islamic State predecessor groups is more than a historical recounting. The lessons from examining the group's history are useful for setting expectations about the strengths and vulnerabilities of the Islamic State and its ability to combat its opponents, designing a coordinated and effective campaign against it, and understanding why it might be able to survive such an effort and sustain itself in the future, albeit perhaps at a lower level of threat. Defeating the Islamic State will require persistence. The record of counter-ISI operations from 2006 through 2010 shows that military action and political accommodation can work together to degrade the group substantially, if not defeat it"--Publisher's web site
    Note: "May 18, 2016"--Table of contents page , "National Defense Research Institute , Includes bibliographical references (pages 297-317) , Series from web site
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  • 3
    ISBN: 9780833093134 , 0833093134 , 0833093134 , 9780833093134
    Language: English
    Pages: 1 Online-Ressource (xxii, 70 pages)
    Series Statement: Research report RR-1067-AF
    Parallel Title: Erscheint auch als McLeod, Gary, 1948- Enhancing space resilience through non-materiel means
    DDC: 358/.84
    Keywords: United States Operational readiness ; United States ; Astronautics, Military History 21st century ; Space security History 21st century ; Organizational resilience History 21st century ; Astronautics, Military ; Space security ; Organizational resilience ; Organizational resilience ; Air Forces ; Astronautics, Military ; Space security ; United States ; United States ; Military & Naval Science ; Law, Politics & Government ; History ; Armed Forces ; Operational readiness ; Electronic book
    Abstract: "Space is now a congested, contested, and competitive environment. Space systems must become more resilient to potential adversary actions and system failures, but changes to space systems are costly. To provide a complete look at resilience and possibly realize some benefit at lower cost, the Air Force asked RAND to identify non-materiel means--doctrine, organization, training, leadership and education, personnel, facilities, and policy--to enhance space resilience over the near and far terms.The authors developed implementation options to improve resilience based on a notional space protection operational concept: enhancing the capability of space operators to respond, in a timely and effective manner, to adversary counterspace actions. Operators need actionable information, appropriate organization and tactics, and dynamic command and control, supported by appropriate tools and decision aids, relevant training and exercises, and qualified personnel brought into the career field. The authors also recommend that Air Force Space Command develop a formal, end-to-end, space protection concept of operations (CONOPS) that captures all elements needed to improve resilience. In addition, the CONOPS could potentially follow the tenet of centralized control and decentralized execution in certain situations, such as when responding to adversary counterspace actions. For the near-term options, the rough order of magnitude (ROM) nonrecurring engineering (NRE) cost of implementation is estimated to be between $2.5 million and $3.6 million. For the far-term options, the ROM NRE cost is estimated to be between $109 million and $166 million, with the ROM recurring cost between $4 million and $5.4 million per year"--Publisher's description
    Description / Table of Contents: Preface -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- 1. Introduction: Background -- Objectives -- Scope -- Space resilience -- Approach -- Report structure -- 2. Resilience and civil institutions: General approaches for building resilient operations: Impact avoidance -- Adaptation and flexibility -- Recovery and restoration -- Potential applications to the space operations community -- Summary -- 3. Resilience and U.S. government civil space agencies: Civil policy considerations: Full and open access -- Rapid delivery -- Continuity of operations -- Security classification -- Civil practices: Information -- Organization and tactics -- Command and control -- Training -- Personnel -- Summary -- 4. Resilience and Air Force space operations: Operational concept -- Findings: information: Space order of battle -- Limited intelligence at SOPS/SWS -- Space knowledge of intelligence personnel -- Space Weather effects -- Summary -- Findings: organization and tactics: Space protection lead -- Space protection tactics -- Tactics-sharing -- Summary -- Findings: command and control: Satellite C2 contacts -- Responsibilities and authorities -- Anomaly resolution -- Summary -- Findings: training: Space protection training -- Exercises -- Multiple satellite C2 systems -- Summary -- Findings: personnel: Initial qualifications -- Career progression -- Trained operators -- Summary -- Cost of implementation options -- Detailed recommendations -- 5. Resilience and a world with international and commercial partners: Information -- Organization and tactics -- Command and control -- 6. Recommendations: Overarching recommendations: Resilience as a priority -- Space protection CONOPS -- Detailed recommendations: Near-term recommendations -- Far-term recommendations -- ROM costs -- Appendix A: Space resilience cost analysis.
    Note: "RAND Project Air Force" --Title page , "RR-1067-AF"--Cover page 4 , Includes bibliographical references (pages 63-70)
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  • 4
    ISBN: 9780833094414 , 0833092863 , 0833094416 , 9780833092861
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: [Research report] RR-1334-OSD
    Parallel Title: Erscheint auch als
    Keywords: United States ; United States ; United States ; Autism spectrum disorders Treatment ; Autism spectrum disorders ; Insurance Benefits ; Medicaid ; Behavior Therapy ; Autism Spectrum Disorder therapy ; Insurance Coverage ; Child ; Medicine ; Health & Biological Sciences ; United States ; MEDICAL ; Medicaid & Medicare ; United States ; Autism spectrum disorders ; Treatment ; Pediatrics ; United States ; Electronic book
    Abstract: 1. Introduction -- 2. Coverage of ABA--Comparison of TRICARE with Medicaid and commercial insurance -- 3. Reimbursement rates for ABA, Medicaid, and commercial insurance -- 4. Potential provider shortage areas -- 5. Discussion -- Appendix: Sensitivity analysis results.
    Abstract: This study compared the Applied Behavior Analysis benefit provided by TRICARE as an early intervention for autism spectrum disorder with similar benefits in Medicaid and commercial health insurance plans. The study focused on comparing a proposed TRICARE reimbursement rate decrease from $125 per hour to $68 per hour for such services performed by a Board Certified Behavior Analyst to reimbursement rates in other plans
    Note: At head of title: Rand National Defense Research Institute , Includes bibliographical references (pages 63-65)
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  • 5
    ISBN: 9780833088437 , 0833088432 , 9780833088444 , 0833088440 , 9780833088451 , 0833088459
    Language: English
    Pages: Online Ressource
    Parallel Title: Erscheint auch als Pézard, Stéphanie Achieving peace in northern Mali
    DDC: 303.69096623
    Keywords: Coup d'état (Mali : 2012) ; SOCIAL SCIENCE ; General ; History ; Politics and government ; Mali History ; Tuareg Rebellion, 2012- ; Mali History ; Coup d'état, 2012 ; Mali Politics and government ; 1991- ; Mali ; Mali Politics and government 1991- ; Mali History Tuareg Rebellion, 2012- ; Mali History Coup d'état, 2012 ; Mali ; Electronic books History
    Abstract: This report examines the prospects for stabilization in Mali following the political and military crisis that began in 2012. To this end, it examines Mali's peace settlements since the early 1990s to identify flaws and successes. The authors find that five recurrent issues have impeded the implementation of successive accords: the lack of representativeness of the peace-accord signatories; a flawed understanding of decentralization and democracy; the limited perceived legitimacy, in the north, of Bamako; persistent insecurity; and an absence of transitional justice and reconciliation. The report recommends building representativeness through a variety of measures to simultaneously address these issues and help craft a peaceful way forward for Mali. The report also explores whether Mali's neighbor Niger owes its current stability to a more favorable context, shrewd policies, or sheer luck and whether it might offer a model of resilience for Mali. The authors recommend emulating some of the policies that could account for Niger's sustained stability, such as better integration of Tuareg populations and a focus on development programs in addition to security, while recognizing that these do not make Niger impervious to a resurgence of the political turmoil it experienced in the past
    Note: Includes bibliographical references. - Print version record and CIP data provided by publisher; resource not viewed
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  • 6
    ISBN: 9780833088444 , 0833088440 , 9780833088451 , 0833088459 , 9780833088239 , 0833088432
    Language: English
    Pages: 1 Online-Ressource
    DDC: 303.6/9096623
    Keywords: Mali ; Mali ; Mali ; History ; Electronic book
    Abstract: Introduction -- A brief history of Mali's rebellions and the implementation of peace accords -- Explaining the failure of past peace accords -- Moving forward -- Is there a Nigerien model of resilience? -- Conclusion
    Abstract: This report examines the prospects for stabilization in Mali following the political and military crisis that began in 2012. To this end, it examines Mali's peace settlements since the early 1990s to identify flaws and successes. The authors find that five recurrent issues have impeded the implementation of successive accords: the lack of representativeness of the peace-accord signatories; a flawed understanding of decentralization and democracy; the limited perceived legitimacy, in the north, of Bamako; persistent insecurity; and an absence of transitional justice and reconciliation. The report recommends building representativeness through a variety of measures to simultaneously address these issues and help craft a peaceful way forward for Mali. The report also explores whether Mali's neighbor Niger owes its current stability to a more favorable context, shrewd policies, or sheer luck and whether it might offer a model of resilience for Mali. The authors recommend emulating some of the policies that could account for Niger's sustained stability, such as better integration of Tuareg populations and a focus on development programs in addition to security, while recognizing that these do not make Niger impervious to a resurgence of the political turmoil it experienced in the past
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  • 7
    ISBN: 9780833091857 , 0833093797 , 0833091859 , 9780833093790
    Language: English
    Pages: 1 Online-Ressource (75 pages)
    Series Statement: [Research report] RR-1258-NCMICF
    Parallel Title: Print version Herman, Patricia M Complementary and alternative medicine, professions or modalities?
    Keywords: Alternative medicine ; Alternative medicine ; Complementary Therapies ; Licensure, Medical ; HEALTH & FITNESS / Alternative Therapies ; Alternative medicine ; Alternative Medicine ; Medicine ; Health & Biological Sciences ; Electronic books
    Abstract: 1. Introduction -- 2. Background on professions versus procedures -- 3. CAM professions represented in this report -- 4. Examples of policies where profession versus procedures makes a difference -- 5. CAM expert panel -- 6. Health policy decisionmaker panel -- 7. Summary and conclusions -- Appendix A. Members of the CAM expert panel -- Appendix B. Members of the health policy decisionmakers panel -- Appendix C. Briefing paper for the health policy decisionmakers panel -- Appendix D. Past collective efforts across the CAM professions.
