National Center for Military Deployment Health Research (1999) / Chapter Skim
Currently Skimming:
4 Recommendations
4 Recommendations
Pages 30-46
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 30... ...
deployment, and postdeployment phases, and these disruptions, despite the relatively rapid and short-term experience, may have long-standing emotional and social consequences. Additionally there is a component of deployed civilian workers who are similarly impacted by military deployment.
|
From page 31... ...
VA centers structured in such a manner would play a major role in the broader National Center effort described in the following section. Therefore, the committee recommends that the Department of Veterans Affairs proceed with its proposal to establish centers for the study of war-related illnesses, and that these centers be similar in structure to the Geriatric Research, Education, and Clinical Centers.
|
From page 32... ...
Additionally, the changing nature of military deployment necessitates the inclusion of research that encompasses the health concerns of all deployed populations, including veterans as well as active-duty, guard, and reserve forces. There is a tremendous amount of deployment-related health research currently underway both within the federal government and in the academic community.
|
From page 33... ...
. A coordinated National Center program will broaden the perspective and facilitate a more coordinated approach to addressing deployment health concerns.
|
From page 34... ...
The committee believes that the DoD must, however, play an integral role in the National Center. As discussed below, the DoD research centers on deployment health are vital components of the military deployment health research network.
|
From page 35... ...
Additionally, as will be discussed below, the NIH peer-review process for research grants and contracts could be utilized by the National Center. Centers for Disease Control and Prevention In considering the placement of the National Center within the Centers for Disease Control and Prevention, the committee acknowledged CDC's strengths in a number of relevant areas, including occupational health research, prevention efforts, and health surveillance.
|
From page 36... ...
Since the mission and objectives of the Research Working Group (see Chapter 2) are encompassed in the proposed National Center for Military Deployment Health Research, the committee suggests that the new Center replace the RWG, rather than duplicate its efforts (Figure 4.14.
|
From page 37... ...
The following section discusses the structural elements of the National Center recommended above. STRUCTURE The committee has designed an organizational structure for the National Center for Military Deployment Health Research that will facilitate the goals of coordinating research, identifying and filling research gaps, and developing policy recommendations resulting from research, in a way that will be deemed credible with both the research communities and the public.
|
From page 38... ...
Further, the independence of the Center is enhanced by the requirement that it report directly to Congress, in addition to reporting to the MVHCB. National Center for Military Deployment Health Research Governing Board 1 1 1 1 Core Activities Research Coordination and Priority Setting Longitudinal _ Monitoring National Data Resources Policy Analysis Research Network Federal Center Research Initiated Programs Research (DoD, VA, HHS)
|
From page 39... ...
The Board will be responsible for establishing a broad research agenda encompassing the wide scope of deployment health issues, coordinating research across agencies and institutions, commissioning new research to fill in research gaps, and developing policy recommen
|
From page 40... ...
mation of Center research; · evaluation of the output and productivity of Center research; · development of policy recommendations that emerge from Center research; · development of the Center's proposed annual budget; and · preparation and transmittal to Congress of an annual report. Research Network The scope of current deployment health research, along with the changing nature of deployment, were key factors in determining the need for a broad research agenda.
|
From page 41... ...
The committee strongly encourages the federal departments to continue their deployment health research programs and to work through the Center to facilitate coordination across the departments. Center-Initiated Research One of the tasks of the Center's Governing Board will be to identify gaps in current research.
|
From page 42... ...
Goals of the Research Network It is the committee's hope that establishing a network of research sites with an overarching research agenda will bolster ongoing activities, foster creativity for new projects, encourage the use of established peer-review mechanisms for evaluating and funding intramural and extramural research, and promote wide dissemination of research results. Further, it is important for the research network to encompass interdisciplinary work in the biomedical and social sciences, including ethics.
|
From page 43... ...
Staffing expertise needed includes health policy analysis and development, deployment-related health research, research program management, and research administration. In keeping with the staffing structure suggested for the MVHCB, the committee suggests that the National Center be directed by a deputy director of the MVHCB who reports to the executive director of the MVHCB.
|
From page 44... ...
Longitudinal Monitoring. One of the current difficulties inherent in researching deployment health concerns is the lack of a system for monitoring the longitudinal health of active, reserve, and guard forces, as well as the health of veterans and their families.
|
From page 45... ...
Therefore, the committee recommends that the National Center be responsible for the four core activities: · research coordination and priority setting; · research-related policy analysis; · review and analysis of longitudinal monitoring of deployment-related health; and · facilitating the use of national data sources for deployment health research.
|
From page 46... ...
Funding levels for such efforts are significant. Since this Center will involve the work of three federal departments and will require close coordination in order to ensure its success, the committee believes that the Governing Board in its annual report to Congress should recommend a proposed funding level for the Center.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.