This report presents the major findings from RAND's evaluation of the Nation... more This report presents the major findings from RAND's evaluation of the National Institutes of Health (NIH) Consensus Development Program, a technology assessment and dissemination program aimed at facilitating the timely translation of biomedical research into knowledge that can ...
The research reported is the most thorough investigation to date on the effects of patient packag... more The research reported is the most thorough investigation to date on the effects of patient package inserts (PPIs). Users of each of three prescription drugs (conjugated estrogens, erythromycin, and flurazepam hydrochloride) received one of several different prototype ...
... Microworld Simulations for Command and Control Training of Theater Logistics and Support Staf... more ... Microworld Simulations for Command and Control Training of Theater Logistics and Support Staffs A Curriculum Strategy December 1998 John R.Bondanella, Matthew W. Lewis, Paul S. Steinberg, George S. Park, Dina G. Levy, Emile Ettedgui, David M Oaks, Jerry M. Sollinger ...
This report evaluates the Research Career Development Award (RCDA) program of the National Instit... more This report evaluates the Research Career Development Award (RCDA) program of the National Institutes of Health. It describes how Initial Review Groups (IRGs) select candidates to receive an RCDA, and how the careers and accomplishments of RCDA recipients differ from ...
The Research Scientist Award (RSA) program and the Research Scientist Development Award (RSDA) pr... more The Research Scientist Award (RSA) program and the Research Scientist Development Award (RSDA) program of the Alcohol, Drug Abuse, and Mental Health Administration aim to identify and foster the careers of promising researchers in scientific areas related to problems of ...
Adoption of magnetic resonance imaging (MRI) by individual purchasers and by the health care syst... more Adoption of magnetic resonance imaging (MRI) by individual purchasers and by the health care system will be influenced by many factors. A framework for considering these influences is offered, incorporating them into four major considerations: (1) MRI and its attributes--the technology, its safety and efficacy, and the benefits of acquisition; (2) communication channels--commercial and professional; (3) time for consideration of adoption and experiential testing; and (4) the medical system--including potential acquirers, health planning, and reimbursement. Among these, positive, negative, and variable influences affecting adoption can be identified. Factors that should most strongly motivate early adoption are the potential of the technology for providing new and useful clinical information and the competitive and economic benefits that early acquirers might enjoy. Important discouragements include the possibility of early obsolescence and that MRI represents an economic risk under diagnostic-related-group reimbursement. The less risky approach for most practices is to delay acquisition of MRI pending further experience with the technology and the changing reimbursement climate. Institutions that are primarily interested in the research potential of MRI or that are large enough to sustain the economic risks should consider earlier acquisition.
Assessments of medical technologies with respect to their efficacy, safety, and cost-effectivenes... more Assessments of medical technologies with respect to their efficacy, safety, and cost-effectiveness are expected to influence clinical practice, but they are often lost in an avalanche of medical information. We developed a conceptual model that may aid understanding of the potential impact on clinical practice of new medical information in general and assessment information in particular. The model identifies aspects of medical communication that may influence an assessment's subsequent impact, including sources, messages, channels, audiences, and settings. We reviewed the literature on how medical information diffuses to physicians and highlighted those factors likely to heighten physicians' awareness and decisions to incorporate recommended medical advances. We outlined implications for educational interventions and promising research directions.
... This report summarizes the Arroyo Center's analysis of the Reserve Component (RC) school... more ... This report summarizes the Arroyo Center's analysis of the Reserve Component (RC) school system and the prototype over two fiscal years ... Winkler, John D., Michael G. Shanley, John F. Schank, James C. Crowley, Michael Mattock, Diane Green, Rodger Madison, Laurie L ...
... MR-119-A, Devo-Based Training of Armor Crewmen, Gary A. Moody, Susan Way-Smith, Hilary Farris... more ... MR-119-A, Devo-Based Training of Armor Crewmen, Gary A. Moody, Susan Way-Smith, Hilary Farris, John D. Winkler, James P. Kahan ... TRADOC's Office of the Assistant Deputy Chief of Staff for Training, including our action officer, Colonel Ross Nagy, Diana Tierney, and Marta ...