    Abstract: Using development of a background paper on the policy issues associated with the scope of practice and utilization of complementary and alternative medicine (CAM) in the health care system, input from a panel of CAM experts, and input from a panel of health care policy decisionmakers, this report explores the policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research among the CAM professions
    Note: "Sponsored by the NCMIC Foundation , Includes bibliographical references (pages 70-75)
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  • 8
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833088079 , 0833088076 , 9780833088086 , 0833088092 , 0833088084 , 0833087932 , 9780833087935 , 9780833088093
    Language: English
    Pages: 1 Online-Ressource (xviii, 447 pages)
    Series Statement: Research report RR-676-AF
    Parallel Title: Print version Mueller, Karl P Precision and purpose
    Keywords: Air power History 21st century ; Air power ; HISTORY ; Africa ; North ; Air power ; Military campaigns ; Military operations, Aerial ; Civil War (Libya : 2011- ) ; Libya ; HISTORY ; Military ; Aviation ; History ; Libya History Civil War, 2011- ; Aerial operations ; Libya History Civil War, 2011- ; Campaigns ; Libya ; Libya ; Electronic book
    Abstract: Preface -- Figures and Tables -- Acknowledgments -- Abbreviations -- Chapter 1: Examining the Air Campaign in Libya / Karl P. Mueller -- Chapter 2: Strategic and Political Overview of the Intervention Christopher / S. Chivvis -- Chapter 3: The Libyan Experience / Frederic Wehrey -- Chapter 4: The U.S. Experience: National Strategy and Campaign Support / Robert C. Owen -- Chapter 5: The U.S. Experience: Operational / Deborah C. Kidwell -- Chapter 6: The British Experience: Operation Ellamy / Christina Goulter -- Chapter 7: The French Experience: Sarkozy's War? / Camille Grand -- Chapter 8: The Italian Experience: Pivotal and Underestimated / Gregory Alegi -- Chapter 9: The Canadian Experience: Operation Mobile / Richard O. Mayne -- Chapter 10: The Belgian, Danish, Dutch, and Norwegian Experiences / Christian F. Anrig -- Chapter 11: The Swedish Experience: Overcoming the Non-NATO-Member Conundrum / Robert Egnell -- Chapter 12: The Arab States' Experiences / Bruce R. Nardulli -- Chapter 13: Victory Through (Not By) Airpower / Karl P. Mueller -- Appendixes -- About the Authors -- Bibliography
    Abstract: Preface -- Figures and Tables -- Acknowledgments -- Abbreviations -- Chapter 1: Examining the Air Campaign in Libya / Karl P. Mueller -- Chapter 2: Strategic and Political Overview of the Intervention Christopher / S. Chivvis -- Chapter 3: The Libyan Experience / Frederic Wehrey -- Chapter 4: The U.S. Experience: National Strategy and Campaign Support / Robert C. Owen -- Chapter 5: The U.S. Experience: Operational / Deborah C. Kidwell -- Chapter 6: The British Experience: Operation Ellamy / Christina Goulter -- Chapter 7: The French Experience: Sarkozy's War? / Camille Grand -- Chapter 8: The Italian Experience: Pivotal and Underestimated / Gregory Alegi -- Chapter 9: The Canadian Experience: Operation Mobile / Richard O. Mayne -- Chapter 10: The Belgian, Danish, Dutch, and Norwegian Experiences / Christian F. Anrig -- Chapter 11: The Swedish Experience: Overcoming the Non-NATO-Member Conundrum / Robert Egnell -- Chapter 12: The Arab States' Experiences / Bruce R. Nardulli -- Chapter 13: Victory Through (Not By) Airpower / Karl P. Mueller -- Appendixes -- About the Authors -- Bibliography
    Note: "July 8, 2015"--Table of contents page , Includes bibliographical references (pages 411-447)
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  • 9
    ISBN: 9780833090997 , 0833093142 , 0833090992 , 9780833093141
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: RAND Project Air Force Series on Resiliency
    Series Statement: Research report (Rand Corporation) RR-101-AF
    Parallel Title: Erscheint auch als
    Keywords: United States Civilian employees ; Health ; United States Airmen ; Health ; United States ; United States ; Resilience (Personality trait) ; Medicine, Military ; Resilience (Personality trait) ; Medicine, Military ; Health & Biological Sciences ; Military & Naval Medicine ; Medicine ; United States ; HISTORY ; Military ; Aviation ; Medicine, Military ; United States ; Resilience (Personality trait) ; Electronic book
    Abstract: Machine generated contents note: 1.Introduction: The Context of This Report -- 2.Environmental Stressors -- Temperature -- Noise -- Altitude -- Chemicals -- Hazardous Workplace Environments -- Summary -- 3.Key Resilience Factors: Prevention -- Safety Culture and Climate -- Safety Training and Education -- Financial Incentives for Injury Prevention -- Compliance with Safety and Health Standards: OSHA Enforcement -- Summary -- 4.Key Resilience Factors: Protection -- Personal Protective Equipment -- Respiratory-Protective Equipment -- Noise Reduction -- Acclimatization and Tolerance -- Temperature -- Altitude -- Ergonomics -- Summary -- 5.Interventions to Promote Environmental Fitness: The Role of Personal Protective Equipment -- 6.Conclusion.
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  • 10
    ISBN: 9780833090874 , 0833093479 , 0833090879 , 9780833093479
    Language: English
    Pages: 1 Online-Ressource (xi, 60 pages)
    Series Statement: Research Report RR-1069-MCIA
    Parallel Title: Print version Connable, Ben From negative to positive stability
    Keywords: Forced migration ; Humanitarian assistance ; National security 21st century ; International relief ; Emigration and immigration law ; Refugees ; Forced migration ; Humanitarian assistance ; National security ; International relief ; Emigration and immigration law ; Refugees ; Economic history ; Emigration and immigration law ; Forced migration ; Humanitarian assistance ; International relief ; National security ; Refugees ; Social conditions ; Civil War (Syria : 2011- ) ; Jordan ; Syria ; POLITICAL SCIENCE ; Human Rights ; History ; Jordan Economic conditions 21st century ; Jordan Social conditions 21st century ; Syria History Civil War, 2011- ; Jordan ; Jordan ; Syria ; Electronic book
    Abstract: "As of late 2014, many American and Jordanian experts believe Jordan to be stable. Yet while Jordan is stable, it faces a range of existing and emerging challenges. These include chronic unemployment, sporadic political unrest, budget deficits, a water shortage, and geographically isolated yet troubling internal security concerns. The Syrian refugee crisis both exacerbates these challenges and offers opportunities to the government of Jordan. If the Syrian refugees remain relatively content and continue to assimilate into northern and central Jordan, they might directly benefit the Jordanian economy by stimulating growth. Donors and lenders have increased their support to Jordan, in turn offering the government an opportunity to improve the lives of both Syrian refugees and Jordanian citizens. Most important, Jordan benefits from what one expert terms negative stability: Jordanian citizens might be dissatisfied with many aspects of their government, but the chaos in neighboring states has thus far dissuaded Jordanians from pursuing civil or violent actions that might destabilize Jordan. Jordanians do not want their country to look like Syria, Iraq, or Egypt. Jordan is likely to undergo further and perhaps unforeseen challenges in 2015 and 2016, but it has the opportunity to alleviate many of its enduring challenges. If Jordan wisely invests forthcoming international refugee support, it has the opportunity to shift popular outlook from negative to positive--and more optimistic--stability. This report's analytic forecasts should help the United States determine how to support Jordan as it faces the Syrian refugee crisis"--Publisher's description
    Description / Table of Contents: Preface -- Figures and Table -- Summary -- Chapter One: Introduction to the Status of Syrian Refugees as of Late 2014: Geographic Orientation and Syrian Refugees as of Late 2014 -- Syrian Refugees in Jordan: Late 2014 -- Methodology -- Organization of This Report -- Chapter Two: Assessment of Stability and Strategic Challenges: Late 2014: Jordan's Stability as of Late 2014 -- Security from External and Internal Threats -- Political Turmoil and the Impact of the Arab Spring -- Water Shortages Contribute to Economic and Social Unease -- Economic and Financial Dependencies -- Existing Refugee and Nonnational Worker Populations -- Summary of Stability Issues as of Late 2014 -- Chapter Three: Economic Factors and Forecasted Impact: Current Economic Status and Economic Integration of Syrian Refugees -- Forecast: The Impact of Syrian Refugees on Jordan's Economic Stability -- Chapter Four: Social Factors and Forecasted Impact: Assessing Late-2014 Social Integration and Social Impacts of Syrian Refugees -- Forecast: Impact of Syrian Refugees on Jordan's Social Stability -- Chapter Five: Security Assessment and Forecasted Impact: Impact of Syrian Refugees on Jordanian Security as of Late 2014 -- Forecast: The Impact of Syrian Refugees on Jordan's Security -- Chapter Six: Conclusion, Summary Forecast, and Black Swan Warnings: Black Swans -- Abbreviations -- Bibliography.
