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At least 19 recordsLinked to original sources
PubMed2001

Defense Department takes on depression guidelines.

The process developed by the U.S. Department of Defense in creating evidence-based guidelines for the treatment of depression serves as an instructive guide both for payers and health care delivery systems.

Benchmarking↗
PubMed1967

Project hindsight. A Defense Department study of the utility of research.

Recently developed weapon systems were compared with systems of similar function in use 10 to 20 years earlier. The most significant finding was that the improvement in performance or reduction in cost is largely the synergistic effect of a large number of scientific and technological innovations, of which only about 10 percent had been made at the time the earlier system was designed. The common scientific and technological base of the systems was not analyzed. Of the innovations, or Events, 9 percent were classified as science and 91 percent as technology. Ninety-five percent of all Events were funded by the defense sector. Nearly 95 percent were motivated by a recognized defense need. Only 0.3 percent came from undirected science. The results of the study do not call in question the value of undirected science on the 50-year-or-more time scale. In light of our finding that 5 to 10 years are often required before even a piece of highly applied research is "fitted in" as an effective contributing member of a large assembly of other Events, it is not surprising that "fragments" of undirected science are infrequently utilized on even a 20-year time scale. The most obvious way in which undirected science appears to enter into technology and utilization on a substantial scale seems to be in the compressed, highly organized form of a well-established, clearly expressed general theory, or in the evaluated, ordered knowledge of handbooks, textbooks, and university courses.

Government↗
PubMed1999

Benchmark testing the Digital Imaging Network-Picture Archiving and Communications System proposal of the Department of Defense.

The Department of Defense issued a Request for Proposal (RFP) for its next generation Picture Archiving and Communications System in January of 1997. The RFP was titled Digital Imaging Network-Picture Archiving and Communications System (DIN-PACS). Benchmark testing of the proposed vendors' systems occurred during the summer of 1997. This article highlights the methods for test material and test system organization, the major areas tested, and conduct of actual testing. Department of Defense and contract personnel wrote test procedures for benchmark testing based on the important features of the DIN-PACS Request for Proposal. Identical testing was performed with each vendor's system. The Digital Imaging and Communications in Medicine (DICOM) standard images used for the Benchmark Testing included all modalities. The images were verified as being DICOM standard compliant by the Mallinckrodt Institute of Radiology, Electronic Radiology Laboratory. The Johns Hopkins University Applied Physics Laboratory prepared the Unix-based server for the DICOM images and operated it during testing. The server was loaded with the images and shipped to each vendor's facility for on-site testing. The Defense Supply Center, Philadelphia (DSCP), the Department of Defense agency managing the DIN-PACS contract, provided representatives at each vendor site to ensure all tests were performed equitably and without bias. Each vendor's system was evaluated in the following nine major areas: DICOM Compliance; System Storage and Archive of Images; Network Performance; Workstation Performance; Radiology Information System Performance; Composite Health Care System/Health Level 7 communications standard Interface Performance; Teleradiology Performance; Quality Control; and Failover Functionality. These major sections were subdivided into workable test procedures and were then scored. A combined score for each section was compiled from this data. The names of the involved vendors and the scoring for each is contract sensitive and therefore can not be discussed. All of the vendors that underwent the benchmark testing did well. There was no one vendor that was markedly superior or inferior. There was a typical bell shaped curve of abilities. Each vendor had their own strong points and weaknesses. A standardized benchmark protocol and testing system for PACS architectures would be of great value to all agencies planning to purchase a PACS. This added information would assure the purchased system meets the needed functional requirements as outlined by the purchasers PACS Request for Proposal.

Benchmarking↗
PubMed1996

Graduate medical education in the Department of Defense.

The Department of Defense supports over 3,000 physician trainees in graduate medical education (GME) programs in military hospitals located throughout the United States. The number of trainees has been gradually declining over the past 5 years because of budget constraints and the personnel draw-down in the military that are results of the end of the Cold War. The Department of Defense has developed a GME strategy for determining the proper size of its GME programs. The tenets of the GME strategy include closing GME programs that do not fill trainee positions and that are not of the highest quality in accordance with Accreditation Council for Graduate Medical Education standards, ensuring that the number of GME trainees does not exceed one-quarter of the total number of the active duty physicians in the Department of Defense, and minimizing the number of civilian trainees in military hospital GME programs.

Cost Control↗
PubMed1999

The history of teledermatology in the Department of Defense.

The Department of Defense (DoD) healthcare system supports the medical needs of service members while engaged in a variety of missions frequently in isolated, remote, and austere locations. As a result, the DoD has been a leader in the development of telemedicine, including teledermatology as a way to provide "good medicine in bad places." A brief technical history of teledermatology, representative DoD experiences including military unique concerns, and a novel approach to increase the access of DoD teledermatology consultation are presented in this article.

Cost-Benefit Analysis↗