RESUMO
Managed care organizations that serve the poor face unique challenges. Not only must they empower their enrolled populations with awareness and knowledge about the benefits of being enrolled, but they must also provide significant outreach, offer services that are sensitive to urban and rural concerns, and stress health education and disease prevention. The managed care model offers efficiency and effectiveness that can place providers on the leading edge of not only providing solutions that address the needs of the underserved, but being competitive in servicing these populations.
Assuntos
Programas de Assistência Gerenciada/economia , Reforma dos Serviços de Saúde/economia , Humanos , Programas de Assistência Gerenciada/legislação & jurisprudência , Área Carente de Assistência Médica , Estados UnidosRESUMO
National attention has focused on the critical problem of detecting and avoiding windshear since the crash on 2 Aug. 1985 of a Lockheed L-1011 at Dallas/Fort Worth International Airport. As part of the NASA/FAA National Integrated Windshear Program, we have defined a measurable windshear hazard index that can be remotely sensed from an aircraft, to give the pilot information about the wind conditions he will experience at some later time if he continues along the present flight path. A technology analysis and end-to-end performance simulation measuring signal-to-noise ratios and resulting wind velocity errors for competing coherent laser radar (lidar) systems have been carried out. The results show that a Ho:YAG lidar at a wavelength of 2.1 microm and a CO(2) lidar at 10.6 microm can give the pilot information about the line-of-sight component of a windshear threat from his present position to a region extending 2-4 km in front of the aircraft. This constitutes a warning time of 20-40 s, even in conditions of moderately heavy precipitation. Using these results, a Coherent Lidar Airborne Shear Sensor (CLASS) that uses a Q-switched CO(2) laser at 10.6 microm is being designed and developed for flight evaluation in the fall of 1991.