    Note: "November 30, 2015"--Table of contents page , Includes bibliographical references (pages 39-60)
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  • 11
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND Corporation
    ISBN: 9780833091635 , 0833093592 , 0833091638 , 9780833093592
    Language: English
    Pages: 1 Online-Ressource (viii, 39 pages)
    Series Statement: Rand Corporation research report series RR-1141-AF
    Parallel Title: Erscheint auch als Cohen, Raphael S Demystifying the citizen soldier
    Keywords: Civil-military relations ; Civil-military relations ; Military & Naval Science ; Law, Politics & Government ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; Armed Forces ; Armed Forces ; Reserves ; Civil-military relations ; History ; Armies ; United States National Guard ; United States National Guard ; History ; United States Armed Forces ; Reserves ; United States ; United States ; United States ; Electronic book
    Abstract: "The National Guard is often portrayed as the modern heir to the colonial militia and retaining at least three of the latter's defining attributes -- a key instrument of American national security, a check on federal power, and home of today's 'citizen soldiers.' This report explores how the term citizen soldier has been defined in academic literature -- as compulsory, universal, legitimate service by civilians -- and then looks at how the National Guard has evinced these attributes at various periods in its history. Since the United States' founding, the militia -- and later, the National Guard -- slowly evolved into an increasingly formidable warfighting force and increasingly important tool for national security. This evolution, however, has come at the expense of two other attributes of the colonial militia -- serving as a check on federal power and filling its ranks with citizen soldiers. The report concludes that there are inherent and increasing tensions among being a warfighting force, serving as a check on federal power, and embodying the ideals of a citizen soldier, and it is not clear that the Guard -- or any other force for that matter -- can fully reconcile them. Ultimately, the Guard's transformation from citizen soldiers to a professional force may very well be inevitable and is likely a positive development for American national security. It is, however, important to realize that this trend is occurring, to demystify the citizen soldier, and to see the force for what it is"--Publisher's web site
    Abstract: "The National Guard is often portrayed as the modern heir to the colonial militia and retaining at least three of the latter's defining attributes -- a key instrument of American national security, a check on federal power, and home of today's 'citizen soldiers.' This report explores how the term citizen soldier has been defined in academic literature -- as compulsory, universal, legitimate service by civilians -- and then looks at how the National Guard has evinced these attributes at various periods in its history. Since the United States' founding, the militia -- and later, the National Guard -- slowly evolved into an increasingly formidable warfighting force and increasingly important tool for national security. This evolution, however, has come at the expense of two other attributes of the colonial militia -- serving as a check on federal power and filling its ranks with citizen soldiers. The report concludes that there are inherent and increasing tensions among being a warfighting force, serving as a check on federal power, and embodying the ideals of a citizen soldier, and it is not clear that the Guard -- or any other force for that matter -- can fully reconcile them. Ultimately, the Guard's transformation from citizen soldiers to a professional force may very well be inevitable and is likely a positive development for American national security. It is, however, important to realize that this trend is occurring, to demystify the citizen soldier, and to see the force for what it is"--Publisher's web site
    Note: "Project Air Force , Includes bibliographical references (pages 32-39) , Series from web site
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  • 12
    ISBN: 9780833082602 , 0833090062 , 0833082604 , 9780833090065
    Language: English
    Pages: 1 Online-Ressource (xv, 69 pages)
    Series Statement: Rand Project Air Force series on resiliency Nutritional fitness and resilience
    Parallel Title: Print version Floréz, Karen R Nutritional fitness and resilience
    Keywords: United States Airmen ; Health and hygiene ; United States Civilian employees ; Health and hygiene ; United States ; United States ; Resilience (Personality trait) ; Nutrition ; Diet ; Families of military personnel Health and hygiene ; Resilience (Personality trait) ; Nutrition ; Diet ; Families of military personnel ; Family Health ; Health ; Human Activities ; Military Personnel ; Named Groups ; Nutritional Physiological Phenomena ; Occupational Groups ; Persons ; Phenomena and Processes ; Physical Fitness ; Physiological Phenomena ; Population Characteristics ; Psychiatry and Psychology ; Psychological Phenomena and Processes ; Resilience, Psychological ; Anthropology, Education, Sociology and Social Phenomena ; Delivery of Health Care ; Nutrition ; Resilience (Personality trait) ; Medicine ; Health & Biological Sciences ; Military & Naval Medicine ; United States ; HISTORY ; Military ; Aviation ; Diet ; Electronic books
    Abstract: This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force family members. It examines the relationship between nutritional fitness and resilience, using key constructs found in the scientific literature that address self-regulation, positive affect, perceived control, self-efficacy, self-esteem, and optimism. Supporting or increasing the levels of the key measures of nutritional fitness identified in this report may facilitate resilience and can protect Airmen, civilian employees, and Air Force families from the negative effects of stress. The report also reviews construct measures, well-being, and resilience outcomes as well as interventions designed to promote the nutritional fitness constructs
    Abstract: This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force family members. It examines the relationship between nutritional fitness and resilience, using key constructs found in the scientific literature that address self-regulation, positive affect, perceived control, self-efficacy, self-esteem, and optimism. Supporting or increasing the levels of the key measures of nutritional fitness identified in this report may facilitate resilience and can protect Airmen, civilian employees, and Air Force families from the negative effects of stress. The report also reviews construct measures, well-being, and resilience outcomes as well as interventions designed to promote the nutritional fitness constructs
    Note: "RAND Project AIR FORCE , Includes bibliographical references (pages 41-69)
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  • 13
    ISBN: 9780833086686 , 0833086685 , 9780833086679 , 0833086669 , 9780833086303 , 0833086677 , 9780833086662
    Language: English
    Pages: 1 Online-Ressource (xxiii, 40 pages)
    Parallel Title: Print version Shih, Regina A Improving dementia long-term care
    Keywords: Older people with disabilities Long-term care ; Chronically ill Long-term care ; Medical policy ; Older people with mental disabilities Long-term care ; Dementia Patients ; Long-term care ; Government policy ; Dementia Patients ; Long-term care ; Older people with disabilities ; Chronically ill ; Medical policy ; Older people with mental disabilities ; Dementia ; Dementia ; Quality Improvement ; Aged ; Dementia therapy ; Long-Term Care ; Electronic books ; MEDICAL ; Geriatrics ; Chronically ill ; Long-term care ; Dementia ; Patients ; Long-term care ; Medical policy ; Older people with disabilities ; Long-term care ; Psychiatry ; Health & Biological Sciences ; Psychiatric Disorders, Individual ; United States ; POLITICAL SCIENCE ; Public Policy ; Social Security ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; United States ; Electronic books
    Abstract: "In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--
    Abstract: "In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--
    Note: "The research in this report was produced within RAND Health and RAND Labor and Population."--Title page verso , "This report results from the RAND Corporation's Investment in People and Ideas program."--Title page verso , Includes bibliographical references
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  • 14
    ISBN: 9780833086938 , 0833089765 , 0833086936 , 9780833089762
    Language: English
    Pages: 1 Online-Ressource (xxx, 136 pages)
    Parallel Title: Print version Young, Stephanie (Political scientist) Measuring Cooperative Biological Engagement Program (CBEP) performance
    Keywords: Cooperative Biological Engagement Program (U.S.) ; Cooperative Biological Engagement Program (U.S.) ; Biological arms control Evaluation ; Public health surveillance Evaluation ; Biosecurity Evaluation ; Biological arms control ; Public health surveillance ; Biosecurity ; Epidemiology & Epidemics ; International Relations ; POLITICAL SCIENCE ; International Relations ; Treaties ; Public Health ; Law, Politics & Government ; Health & Biological Sciences ; Electronic books
    Abstract: The Cooperative Biological Engagement Program (CBEP) is the biological threat component of the Cooperative Threat Reduction program. It grew out of efforts to address risks associated with legacy biological agents, related materials, and technical expertise developed as part of the biological weapon program in the former Soviet Union. CBEP now partners with about 20 countries in different regions around the world and works with them to address diverse threats to international security, including terrorist organizations seeking to acquire pathogens of security concern; human, animal, and agricultural facilities operating with inadequate safety and security safeguards; and the spread of diseases with potential security or economic consequences. As the program has evolved since its inception two decades ago, so too have its content and approaches to performance measurement. The objective of the research reported here was to build on existing work to develop a comprehensive evaluation framework and recommend metrics for assessing and communicating progress toward CBEP's goals. The report ultimately recommends a number of qualitative and quantitative indicators of CBEP performance, some that can be implemented immediately, some to be implemented later
    Note: "RAND National Defense Research Institute , "This research was sponsored by the Cooperative Biological Engagement Program in the Defense Threat Reduction Agency's Cooperative Threat Reduction Program, and conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , "Prepared for Cooperative Biological Engagement Program , Includes bibliographical references (pages 129-136)
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  • 15
    ISBN: 9780833085382 , 0833085387 , 9780833085351 , 0833085352
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Willis, Henry H National security perspectives on terrorism risk insurance in the United States
    Keywords: United States Evaluation ; United States ; Terrorism History 21st century ; Terrorism Risk assessment ; Risk management Evaluation ; Risk (Insurance) Evaluation ; Terrorism insurance Evaluation ; Terrorism ; Terrorism ; Risk management ; Risk (Insurance) ; Terrorism insurance ; BUSINESS & ECONOMICS ; Insurance ; General ; United States ; History ; Evaluation ; Risk management ; Evaluation ; Terrorism Risk Insurance Act of 2002 (United States) ; Terrorism ; Electronic books
    Abstract: Congress enacted the Terrorism Risk Insurance Act (TRIA) in 2002, in response to terrorism insurance becoming unavailable or, when offered, extremely costly in the wake of the 9/11 attacks. The law provides a government reinsurance backstop in the case of a terrorist attack by providing mechanisms for avoiding an immediate drawdown of capital for insured losses or possibly covering the most extreme losses. Extended first in 2005 and again in 2007, TRIA is set to expire at the end of 2014, and Congress is again reconsidering the appropriate government role in terrorism insurance markets. This policy brief examines the potential national security implications of allowing TRIA to expire. Examining the history of terrorism in the United States since the passage of TRIA and reviewing counterterrorism studies, the authors find that terrorism remains a real national security threat, but one that is very difficult for insurers to model the risk of. They also find that terrorism risk insurance can contribute to making communities more resilient to terrorism events, so, to the extent that terrorism insurance is more available with TRIA than without it, renewing the legislation would contribute to improved national security
