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The Role 1 capability review: mitigation and innovation for Op HERRICK 18 and into contingency

Robert J Wheatley

    Journal of the Royal Army Medical Corps
    |October 11, 2013
    PubMed

    Insights

    Combat medical technicians face ongoing challenges in providing primary healthcare during military operations. This review examines organizational barriers and proposes a continuous healthcare assurance model using a dynamic risk dashboard.

    Area of Science:

    • Military Medicine
    • Healthcare Management
    • Operational Health

    Background:

    • The Journal of the Royal Army Medical Corps (JRAMC) September 2012 highlighted Role 1 capabilities.
    • Hodgetts and Findlay's review detailed current issues and future needs for Role 1 provision.
    • Op HERRICK 18 revealed persistent challenges in primary healthcare delivery.

    Purpose of the Study:

    • To examine prevalent issues in primary healthcare provision by combat medical technicians during operations.
    • To identify organizational, structural, and attitudinal barriers to employing combat medical technicians in firm base primary healthcare.
    • To explore the potential of a dynamically updating risk dashboard for continuous healthcare assurance within the Role 1 network.

    Main Methods:

    • Personal view and analysis of operational experiences during Op HERRICK 18.
    • Review of organizational factors impacting combat medical technician deployment in primary healthcare.
    • Conceptual exploration of a continuous healthcare assurance model.

    Main Results:

    • Combat medical technicians continue to face obstacles in delivering primary healthcare on operations.
    • Organizational, structural, and attitudinal issues hinder the effective employment of these technicians in firm base settings.
    • A dynamically updating risk dashboard is proposed as a tool for continuous healthcare assurance.

    Conclusions:

    • Addressing systemic barriers is crucial for optimizing the role of combat medical technicians in primary healthcare.
    • Implementing a continuous healthcare assurance model, supported by technology, can enhance operational health.
    • Further research into organizational structures and attitudes is needed to improve Role 1 healthcare provision.

    Keywords:
    Clinical governance < HEALTH SERVICES ADMINISTRATION & MANAGEMENTInformation technology < BIOTECHNOLOGY & BIOINFORMATICSPRIMARY CAREProtocols & guidelines < HEALTH SERVICES ADMINISTRATION & MANAGEMENTQuality in health care < HEALTH SERVICES ADMINISTRATION & MANAGEMENT

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