PubMed · 6555793
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J Fitchew. 1983-09-14. War games.. https://pubmed.ncbi.nlm.nih.gov/6555793/
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The challenges of managing military medicine over the last three decades have been complicated by rapidly changing priorities and redirections. Inspired by Kuhn's theory of "paradigm shifts," we can identify five distinct paradigms and four paradigm shifts that have dominated military medicine over the last 25 years. These shifts began in the early 1970s when military medicine was forced to make a transition from a focus on combat casualty care to the problems of becoming an all-volunteer force. These paradigm shifts continue in the form of the current challenges of simultaneously embracing new cost-conscious forms of health care delivery while downsizing the force. Each of the shifts has been characterized by a lack of anticipation and the onset of crisis. The present challenges faced by military medical leadership are not necessarily unprecedented; prescience in regard to inevitable future shifts could reduce turmoil and enhance adaptation.
One of the actual trends of the researches in Medical Service of Russian Armed Forces is the improvement of medical supplies on the basis of the development and application of new pharmacy technologies. The development of such technologies of dual-purpose facilities for stationary and field needs is economically effective. The social and economic effect of these technologies also is of great significance due to the possibilities of training of pharmaceutical personnel in the conditions of peaceful time. The integral index of quality of the applied technologies is from 3 to 38 depending on the quantity of modules.