    Note: "Policy Brief , "This work was conducted within the RAND Center for Catastrophic Risk Management and Compensation ... part of RAND Justice, Infrastructure, and Environment"--Back cover , "RAND Corporation , Caption title , Includes bibliographical references (pages 19-21)
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  • 16
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND Corporation
    ISBN: 9780833089502 , 0833089501
    Language: English
    Pages: 1 Online-Ressource (xiv, 51 pages)
    Series Statement: RAND Corporation research report series RR770
    Keywords: Insurgency ; Military assistance, French Strategic aspects ; Insurgency ; Military assistance, French ; HISTORY ; Europe ; France ; Armed Forces ; Evaluation ; Insurgency ; Tuareg Rebellion (Mali : 2012- ) ; France ; Mali ; History ; France Armed Forces ; Evaluation ; Mali History Tuareg Rebellion, 2012- ; France ; Mali ; Electronic books
    Abstract: In 2013, just as U.S. Army Chief of Staff General Raymond Odierno was articulating a particular vision for expeditionary operations, the French Army was fielding a force in Mali that in many ways provided a real-world example of the kind of operations Odierno envisioned. France fielded a relatively small force put together using small, scalable combined arms taskorganized units as basic building blocks and conducted a campaign that emphasized speed and maneuver over force protection. The French force, moreover, is for all intents and purposes regionally aligned, and it demonstrated the benefits that could accrue through its apparently effective operations among and with local and regional actors. The French also have a force structure well suited to expeditionary operations in austere environments, as well as an expeditionary institutional culture
    Note: "Prepared for the United States Army , Includes bibliographical references (pages 47-51)
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  • 17
    ISBN: 9780833081223 , 0833081225 , 9780833080301 , 083308030X
    Language: English
    Pages: 1 Online-Ressource (xiii, 30 pages)
    Parallel Title: Print version Price, Carter C Economic impact of Medicaid expansion on Pennsylvania
    Keywords: United States ; United States ; Insurance ; Federal government ; Medicaid Economic aspects ; Insurance ; Federal government ; Medicaid ; Patient Protection and Affordable Care Act ; Insurance, Health ; Medicaid economics ; Government ; Insurance ; Appalachian Region ; Social Sciences ; United States ; Public Assistance ; Anthropology, Education, Sociology and Social Phenomena ; Organizations ; Financing, Organized ; Social Control, Formal ; Health Care Economics and Organizations ; Financing, Government ; North America ; Delivery of Health Care ; Americas ; Geographic Locations ; Geographicals ; Economics ; Federal Government ; Medical Assistance ; Legislation as Topic ; Insurance Coverage ; Public Health ; Health & Biological Sciences ; Medical Care Plans ; Pennsylvania ; MEDICAL ; Medicaid & Medicare ; Patient Protection and Affordable Care Act (United States) ; Federal government ; Insurance ; Medicaid ; Economic aspects ; Pennsylvania ; Electronic book
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. Using the RAND COMPARE model, researchers assessed the act's potential economic effects on Pennsylvania, factoring in an optional expansion of Medicaid, and found the state would enjoy significant net benefits. With or without the expansion of Medicaid, the act will increase insurance coverage to hundreds of thousands of Pennsylvanians, but the COMPARE model estimates that the expansion of Medicaid eligibility would cover an additional 350,000 people and bring more than $2 billion in federal spending into the state annually than if the state did not expand. Should the state expand Medicaid, the additional spending will add more than $3 billion a year to the state's GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania's Medicaid spending will be $180 million higher with the expansion than without between 2014 and 2020. Substantial reductions in uncompensated care costs for hospitals are possible even without expansion, but savings to hospitals for uncompensated care funding are even larger with the Medicaid expansion, amounting to $550 million or more each year
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. Using the RAND COMPARE model, researchers assessed the act's potential economic effects on Pennsylvania, factoring in an optional expansion of Medicaid, and found the state would enjoy significant net benefits. With or without the expansion of Medicaid, the act will increase insurance coverage to hundreds of thousands of Pennsylvanians, but the COMPARE model estimates that the expansion of Medicaid eligibility would cover an additional 350,000 people and bring more than $2 billion in federal spending into the state annually than if the state did not expand. Should the state expand Medicaid, the additional spending will add more than $3 billion a year to the state's GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania's Medicaid spending will be $180 million higher with the expansion than without between 2014 and 2020. Substantial reductions in uncompensated care costs for hospitals are possible even without expansion, but savings to hospitals for uncompensated care funding are even larger with the Medicaid expansion, amounting to $550 million or more each year
    Note: "RAND Health , Includes bibliographical references (pages 29-30)
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  • 18
    Online Resource
    Online Resource
    [Place of publication not identified] : Rand Corporation
    ISBN: 9780833079589 , 0833079611 , 0833079581 , 9780833079619
    Language: English
    Pages: 1 Online-Ressource (11, [1] pages)
    Parallel Title: Print version Syria as an arena of strategic competition
    Keywords: Politics and government ; History & Archaeology ; Syria ; Middle East ; Regions & Countries - Asia & the Middle East ; History ; HISTORY ; Middle East ; General ; Civil War (Syria : 2011- ) ; Diplomatic relations ; Syria Foreign relations 1971- ; Syria History Civil War, 2011- ; Syria Politics and government 2000- ; Syria ; Syria ; Syria ; Electronic books
    Abstract: "Less than two years since the beginning of the uprising in Syria, localized protests have morphed into full-blown civil conflict. Along with internal escalation, the conflict has drawn in external actors, including Syria's neighbors and extra-regional powers. With the regional balance of power hinging on the conflict's outcome, Middle Eastern and extra-regional states have taken sides -- some in support of the Assad regime, others in support of the opposition. RAND convened a group of 26 experts who cover Syria and the various external players to participate in an analytic exercise on November 16, 2012, to generate a greater understanding of the parties and issues in play. The report begins by analyzing what is driving both regional (e.g., Iran and Saudi Arabia) and extra-regional (e.g., Russia) players to intervene in the Syrian conflict. It then proceeds to look at the internal actors (e.g., the Free Syrian Army and Alawite community) that may operate as conduits of external influence. The report concludes with an examination of the relationships between external and internal actors and possible effects of these groups' actions."--Rand Corporation web site
    Abstract: "With the regional balance of power hinging on the outcome of the Syrian uprising, RAND conducted an analytic exercise to generate a greater understanding of how external actors are shaping the conflict."--Rand Corporation web site
    Note: "RAND Corporation research report series."--Web page (PDF) , "This research was conducted within the Intelligence Policy Center of the RAND National Defense Research Institute ..."--Page [12] , Includes bibliographical references
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  • 19
    ISBN: 9780833080998 , 0833083317 , 0833080997 , 9780833083319
    Language: English
    Pages: 1 Online-Ressource (xxiii, 74 pages)
    Series Statement: RAND Corporation research report series RR126
    Parallel Title: Erscheint auch als Martin, Laurie T. (Laurie Thayer), 1974- Defense and Veterans Brain Injury Center Care Coordination Program
    Keywords: Defense and Veterans Brain Injury Center (Washington, D.C.) Evaluation ; Defense and Veterans Brain Injury Center (Washington, D.C.) ; Brain damage Patients ; Rehabilitation ; Management ; Disabled veterans Medical care ; Management ; Brain damage ; Disabled veterans ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Brain Diseases ; Brain Injuries ; Central Nervous System Diseases ; Craniocerebral Trauma ; Delivery of Health Care ; Disabled Persons ; Disease ; Evaluation Studies as Topic ; Health Care Evaluation Mechanisms ; Health Care Quality, Access, and Evaluation ; Health Services Administration ; Investigative Techniques ; Named Groups ; Nervous System Diseases ; Persons ; Program Evaluation ; Quality of Health Care ; Trauma, Nervous System ; Veterans ; Wounds and Injuries ; Neurology ; United States ; MEDICAL ; Neurology ; Evaluation ; Defense and Veterans Brain Injury Center (Washington, D.C.) ; Medicine ; Health & Biological Sciences ; Electronic books
    Abstract: Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care
    Abstract: Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care
    Note: Includes bibliographical references (pages 71-74)
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  • 20
    ISBN: 9780833080820 , 0833080822 , 9780833080806 , 0833080792 , 0833080806 , 9780833080790
    Language: English
    Pages: 1 Online-Ressource (xi, 63 pages)
    Edition: Santa Monica, CA RAND Electronic reproduction; Available via World Wide Web
    Parallel Title: Online version Morganti, Kristy Gonzalez Evolving role of emergency departments in the United States
    Parallel Title: Print version Evolving role of emergency departments in the United States
    Keywords: Emergency medical services ; Hospitals Emergency services ; Emergency medicine ; Emergency medical services ; Hospitals ; Emergency medicine ; Emergency Service, Hospital trends ; Emergency Service, Hospital economics ; Electronic books ; Public Health ; Emergency medicine ; POLITICAL SCIENCE ; Public Policy ; Social Security ; Emergency medical services ; Hospitals ; Emergency services ; United States ; Health & Biological Sciences ; Hospitals & Medical Centers ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; United States ; Electronic book
    Abstract: The research described in this report was performed to develop a more complete picture of how hospital emergency departments (EDs) contribute to the U.S. health care system, which is currently evolving in response to economic, clinical, and political pressures. Using a mix of quantitative and qualitative methods, it explores the evolving role that EDs and the personnel who staff them play in evaluating and managing complex and high-acuity patients, serving as the key decisionmaker for roughly half of all inpatient hospital admissions, and serving as "the safety net of the safety net" for patients who cannot get care elsewhere. The report also examines the role that EDs may soon play in either contributing to or helping to control the rising costs of health care
    Abstract: The research described in this report was performed to develop a more complete picture of how hospital emergency departments (EDs) contribute to the U.S. health care system, which is currently evolving in response to economic, clinical, and political pressures. Using a mix of quantitative and qualitative methods, it explores the evolving role that EDs and the personnel who staff them play in evaluating and managing complex and high-acuity patients, serving as the key decisionmaker for roughly half of all inpatient hospital admissions, and serving as "the safety net of the safety net" for patients who cannot get care elsewhere. The report also examines the role that EDs may soon play in either contributing to or helping to control the rising costs of health care
    Note: "RAND Health , Includes bibliographical references (pages 57-63) , Electronic reproduction; Available via World Wide Web
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  • 21
    ISBN: 9780833080738 , 0833081217 , 0833080733 , 9780833081216
    Language: English
    Pages: 1 Online-Ressource (xxxi, 137 pages)
    Series Statement: Research report
    Parallel Title: Print version Mattke, Soeren Workplace wellness programs study
    Keywords: Employee health promotion ; Occupational health services ; Health behavior ; Health promotion ; Industrial hygiene ; Employee health promotion ; Occupational health services ; Health behavior ; Health promotion ; Industrial hygiene ; Workplace ; Health Promotion ; Occupational Health Services ; Health Behavior ; Medicine ; Health & Biological Sciences ; Industrial Medicine ; United States ; Occupational health services ; MEDICAL ; Preventive Medicine ; Employee health promotion ; Health behavior ; Health promotion ; Industrial hygiene ; United States ; Electronic books
