国家灾难医疗系统(NDMS)的最终护理组件可能无法有效管理因灾难性灾难事件或海外冲突而造成的数万人员伤亡。为了应对这种潜在的国家安全威胁,国会授权美国国防部长进行NDMS试点计划,以提高互操作性,特殊能力,和NDMS的患者容量。飞行员的第一阶段是军民NDMS互操作性研究,旨在确定广泛的主题,以指导进一步的NDMS研究。研究人员与49个关键的NDMS联邦和民间(私营部门)利益相关者进行了一系列便利的讨论,以确定和评估改进NDMS的弱点和机会。经过定性分析,出现了6个关键主题:(1)协调,合作,和联邦和私营部门NDMS合作伙伴之间的沟通;(2)为提高NDMS合作伙伴的增援能力和准备工作提供资金和激励措施;(3)政府和私营NDMS合作伙伴的人员编制能力和能力;(4)增援能力,特别是在私营部门的医疗机构;(5)培训,教育,以及联邦和私营部门NDMS合作伙伴之间的练习和知识共享;和(6)指标,基准,并为NDMS合作伙伴建模,以跟踪其与NDMS相关的功能和性能。这些发现为联邦层面的变革和额外的运营研究提供了路线图,以加强NDMS最终护理系统,特别是在政策和立法领域,业务协调,和资金。
The definitive care component of the National Disaster Medical System (NDMS) may not be able to effectively manage tens of thousands of casualties resulting from a catastrophic disaster incident or overseas conflict. To address this potential national security threat, Congress authorized the US Secretary of Defense to conduct the NDMS Pilot Program to improve the interoperability, special capabilities, and patient capacity of the NDMS. The pilot\'s first phase was the Military-Civilian NDMS Interoperability Study, designed to identify broad themes to direct further NDMS research. Researchers conducted a series of facilitated discussions with 49 key NDMS federal and civilian (private sector) stakeholders to identify and assess weaknesses and opportunities for improving the NDMS. After qualitative analysis, 6 critical themes emerged: (1) coordination, collaboration, and communication between federal and private sector NDMS partners; (2) funding and incentives for improved surge capacity and preparedness for NDMS partners; (3) staffing capacity and competencies for government and private NDMS partners; (4) surge capacity, especially at private sector healthcare facilities; (5) training, education, and exercises and knowledge sharing between federal and private sector NDMS partners; and (6) metrics, benchmarks, and modeling for NDMS partners to track their NDMS-related capabilities and performance. These findings provide a roadmap for federal-level changes and additional operations research to strengthen the NDMS definitive care system, particularly in the areas of policy and legislation, operational coordination, and funding.