This report presents the major findings from RAND's evaluation of the Nation... more This report presents the major findings from RAND's evaluation of the National Institutes of Health (NIH) Consensus Development Program, a technology assessment and dissemination program aimed at facilitating the timely translation of biomedical research into knowledge that can ...
The research reported is the most thorough investigation to date on the effects of patient packag... more The research reported is the most thorough investigation to date on the effects of patient package inserts (PPIs). Users of each of three prescription drugs (conjugated estrogens, erythromycin, and flurazepam hydrochloride) received one of several different prototype ...
... Microworld Simulations for Command and Control Training of Theater Logistics and Support Staf... more ... Microworld Simulations for Command and Control Training of Theater Logistics and Support Staffs A Curriculum Strategy December 1998 John R.Bondanella, Matthew W. Lewis, Paul S. Steinberg, George S. Park, Dina G. Levy, Emile Ettedgui, David M Oaks, Jerry M. Sollinger ...
This report evaluates the Research Career Development Award (RCDA) program of the National Instit... more This report evaluates the Research Career Development Award (RCDA) program of the National Institutes of Health. It describes how Initial Review Groups (IRGs) select candidates to receive an RCDA, and how the careers and accomplishments of RCDA recipients differ from ...
The Research Scientist Award (RSA) program and the Research Scientist Development Award (RSDA) pr... more The Research Scientist Award (RSA) program and the Research Scientist Development Award (RSDA) program of the Alcohol, Drug Abuse, and Mental Health Administration aim to identify and foster the careers of promising researchers in scientific areas related to problems of ...
Adoption of magnetic resonance imaging (MRI) by individual purchasers and by the health care syst... more Adoption of magnetic resonance imaging (MRI) by individual purchasers and by the health care system will be influenced by many factors. A framework for considering these influences is offered, incorporating them into four major considerations: (1) MRI and its attributes--the technology, its safety and efficacy, and the benefits of acquisition; (2) communication channels--commercial and professional; (3) time for consideration of adoption and experiential testing; and (4) the medical system--including potential acquirers, health planning, and reimbursement. Among these, positive, negative, and variable influences affecting adoption can be identified. Factors that should most strongly motivate early adoption are the potential of the technology for providing new and useful clinical information and the competitive and economic benefits that early acquirers might enjoy. Important discouragements include the possibility of early obsolescence and that MRI represents an economic risk under diagnostic-related-group reimbursement. The less risky approach for most practices is to delay acquisition of MRI pending further experience with the technology and the changing reimbursement climate. Institutions that are primarily interested in the research potential of MRI or that are large enough to sustain the economic risks should consider earlier acquisition.
Assessments of medical technologies with respect to their efficacy, safety, and cost-effectivenes... more Assessments of medical technologies with respect to their efficacy, safety, and cost-effectiveness are expected to influence clinical practice, but they are often lost in an avalanche of medical information. We developed a conceptual model that may aid understanding of the potential impact on clinical practice of new medical information in general and assessment information in particular. The model identifies aspects of medical communication that may influence an assessment's subsequent impact, including sources, messages, channels, audiences, and settings. We reviewed the literature on how medical information diffuses to physicians and highlighted those factors likely to heighten physicians' awareness and decisions to incorporate recommended medical advances. We outlined implications for educational interventions and promising research directions.
... This report summarizes the Arroyo Center's analysis of the Reserve Component (RC) school... more ... This report summarizes the Arroyo Center's analysis of the Reserve Component (RC) school system and the prototype over two fiscal years ... Winkler, John D., Michael G. Shanley, John F. Schank, James C. Crowley, Michael Mattock, Diane Green, Rodger Madison, Laurie L ...
... MR-119-A, Devo-Based Training of Armor Crewmen, Gary A. Moody, Susan Way-Smith, Hilary Farris... more ... MR-119-A, Devo-Based Training of Armor Crewmen, Gary A. Moody, Susan Way-Smith, Hilary Farris, John D. Winkler, James P. Kahan ... TRADOC's Office of the Assistant Deputy Chief of Staff for Training, including our action officer, Colonel Ross Nagy, Diana Tierney, and Marta ...
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