Framework for the evaluation of military health systems.

The organisation of a military health system (MHS) differs from the civilian system due to the role of the armed forces, the unique nature of the supported population and their occupational health requirements. A previously published review of the Military Medical Corps Worldwide Almanac demonstrated the value of a standardised framework for evaluation and comparison of MHSs. This paper proposes such a framework which highlights the unique features of MHSs not covered by health services research of national health systems. These include: national context and summary; organisational structure; firm base facilities, healthcare beneficiaries and medical research; operational capabilities, overseas deployments, collaborations and alliances; personnel including recruitment, training and education; and history and culture. This common framework can help facilitate international collaboration between military medical services including capability development, training exercises and mutual support during military operations. It can also inform national contributions to future editions of the Almanac.

Health Security Warning Intelligence During First Contact With COVID: An Operations Perspective

Effective community response to health security crises, regardless of attribution, is predicated on access to warning intelligence coupled to response. The American state of Nevada’s experience with COVID is examined here to evaluate lessons learned in bridging health security warning intelligence for the novel coronavirus (COVID) pandemic directly to hospital preparedness and response. This case study is based on the findings of a workshop convened for that purpose. It shows that access to health security warning intelligence enabled avoidance of overwhelming patient demand and compromise of emergency response. [ FROM AUTHOR] Copyright of Intelligence & National Security is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)