    Abstract: The report investigates the characteristics of workplace wellness programs, their prevalence, their impact on employee health and medical cost, facilitators of their success, and the role of incentives in such programs. The authors employ four data collection and analysis streams: a review of the scientific and trade literature, a national survey of employers, a longitudinal analysis of medical claims and wellness program data from a sample of employers, and five case studies of existing wellness programs in a diverse set of employers to gauge the effectiveness of wellness programs and employees' and employers' experiences
    Abstract: The report investigates the characteristics of workplace wellness programs, their prevalence, their impact on employee health and medical cost, facilitators of their success, and the role of incentives in such programs. The authors employ four data collection and analysis streams: a review of the scientific and trade literature, a national survey of employers, a longitudinal analysis of medical claims and wellness program data from a sample of employers, and five case studies of existing wellness programs in a diverse set of employers to gauge the effectiveness of wellness programs and employees' and employers' experiences
    Note: "RAND Health , "RR-254-DOL"--Page 4 of cover , Includes bibliographical references
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  • 22
    ISBN: 9780833080721 , 0833085301 , 0833080725 , 9780833085306
    Language: English
    Pages: 1 Online-Ressource (ix, 177 pages)
    Parallel Title: Print version Acosta, Joie D RAND suicide prevention program evaluation toolkit
    Keywords: Suicide Prevention ; Evaluation ; Suicidal behavior Treatment ; Suicide ; Suicidal behavior ; Program Evaluation methods ; Suicide prevention & control ; United States ; Psychiatry ; Health & Biological Sciences ; PSYCHOLOGY ; Suicide ; Psychiatric Disorders, Individual ; Suicidal behavior ; Treatment ; United States ; Electronic book
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Note: "TL-111-OSD"--Page 4 of cover , "RAND National Defense Research Institute , "This research was ... conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 163-177)
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  • 23
    ISBN: 9780833080530 , 0833082000 , 0833080539 , 9780833082008
    Language: English
    Pages: 1 Online-Ressource (xxiii, 94 pages)
    Series Statement: Research report
    Keywords: Health surveys ; Health surveys ; Health Behaviors ; Socioeconomic Factors ; Health Care Rationing ; Health Status ; Health Services Needs and Demand ; Health Behavior ; MEDICAL ; Public Health ; Washington (D.C.) ; Medical Statistics ; Statistics ; Medical ; Health surveys ; Health & Biological Sciences ; Public Health ; Washington (D.C.) Statistics, Medical ; Washington (D.C.) ; District of Columbia ; Electronic book ; Statistics
    Abstract: The District of Columbia Healthy Communities Collaborative (DCHCC) represents a unique collaboration among D.C.-area hospitals and federally qualified health centers. In response to its community commitment and Affordable Care Act requirements, DCHCC set forth to conduct a community health needs assessment (CHNA) that can guide decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The CHNA described in this report includes analysis of existing demographic, health status, and hospital service use data, as well as hospital and emergency department discharge data. The analysis of this quantitative data is complemented by an analysis of current stakeholder perspectives regarding health needs, as well as health policy and investment priorities. This CHNA demonstrates the persistence of many issues identified in prior CHNAs: asthma, obesity, mental health, and sexual health. Despite high insurance rates, health care services are not evenly distributed by ward, creating significant challenges to access. There is a need to expand these services, as well as improve care coordination between health and social services to help residents navigate the system and obtain the services they need. In addition to these intervention pathways by priority health condition, we identified emerging issues that require further investigation, including declines in coronary atherosclerosis discharges and a spike in stress-related diagnoses (headaches and back pain) and associated alcohol-related issues. This may be related to a host of factors, including economic downturn and demographic transitions in the District
    Note: "RAND Health , Includes bibliographical references (pages 93-94)
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  • 24
    ISBN: 9780833081513 , 0833084666 , 0833081519 , 9780833084668
    Language: English
    Pages: 1 Online-Ressource (xxiv, 128 pages)
    Series Statement: RAND Corporation research report series RR399
    Parallel Title: Print version Moore, Melinda Toward integrated DoD biosurveillance
    Keywords: United States Rules and practice ; Evaluation ; United States ; Bioterrorism Prevention ; Communicable diseases Prevention ; Public health surveillance ; Bioterrorism ; Communicable diseases ; Public health surveillance ; Bioterrorism prevention & control ; Communicable Disease Control ; United States Department of Defense ; Public Health Surveillance ; Population Surveillance ; Public Health Practice ; Public Health ; Environment and Public Health ; Delivery of Health Care ; Biosurveillance ; Epidemiology & Epidemics ; Armed Forces ; Medical care ; Bioterrorism ; Prevention ; Communicable diseases ; Prevention ; Public health surveillance ; Public Health ; Health & Biological Sciences ; United States ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; United States Armed Forces ; Medical care ; United States ; United States ; Electronic book
    Abstract: Biosurveillance is a cornerstone of public health. In July 2012, the White House issued the National Strategy for Biosurveillance, which defines the term and sets out key functions and guiding principles. The Department of Defense (DoD) carries out biosurveillance to monitor the health of military and affiliated populations and supports biosurveillance in other countries through a range of programs across the department. The Deputy Secretary of Defense issued interim guidance in June 2013 for implementation of the new National Strategy. This begins to set formal policy for DoD's biosurveillance enterprise. The Office of Management and Budget (OMB) recognized the importance of effective DoD biosurveillance not only for the department itself but also within the context of the National Strategy. With this in mind, OMB tasked DoD to carry out a comprehensive examination of its biosurveillance enterprise to determine priority missions and desired outcomes, the extent to which DoD biosurveillance programs contribute to these missions, and whether the current funding system is appropriate and how it can be improved to ensure stable funding
    Note: Includes bibliographical references (pages 125-128)
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  • 25
    ISBN: 9780833079688 , 0833079689
    Language: English
    Pages: 1 Online-Ressource (xvii, 70 Seiten)
    Series Statement: Rand Corporation monograph series ; MG-1198-USFI
    DDC: 305.8009567/4
    Keywords: Ethnic conflict History 21st century ; Ethnic conflict Case studies ; Ethnic conflict ; Ethnic relations Political aspects ; Karkūk (Iraq) Ethnic relations ; Political aspects ; Case studies ; History ; Electronic books ; Electronic books ; Electronic books
    Abstract: Tensions among Arabs, Kurds, and Turkomen in northern Iraq -- particularly regarding the city of Kirkuk -- have the potential to escalate into intercommunal violence that would greatly destabilize Iraq. The city's status is tied up in political, legal, and constitutional disputes over disputed territories, Iraq's oil and gas resources, and the power of Iraq's regions vis-à-vis Baghdad. Past efforts to resolve ethno-territorial conflicts, whether successful or not, offer insights that may facilitate a negotiated solution to the status of Kirkuk. An examination of agreements and negotiations regarding Brčko, Mostar, Northern Ireland, and Jerusalem demonstrates the importance of separating local disputes from national-level politics, emphasizing practical governance structures over symbols of sovereignty, developing adaptable power-sharing mechanisms and multi-ethnic security forces that protect the rights of current and potential future minorities, empowering local leaders, and marginalizing nationalistic spoilers who amplify ethnic tensions to consolidate their power. Confidence-building measures and successful resolution of local problems could demonstrate that meaningful inter-ethnic collaboration is possible and, by alleviating local tensions, provide "breathing space" for national-level officials to resolve strategic challenges. The negotiation process may be facilitated by considering whether a "grand bargain" can mitigate the zero-sum nature of the dispute, temporarily deferring especially contentious issues, and involving an impartial yet influential third party to bridge gaps and encourage compromise. The U.S. record of constructive engagement on Arab-Kurd issues, combined with its ability to influence debates on such unresolved national issues as federalism and hydrocarbons, suggests that active American diplomacy regarding Kirkuk could both eliminate a potential flashpoint and pave the way for Iraqi leaders to resolve broader political and economic disputes.
    Note: Title from PDF title page (viewed on May 10, 2012) , "Sponsored by U.S. Forces-Iraq , "National Defense Research Institute , Includes bibliographical references (pages 63-70)
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  • 26
    ISBN: 9780833051547 , 0833051547 , 9780833051516 , 0833051563 , 0833051512 , 9780833051561
    Language: English
    Pages: 1 Online-Ressource (xxvi, 175 pages)
    Series Statement: RAND Corporation monograph series MG1060
    Parallel Title: Print version Munoz, Arturo, 1949- U.S. military information operations in Afghanistan
    Keywords: Afghan War, 2001- Psychological aspects ; Psychological warfare History 21st century ; Afghan War, 2001- Propaganda ; Afghan War, 2001- ; Psychological warfare ; Afghan War, 2001- ; Propaganda ; Psychological aspects ; Psychological warfare ; Regions & Countries - Asia & the Middle East ; History & Archaeology ; South Asia ; Afghan War (2001- ) ; HISTORY ; Military ; Afghan War (2001- ) ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; History ; United States ; United States ; Electronic books
    Abstract: The U.S. Marine Corps, which has long recognized the importance of influencing the civilian population in a counterinsurgency (COIN) environment, asked the RAND National Defense Research Institute to evaluate the effectiveness of U.S. military (USMIL) information operations (IO) and psychological operations (PSYOP) in Afghanistan from 2001 to 2010 based on how well messages and themes are tailored to target audiences. This monograph responds to that request. It should be emphasized that this report does not cover the significant changes in IO and PSYOP definitions, doctrine, organization, and implementation in the field that have taken place since 2010. When the text refers to the present, or the current situation, it generally means 2010
    Abstract: The U.S. Marine Corps, which has long recognized the importance of influencing the civilian population in a counterinsurgency (COIN) environment, asked the RAND National Defense Research Institute to evaluate the effectiveness of U.S. military (USMIL) information operations (IO) and psychological operations (PSYOP) in Afghanistan from 2001 to 2010 based on how well messages and themes are tailored to target audiences. This monograph responds to that request. It should be emphasized that this report does not cover the significant changes in IO and PSYOP definitions, doctrine, organization, and implementation in the field that have taken place since 2010. When the text refers to the present, or the current situation, it generally means 2010
    Note: Includes bibliographical references (pages 165-175)
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  • 27
    ISBN: 9780833078575 , 083307976X , 0833078577 , 9780833079763
    Language: English
    Pages: 1 Online-Ressource (ix, 64 pages)
    Parallel Title: Erscheint auch als
    DDC: 362.19685/27
