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Advancing Systematic Change in the National Disaster Medical System (NDMS): Early Implementation of the US Department of Defense NDMS Pilot Program.

Health Secur

September 2024

Eric C. Deussing, MD, MPH, FACPM, Capt MC USN (Ret.), is a Senior Advisor for Public Health and Former Director, Department of of Defense (DOD) National Disaster Medical System Pilot Program; Clemia Anderson III, MPH, Capt MSC USN, is Director, DOD National Disaster Medical System Pilot Program; Jeffrey D. Freeman, PhD, MPH, is Director; and Thomas D. Kirsch, MD, MPH, is Director Emeritus; all at the National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD. Emily R. Post, PhD, is a Research Scientist; Clark J. Lee, JD, MPH, is a Senior Research Associate; Adeteju A. Adeniji, MPH, is a Research Coordinator; Allyson R. Sison, MA, is Stakeholder Engagement Manager; Michelle M. Kimball, MS, LTC USAR, is Director, Operations Mission; and Alison Ng, MS, is a Program Evaluator; all at the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, supporting the National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD.

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Military medical readiness, particularly in surgical specialties, remains a significant concern within the Military Health System (MHS). While initiatives like the U.S.

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Background: The global burden of trauma disproportionately affects low-income countries and middle-income countries (LMIC), with variability in trauma systems between countries. Military and civilian healthcare systems have a shared interest in building trauma capacity for use during peace and war. However, in LMICs it is largely unknown if and how these entities work together.

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Introduction: The US Department of Defense recommends lethal means safety counseling (LMSC) to promote firearm injury prevention via secure storage of personal firearms. We describe the rollout of a universal, peer-delivered adaptation of Project Safe Guard (PSG)-a brief, single-session LMSC discussion-at a US Space Force installation.

Method: Program evaluation data were collected via anonymous, voluntary, and online surveys.

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The construction of an integrated national strategic system and capability is an essential goal of implementing the strategy of military-civilian integration in the contemporary era. And the collaborative innovation of military-civilian S&T is an inevitable choice to achieve this goal. Due to the dynamic, complex, and stochastic characteristics of military-civilian S&T collaborative innovation, the level of S&T innovation is highly volatile.

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