    Keywords: Helping Families Raise Healthy Children (Project) ; Crisis intervention (Mental health services) ; Crisis intervention (Mental health services) ; Caregivers Psychology ; Community mental health services ; Children Health and hygiene ; Child development ; Parent and child ; Depression, Mental ; Community mental health services ; Depression, Mental ; Children ; Child development ; Parent and child ; Parenting ; Referral and Consultation ; Health Plan Implementation methods ; Early Medical Intervention methods ; Health Plan Implementation methods ; Referral and Consultation ; Early Medical Intervention methods ; Depressive Disorder diagnosis ; Parent-Child Relations ; Community Mental Health Services ; Parent and child ; Psychiatry ; Health & Biological Sciences ; Psychiatric Disorders, Individual ; Caregivers ; Psychology ; Child development ; Children ; Health and hygiene ; Community mental health services ; Crisis intervention (Mental health services) ; Depression, Mental ; Electronic books
    Abstract: Many families experience the challenges of caregiver depression and early childhood developmental delays. Although relationship-based services could help caregivers to deal with such issues at the family level, numerous obstacles prevent adequate screening and identification, referral, and service delivery. The Helping Families Raise Healthy Children initiative implemented in Allegheny County, Pennsylvania, addressed these challenges by training and supporting both early intervention and behavioral health providers in relationship-based care. The relationship-based care approach helped providers in both systems focus on the parent-child relationship in their work with the family. The initiative also addressed some of the logistical barriers to engagement in behavioral health treatment by providing in-home behavioral health services to families in need. The lessons learned from the initiative helped shape the recommendations for implementing the type of effort outlined in this tool kit, which provides information and resources for implementing depression screening within the early intervention system, strengthening cross-system collaborations, and implementing relationship-based care in the early intervention and behavioral health systems
    Abstract: Many families experience the challenges of caregiver depression and early childhood developmental delays. Although relationship-based services could help caregivers to deal with such issues at the family level, numerous obstacles prevent adequate screening and identification, referral, and service delivery. The Helping Families Raise Healthy Children initiative implemented in Allegheny County, Pennsylvania, addressed these challenges by training and supporting both early intervention and behavioral health providers in relationship-based care. The relationship-based care approach helped providers in both systems focus on the parent-child relationship in their work with the family. The initiative also addressed some of the logistical barriers to engagement in behavioral health treatment by providing in-home behavioral health services to families in need. The lessons learned from the initiative helped shape the recommendations for implementing the type of effort outlined in this tool kit, which provides information and resources for implementing depression screening within the early intervention system, strengthening cross-system collaborations, and implementing relationship-based care in the early intervention and behavioral health systems
    Note: "TL-102-CCBHO"--Page 4 of cover , Includes bibliographical references (pages 61-64)
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  • 28
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833051691 , 0833051695 , 9780833051684 , 0833051717 , 0833051687 , 9780833051714
    Language: English
    Pages: 1 Online-Ressource (xxv, 100 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Oliker, Olga Building Afghanistan's security forces in wartime
    Keywords: Military assistance, Soviet ; Internal security ; Military assistance, Soviet ; Internal security ; Internal security ; Military assistance, Soviet ; Soviet Occupation of Afghanistan (1979-1989) ; HISTORY ; Asia ; Central Asia ; Afghanistan ; Soviet Union ; HISTORY ; Asia ; General ; HISTORY ; Military ; Afghan War (2001- ) ; History ; Military history ; Afghanistan History, Military 20th century ; Afghanistan History Soviet occupation, 1979-1989 ; Soviet Union History, Military ; Afghanistan ; Afghanistan ; Soviet Union ; Electronic books
    Abstract: Preface -- Figures -- Table -- Summary -- Acknowledgments -- Abbreviations -- Chapter One. Introduction -- The Limited Contingent -- Purpose and Research Approach -- Chapter Two. Historical Overview: 20th-Century Security Aid to Afghanistan Before the Soviet Invasion -- 1920-1978 -- The Saur Revolution -- Events Leading Up to the Soviet Invasion -- Afghan Security Forces on the Eve of the Soviet Invasion -- A Decision to Invade? -- Chapter Three. The Soviet Advisory Mission in the 1980s: Senior Leadership and Reporting Channels -- Chapter Four. MoI and KhAD Security Forces During the 1980s -- The Sarandoy -- KhAD -- Chapter Five. The Afghan Military -- The Military Advisory Mission -- Training of Afghan Military Personnel -- Aviation -- Border Forces -- Chapter Six. Militias and Other Forces -- Citizen Militias -- Border and Tribal Militias -- Chapter Seven. Afghan Security Forces Challenges and Responses -- Force Size and Desertion -- Efforts to Increase Numbers and Improve Morale -- Equipment -- Division of Labor Among Afghan Security Forces -- Transferring Control -- Chapter Eight. The Soviet Decision to Withdraw and the Legacy of Soviet Efforts to Build Afghan Security Forces -- Dissenting Voices -- Preparing to Leave -- The Withdrawal and After -- Evaluating Soviet Efforts in Hindsight -- Chapter Nine. Conclusion: Parallels, Disconnects, and What the International Security Assistance Force Can Learn from the Soviet Experience -- Overall Approaches -- Recruiting and Retention -- Policing -- Counterinsurgency and Military Training -- Interaction Between Afghan and Foreign Forces and the Challenges of Transferring Lead Responsibility -- Afghan Capabilities -- What ISAF Can Learn from the Soviet Experience -- References
    Abstract: Preface -- Figures -- Table -- Summary -- Acknowledgments -- Abbreviations -- Chapter One. Introduction -- The Limited Contingent -- Purpose and Research Approach -- Chapter Two. Historical Overview: 20th-Century Security Aid to Afghanistan Before the Soviet Invasion -- 1920-1978 -- The Saur Revolution -- Events Leading Up to the Soviet Invasion -- Afghan Security Forces on the Eve of the Soviet Invasion -- A Decision to Invade? -- Chapter Three. The Soviet Advisory Mission in the 1980s: Senior Leadership and Reporting Channels -- Chapter Four. MoI and KhAD Security Forces During the 1980s -- The Sarandoy -- KhAD -- Chapter Five. The Afghan Military -- The Military Advisory Mission -- Training of Afghan Military Personnel -- Aviation -- Border Forces -- Chapter Six. Militias and Other Forces -- Citizen Militias -- Border and Tribal Militias -- Chapter Seven. Afghan Security Forces Challenges and Responses -- Force Size and Desertion -- Efforts to Increase Numbers and Improve Morale -- Equipment -- Division of Labor Among Afghan Security Forces -- Transferring Control -- Chapter Eight. The Soviet Decision to Withdraw and the Legacy of Soviet Efforts to Build Afghan Security Forces -- Dissenting Voices -- Preparing to Leave -- The Withdrawal and After -- Evaluating Soviet Efforts in Hindsight -- Chapter Nine. Conclusion: Parallels, Disconnects, and What the International Security Assistance Force Can Learn from the Soviet Experience -- Overall Approaches -- Recruiting and Retention -- Policing -- Counterinsurgency and Military Training -- Interaction Between Afghan and Foreign Forces and the Challenges of Transferring Lead Responsibility -- Afghan Capabilities -- What ISAF Can Learn from the Soviet Experience -- References
    Note: Includes bibliographical references
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  • 29
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Corp
    ISBN: 9780833047540 , 0833049151 , 083304754X , 9780833049155
    Language: English
    Pages: 1 Online-Ressource (xxii, 672 pages)
    Parallel Title: Print version Elliott, Duong Van Mai, 1941- RAND in Southeast Asia
    Keywords: Rand Corporation Influence ; Rand Corporation ; Vietnam War, 1961-1975 Research ; History ; Military planning History 20th century ; Counterinsurgency Research 20th century ; History ; Vietnam War, 1961-1975 ; Military planning ; Counterinsurgency ; HISTORY ; Military ; Vietnam War ; HISTORY ; Military ; General ; Counterinsurgency ; Research ; Influence (Literary, artistic, etc.) ; Military planning ; Research ; military strategy ; USA ; History ; Southeast Asia ; Regions & Countries - Asia & the Middle East ; History & Archaeology ; Rand Corporation ; United States ; Vietnam War (1961-1975) ; History ; Electronic books
    Abstract: "This volume chronicles RAND's involvement in researching insurgency and counterinsurgency in Vietnam, Laos, and Thailand during the Vietnam War era, from the period preceding the dispatch of U.S. troops, to the most intensive combat years, to the Tet Offensive of 1968, to the end of the war in 1975. The author draws on interviews with RAND staff who were involved in research in the region, the hundreds of studies that RAND produced on these topics, and documentary sources outside RAND to provide a narrative that captures the tenor of the times, conveys the attitudes and thinking of those involved, and recounts their personal stories and experiences. Elliott assesses both the extent to which RAND's research influenced U.S. policies and decisionmakers during the war and the effect that the war had on RAND--culminating with the release of the Pentagon Papers, which became a national controversy in 1971"--Provided by publisher
    Abstract: "This volume chronicles RAND's involvement in researching insurgency and counterinsurgency in Vietnam, Laos, and Thailand during the Vietnam War era, from the period preceding the dispatch of U.S. troops, to the most intensive combat years, to the Tet Offensive of 1968, to the end of the war in 1975. The author draws on interviews with RAND staff who were involved in research in the region, the hundreds of studies that RAND produced on these topics, and documentary sources outside RAND to provide a narrative that captures the tenor of the times, conveys the attitudes and thinking of those involved, and recounts their personal stories and experiences. Elliott assesses both the extent to which RAND's research influenced U.S. policies and decisionmakers during the war and the effect that the war had on RAND--culminating with the release of the Pentagon Papers, which became a national controversy in 1971"--Provided by publisher
    Note: "CP-564-RC"--Page 4 of cover , "RAND Investment in People and Ideas , Includes bibliographical references (pages 627-652) and index
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  • 30
    ISBN: 9780833049339 , 0833049747 , 9781282797239 , 1282797239 , 9780833049742 , 083304933X
    Language: English
    Pages: 1 Online-Ressource (xxviii, 382 pages)
    Series Statement: Rand Corporation monograph series MG-962-DIA
    Parallel Title: Print version Salmoni, Barak A Regime and periphery in Northern Yemen
    Keywords: Political stability ; Insurgency ; Political stability ; Insurgency ; HISTORY ; General ; HISTORY ; Middle East ; General ; Insurgency ; Yemen (Republic) ; Yemen ; armed conflicts ; Politics and government ; History ; Political stability ; Yemen (Republic) Politics and government 21st century ; Yemen (Republic) Politics and government 20th century ; Yemen (Republic) History 1990- ; Yemen (Republic) ; Yemen (Republic) ; Yemen (Republic) ; Electronic books
    Abstract: For nearly six years, the Government of Yemen (GoY) has conducted military operations against groups of its citizens north of San'a, known as "Huthis" or Believing Youth (BY). In spite of using all coercive and ideological means at its disposal, the GoY has been unable to fully subdue the Huthi movement, which has sustained a material and popular base over successive phases of armed conflict into the winter of 2010. At the same time, the regime has confronted mounting southern discontent and al-Qa'ida-inspired terrorism, as well as severely contracting economic prospects. The war against the Huthis, however, has of late absorbed more of the GoY's political attention and coercive resources than these other issues, weakening the state's ability to deal with the multiple challenges it faces. The Huthi conflict thus presents an enduing threat both to the regime of President 'Ali 'Abdullah Saleh and to the stability of Yemen as a unitary state. It also fundamentally impairs the GoY's ability to function as a U.S. partner for regional security, stability, and counterterrorism. Furthermore, armed confrontation between the Kingdom of Saudi Arabia and Huthi fighters beginning in November-December 2009 has added a transnational dimension to the conflict and risks pulling in other regional countries, such as Iran. Such an eventuality would fundamentally undermine security in the Arabian Peninsula and Gulf, harming the regional interests of the United States while it is engaged in Iraq, Afghanistan, and nuclear negotiations with Iran
    Abstract: For nearly six years, the Government of Yemen (GoY) has conducted military operations against groups of its citizens north of San'a, known as "Huthis" or Believing Youth (BY). In spite of using all coercive and ideological means at its disposal, the GoY has been unable to fully subdue the Huthi movement, which has sustained a material and popular base over successive phases of armed conflict into the winter of 2010. At the same time, the regime has confronted mounting southern discontent and al-Qa'ida-inspired terrorism, as well as severely contracting economic prospects. The war against the Huthis, however, has of late absorbed more of the GoY's political attention and coercive resources than these other issues, weakening the state's ability to deal with the multiple challenges it faces. The Huthi conflict thus presents an enduing threat both to the regime of President 'Ali 'Abdullah Saleh and to the stability of Yemen as a unitary state. It also fundamentally impairs the GoY's ability to function as a U.S. partner for regional security, stability, and counterterrorism. Furthermore, armed confrontation between the Kingdom of Saudi Arabia and Huthi fighters beginning in November-December 2009 has added a transnational dimension to the conflict and risks pulling in other regional countries, such as Iran. Such an eventuality would fundamentally undermine security in the Arabian Peninsula and Gulf, harming the regional interests of the United States while it is engaged in Iraq, Afghanistan, and nuclear negotiations with Iran
    Note: Includes bibliographical references (pages 339-382)
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  • 31
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833047748 , 083304902X , 0833047744 , 9780833049025
    Language: English
    Pages: 1 Online-Ressource (xxvii, 201 pages)
    Series Statement: Rand Corporation technical report series TR-725-AHRQ
    Parallel Title: Print version Assessing patient safety practices and outcomes in the U.S. health care system
    Keywords: Hospital patients Safety measures ; Evaluation ; Outcome assessment (Medical care) ; Hospital patients ; Outcome assessment (Medical care) ; Quality Assurance, Health Care ; Safety Management ; Medical Errors prevention & control ; Outcome assessment (Medical care) ; Medical Research ; Medicine ; Health & Biological Sciences ; MEDICAL ; Health Policy ; SOCIAL SCIENCE ; Human Services ; United States ; BUSINESS & ECONOMICS ; Workplace Culture ; United States ; Electronic book ; Evaluation Studies
    Abstract: Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals
    Abstract: Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals
    Note: Includes bibliographical references (pages 197-201)
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  • 32
    ISBN: 9780833045591 , 0833048198 , 9781282451285 , 1282451286 , 9780833048196 , 0833045598
    Language: English
    Pages: 1 Online-Ressource (xix, 171 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Hospital-based integrative medicine
    Keywords: Integrative medicine ; Hospitals Case studies Planning ; Integrative medicine ; Hospitals ; Hospital Planning ; Organizational Case Studies ; Hospital Administration ; Complementary Therapies ; Delivery of Health Care, Integrated ; MEDICAL ; Health Policy ; Hospitals ; Planning ; Integrative medicine ; Alternative Medicine ; Medicine ; United States ; Health & Biological Sciences ; Case studies ; United States ; Electronic book
    Abstract: This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed
    Abstract: This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed
    Note: "Supported by the National Center for Complementary and Alternative Medicine , "MG-591-NCCAM"--Page 4 of cover , Includes bibliographical references (pages 163-171) , Use copy Restrictions unspecified star MiAaHDL , Electronic reproduction , Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
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  • 33
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Corp
    ISBN: 9780833044808 , 083304544X , 083304480X , 9780833045447
    Language: English
    Pages: 1 Online-Ressource (xxiv, 106 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Technical report TR-563-AHRQ
    Parallel Title: Print version Assessment of the AHRQ patient safety initiative
    Keywords: Patients Safety measures ; Iatrogenic diseases Prevention ; Government policy ; Medical errors Prevention ; Government policy ; Patients ; Iatrogenic diseases ; Medical errors ; Program Evaluation ; Safety Management ; Medical Errors prevention & control ; Government Programs ; Health & Biological Sciences ; Medical Professional Practice ; MEDICAL ; Health Policy ; Patients ; Safety measures ; United States ; Medicine ; United States ; Electronic book
    Abstract: In September 2002, AHRQ entered into a four-year contract with the RAND Corporation to serve as the patient safety evaluation center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This is the fourth and final evaluation report prepared by RAND. It presents new results for the period from October 2005 through September 2006, synthesizes the full evaluation findings over the four-year evaluation period, and discusses how AHRQ activities could be strengthened as the initiative moves forward. It also describes how AHRQ's strategy and activities developed over time, the new knowledge generated by funded projects, and the contributions of various components of the initiative to patient safety. Finally, it presents updated baseline data on selected outcome measures and discusses options for ongoing monitoring of effects on both practices and outcomes
    Abstract: In September 2002, AHRQ entered into a four-year contract with the RAND Corporation to serve as the patient safety evaluation center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This is the fourth and final evaluation report prepared by RAND. It presents new results for the period from October 2005 through September 2006, synthesizes the full evaluation findings over the four-year evaluation period, and discusses how AHRQ activities could be strengthened as the initiative moves forward. It also describes how AHRQ's strategy and activities developed over time, the new knowledge generated by funded projects, and the contributions of various components of the initiative to patient safety. Finally, it presents updated baseline data on selected outcome measures and discusses options for ongoing monitoring of effects on both practices and outcomes
    Note: "Rand Health , Includes bibliographical references , Use copy Restrictions unspecified star MiAaHDL , Electronic reproduction , Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
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  • 34
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Project Air Force
    ISBN: 9780833038975 , 0833042440 , 0833038974 , 9780833042446
    Language: English
    Pages: 1 Online-Ressource (xxix, 263 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Larson, Eric V. (Eric Victor), 1957- Misfortunes of war
    Keywords: United States Public relations ; United States History 20th century ; United States History 21st century ; United States ; United States ; United States ; Mass media and war ; War in mass media ; Combatants and noncombatants (International law) ; Military history, Modern 20th century ; Military history, Modern 21st century ; War Moral and ethical aspects ; Civilian war casualties ; Mass media and war ; War in mass media ; Combatants and noncombatants (International law) ; Military history, Modern ; Military history, Modern ; War ; Civilian war casualties ; NATURE ; Natural Disasters ; SOCIAL SCIENCE ; Disasters & Disaster Relief ; HISTORY ; Military ; General ; Armed Forces ; Public relations ; Civilian war casualties ; Combatants and noncombatants (International law) ; Mass media and war ; Military history, Modern ; War in mass media ; War ; Moral and ethical aspects ; Krig i massmedia ; Massmedia och krig ; Stridande och icke-stridande ; Krigsoffer ; United States ; History ; Electronic books
    Abstract: 1. Introduction -- Literature review -- Approach -- Organization of this monograph -- 2. Operation Desert Storm (Iraq, 1991) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The Al Firdos bunker incident -- Key lessons -- 3. Operation Allied Force (Kosovo, 1999) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The April 14 convoy attacks outside Djakovica -- The May 7 Chinese embassy bombing -- Conclusions -- 4. Operation Enduring Freedom (Afghanistan, 2001- ) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The wedding party incident -- Key lessons -- 5. Operation Iraqi Freedom (Iraq, 2003- ) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The marketplace incident -- Key lessons -- 6. Implications and conclusions -- The military: a highly credible institution -- Recommendations
    Abstract: 1. Introduction -- Literature review -- Approach -- Organization of this monograph -- 2. Operation Desert Storm (Iraq, 1991) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The Al Firdos bunker incident -- Key lessons -- 3. Operation Allied Force (Kosovo, 1999) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The April 14 convoy attacks outside Djakovica -- The May 7 Chinese embassy bombing -- Conclusions -- 4. Operation Enduring Freedom (Afghanistan, 2001- ) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The wedding party incident -- Key lessons -- 5. Operation Iraqi Freedom (Iraq, 2003- ) -- Civilian casualty estimates -- Handling of the civilian casualties issue -- The arc of media and public concern -- The marketplace incident -- Key lessons -- 6. Implications and conclusions -- The military: a highly credible institution -- Recommendations
    Note: "Prepared for the United States Air Force , "MG-441-AF"--Page 4 of cover , Includes bibliographical references (pages 235-263) , Use copy Restrictions unspecified star MiAaHDL , Electronic reproduction , Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
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  • 35
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833041012 , 0833041061 , 9781433709463 , 1433709465 , 0833041010 , 9780833038685 , 9780833041067 , 0833038680
    Language: English
    Pages: 1 Online-Ressource (xxv, 124 pages)
    Series Statement: Rand publications series MG-432-RC
    Parallel Title: Print version Hosek, James R How deployments affect service members
    Keywords: Deployment (Strategy) ; Deployment (Strategy) ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anthropology, Education, Sociology and Social Phenomena ; Communicable Disease Control ; Delivery of Health Care ; Disease Notification ; Environment and Public Health ; Epidemiologic Methods ; Government ; Health Care Economics and Organizations ; Investigative Techniques ; Local Government ; Organizations ; Public Health Practice ; Public Health ; Social Sciences ; Pathology ; Medicine ; Health & Biological Sciences ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Armed Forces ; Personnel management ; United States ; Deployment (Strategy) ; Recruiting and enlistment ; HISTORY ; Military ; General ; United States Armed Forces ; Personnel management ; United States Armed Forces ; Recruiting, enlistment, etc ; United States ; United States ; Electronic books
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Note: "MG-432-RC"--Page 4 of cover , Includes bibliographical references (pages 113-124)
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  • 36
    ISBN: 9780833038524 , 083304818X , 0833038524 , 9780833048189
    Language: English
    Pages: 1 Online-Ressource (xxiv, 89 pages)
    Parallel Title: Print version Wynn, Barbara O Challenges in program evaluation of health interventions in developing countries
    Keywords: World health ; Medical policy ; World health ; Medical policy ; Global Health ; Vaccination methods ; Health Policy ; Program Evaluation methods ; Communicable Disease Control methods ; Developing Countries ; Public Health ; Health & Biological Sciences ; Medical policy ; MEDICAL ; Health Policy ; World health ; World Health ; POLITICAL SCIENCE ; International Relations ; General ; Electronic book
    Abstract: Health interventions that are effective in developed countries may not be as effective in developing countries given the differing social, economic, cultural, and infrastructure factors that may affect how an intervention program is implemented and its outcomes. However, rigorous evaluation of public health intervention programs in various resource-limited settings is needed to determine which interventions will work most effectively and to spend scarce resources wisely. This monograph is intended to promote an understanding of why program evaluation is a critical component of any health intervention and to stimulate discussion on ways to make evaluation of health interventions in developing countries more rigorous. The authors provide an overview of various approaches, methodologies, and issues related to program evaluation for health projects in developing countries, and they identify future research and actions by funding organizations that would facilitate evaluations of the impact of large-scale health interventions
    Abstract: Health interventions that are effective in developed countries may not be as effective in developing countries given the differing social, economic, cultural, and infrastructure factors that may affect how an intervention program is implemented and its outcomes. However, rigorous evaluation of public health intervention programs in various resource-limited settings is needed to determine which interventions will work most effectively and to spend scarce resources wisely. This monograph is intended to promote an understanding of why program evaluation is a critical component of any health intervention and to stimulate discussion on ways to make evaluation of health interventions in developing countries more rigorous. The authors provide an overview of various approaches, methodologies, and issues related to program evaluation for health projects in developing countries, and they identify future research and actions by funding organizations that would facilitate evaluations of the impact of large-scale health interventions
    Note: "RAND Center for Domestic and International Health Security , "This research was produced within RAND Health's Center for Domestic and International Health Security , Includes bibliographical references (pages 75-89)
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  • 37
    Online Resource
    Online Resource
    Santa Monica, CA : Rand Corp
    ISBN: 9780833038470 , 0833040987 , 0833038478 , 9780833040985
    Language: English
    Pages: 1 Online-Ressource (xiv, 52 pages)
    Parallel Title: Print version Fonkych, Kateryna State and pattern of health information technology adoption
    Keywords: Health services administration Information technology ; Medical care Information technology ; Health services administration ; Medical care ; Public Health Informatics trends ; Medical Informatics Applications ; HEALTH & FITNESS ; Health Care Issues ; MEDICAL ; Public Health ; MEDICAL ; Health Policy ; HEALTH & FITNESS ; Diseases ; General ; MEDICAL ; Diseases ; MEDICAL ; Health Care Delivery ; Hospitals & Medical Centers ; Public Health ; Health & Biological Sciences ; Electronic book
    Abstract: Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature
    Abstract: Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature
    Note: "RAND Health , Includes bibliographical references (pages 51-52)
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  • 38
    ISBN: 9780833037879 , 0833059971 , 0833037870 , 9780833059970
    Language: English
    Pages: 1 Online-Ressource (xxiii, 87 pages)
    Additional Information: Assessment of the AHRQ patient safety initiative :focus on implementation and dissemination evaluation report III (2004-2005)
    Additional Information: Assessment of the AHRQ patient safety initiative: moving from research to practice evaluation report II (2003-2004)
    Parallel Title: Print version Assessment of the national patient safety initiative
    Keywords: Medical errors Government policy ; Patients Safety measures ; Iatrogenic diseases Government policy ; Medical errors ; Patients ; Iatrogenic diseases ; Government Programs ; Program Evaluation ; Medical Errors prevention & control ; Patients ; Safety measures ; MEDICAL ; Health Policy ; Medicine ; Health & Biological Sciences ; Medical Professional Practice ; United States ; Medical errors ; Government policy ; United States ; Electronic books
    Abstract: In September 2002, RAND contracted with the U.S. Agency for Healthcare Research and Quality (AHRQ) to serve as the evaluation center for its national patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over a four-year project period. This report presents findings on the history leading to the AHRQ patient safety initiative, the start-up of the initiative, and early activities through September 2003. It focuses on assessing the context and goals that were the foundation for the initiative and documents the baseline status of the activities being undertaken. The evaluation found the agency has done an impressive job in starting the patient safety initiative, despite unreasonable high expectations and insufficient funding. The evaluators identify four priorities for AHRQ that they believe will have the strongest positive impact on the future of the patient safety initiative: designing interim objectives to pull the health care system toward the long-term goal of reducing errors by 50 percent; developing a national patient safety data repository; participating in active public-private partnerships and supporting health care organizations in their implementation activities; and balancing research and adoption activities
    Abstract: In September 2002, RAND contracted with the U.S. Agency for Healthcare Research and Quality (AHRQ) to serve as the evaluation center for its national patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over a four-year project period. This report presents findings on the history leading to the AHRQ patient safety initiative, the start-up of the initiative, and early activities through September 2003. It focuses on assessing the context and goals that were the foundation for the initiative and documents the baseline status of the activities being undertaken. The evaluation found the agency has done an impressive job in starting the patient safety initiative, despite unreasonable high expectations and insufficient funding. The evaluators identify four priorities for AHRQ that they believe will have the strongest positive impact on the future of the patient safety initiative: designing interim objectives to pull the health care system toward the long-term goal of reducing errors by 50 percent; developing a national patient safety data repository; participating in active public-private partnerships and supporting health care organizations in their implementation activities; and balancing research and adoption activities
    Note: Includes bibliographical references (pages 85-87)
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  • 39
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833036537 , 0833057987 , 9781598753752 , 1598753754 , 9780833057983 , 083303653X
    Language: English
    Pages: 1 Online-Ressource (xxxv, 228 pages)
    Parallel Title: Print version Health status and medical treatment of the future elderly
    Keywords: Older people Medical care ; Economic aspects ; Medical care Mathematical models ; Older people Health and hygiene ; Forecasting ; Medical care, Cost of Forecasting ; Older people ; Medical care ; Older people ; Medical care, Cost of ; Medicare economics ; Population Dynamics ; Health Expenditures trends ; Health Services for the Aged economics ; Health Planning ; Health Status Aged ; Aged ; Health Planning ; Health Status ; Population Dynamics ; Health Expenditures trends ; Health Services for the Aged economics ; Aged Public Health ; Public Health ; Health & Biological Sciences ; United States ; MEDICAL ; Health Policy ; Medical care, Cost of ; Forecasting ; Medical care ; Mathematical models ; United States ; Electronic book
    Abstract: The ability to predict future health care costs reasonably accurately is critical to planning for the Centers for Medicare and Medicaid Services (CMS). The models used for such projections to date, however, are limited in terms of their capacity to take into account the complex array of factors likely to affect future spending. To improve CMS's ability to map the effects on spending of such factors as medical breakthroughs and demographic trends, RAND Health developed the Future Elderly Model (FEM), a demographic-economic model framework of health spending projections that enables the user to answer "what-if" questions about the effects of changes in health status and disease treatment on future health care costs. What distinguishes the FEM from other models is its inclusion of a multidimensional characterization of health status, which allows the user to include a richer set of demographic controls as well as comorbid conditions and functional status. This report describes the development of the FEM and its application in four clinical areas: cardiovascular disease, the biology of aging and cancer, neurological disease, and changes in health care services. Beside those involved in planning at the Centers for Medicare and Medicaid Services, it should be of interest to health policy planners and health economists
    Description / Table of Contents: Prospects for medical advances in the 21st century -- The medical expert panels -- The future elderly model (FEM) -- Health expenditures -- Health status -- The health status of future Medicare entering cohorts -- Scenarios -- Usefulness to the Office of the Actuary -- Conclusions.
    Note: "TR-169-CMS, August 2004, prepared for the Centers for Medicare and Medicaid Services , Includes bibliographical references (pages 214-228)
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  • 40
    ISBN: 9780833035271 , 0833035932 , 0833035274 , 9780833035936
    Language: English
    Pages: 1 Online-Ressource (xxxviii, 208 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Online Rand research documents
    Parallel Title: Print version Case studies of existing human tissue repositories
    Keywords: Preservation of organs, tissues, etc Case studies ; Cadaver homografts Case studies ; Tissue banks Case studies ; Preservation of organs, tissues, etc ; Cadaver homografts ; Tissue banks ; Organizational Case Studies ; Tissue Preservation methods ; Tissue Banks standards ; Electronic books ; MEDICAL ; Allied Health Services ; General ; MEDICAL ; Health Policy ; Tissue banks ; Preservation of organs, tissues, etc ; Cadaver homografts ; Tissue Banks ; standards ; United States ; Organizational Case Studies ; United States ; Tissue Preservation ; methods ; United States ; Cadaver homografts ; Preservation of organs, tissues, etc ; Tissue banks ; Surgery & Anesthesiology ; Health & Biological Sciences ; Transplantation of Organs & Tissues ; Case studies ; United States ; Electronic books
    Abstract: Introduction -- Methodology -- Biospecimen Collection, Processing, Annotation, Storage, and Distribution -- Bioinformatics and Data Management -- Consumer/User Needs -- Business Plan and Operations -- Privacy, Ethical Concerns, and Consent Issues -- Intellectual Property and Legal Issues -- Public Relations, Marketing, and Education -- Findings and Summary of Best Practices -- Appendix: Interview Instrument for RAND Evaluation of Existing Tissue Resources
    Abstract: Introduction -- Methodology -- Biospecimen Collection, Processing, Annotation, Storage, and Distribution -- Bioinformatics and Data Management -- Consumer/User Needs -- Business Plan and Operations -- Privacy, Ethical Concerns, and Consent Issues -- Intellectual Property and Legal Issues -- Public Relations, Marketing, and Education -- Findings and Summary of Best Practices -- Appendix: Interview Instrument for RAND Evaluation of Existing Tissue Resources
    Note: "MG-120 , Includes bibliographical references (pages 207-208) , Use copy Restrictions unspecified star MiAaHDL , Electronic reproduction , Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
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  • 41
    ISBN: 9780833032133 , 0833056867 , 0833032135 , 9780833056863
    Language: English
    Pages: 1 Online-Ressource (xxxii, 192 pages)
    Parallel Title: Print version Trends in special medicare payments and service utilization for rural areas in the 1990s
    Keywords: Rural hospitals Prospective payment ; Medicare Cost control ; Rural health services Finance ; Medicare ; Rural hospitals ; Medicare ; Rural health services ; Medicare ; Rural Health Services ; Health Care Costs ; Medically Underserved Area ; Insurance, Health, Reimbursement ; Economics ; Health Planning ; Insurance ; Health Care Quality, Access, and Evaluation ; Public Assistance ; Health Care Facilities, Manpower, and Services ; Social Control, Formal ; Health Care Economics and Organizations ; Financing, Government ; Legislation as Topic ; Financing, Organized ; Delivery of Health Care ; Health Services ; Regional Health Planning ; Costs and Cost Analysis ; Health Services Needs and Demand ; Medicare ; Medical Assistance ; Insurance, Health ; Medicare ; Medicare ; Cost control ; Rural health services ; Finance ; Rural hospitals ; Prospective payment ; Public Health ; Medical Care Plans ; Health & Biological Sciences ; United States ; MEDICAL ; Health Policy ; Electronic books
    Abstract: This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
    Abstract: This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
    Note: "RAND Health , Includes bibliographical references (pages 177-181)
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