Injury in America A Continuing Public Health Problem (1985) / Chapter Skim
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8 Administration of Injury Research
8 Administration of Injury Research
Pages 109-118
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From page 109... ...
Although the field has been 'substantially defined in terms of the scope of the problem and ache enormous costs to society, important parts of the field beve lacked the recognition of the scientific community and the support of the go~rernment -- recognition and 'support that have contributed to the amelioration of other health problems. Effective research on injury control and prevention requires strategies and program that differ from those used for other leading public health problems.
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From page 110... ...
In addition, research programs like the National Toxicology Program tNTP) comprise research components from more than one agency.
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From page 111... ...
The solutions to problems addressed by injury research program-c often involve many disciplines. The objectives of a research program must consider the diverse elements of present research efforts, fully assess the resources available, establish priorities, and address the solutions that have the best cost-effectiveness relationship.
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From page 112... ...
On the basis of evaluation of the needs for research on injury, examination of the existing models for the organization of research, and the criteria for a unit that could effectively manage research on injury, the committee believes that it is essential to establish an injury research unit that would be administered by an agency of the federal government and whose sole interest is reduction of injury morbidity and mortality. The function of the unit would be to carry out a national injury research program in the following manner: · Conduct and support research in biomechanics, injury epidemiology and prevention, and treatment and rehabilitation of the injured.
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From page 113... ...
Having the federal government administer and coordinate the research would also facilitate communication with executive and legislative agencies of the government . Many federal agencies already have in jury research programs, and development of a new organizational structure must consider the consequences of leaving those programs in place or incorporating them into the new unit.
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From page 114... ...
However, much as NIR focuses on basic biomedical sciences, the NBS research programs are too narrowly focused on engineering applications.
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From page 115... ...
as examples of successful research programs which are administered outside Washington, D.C. CONCLUS TONS AND RECOMMENDATIONS The committee believes that improvements are needed in the current approach to administering injury research in the federal government.
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From page 116... ...
It should also develop and maintain liaison with public and pr ivate agencies involved in in jury control, to disseminate the knowledge and technology developed in their efforts, to redirect efforts known to be ineffective, and to provide expertise in the study of efforts of unknown effectiveness. Because of the complex and broadly based scientific tasks that would be within the mission of CIC and the need to integrate the programmatic activities of several agencies, CIC should have an advisory council that includes representatives of federal agencies and other organizations engaged in injury research, as well as those which implement injury control programs.
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From page 117... ...
Advisory CIC | | Council | Epidemiology | | Prevention | | Biomechanics 1 | Acute Care 1 | Rehabilitation FIGURE 8-1 Suggested location and organizational structure of proposed center for injury control.
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From page 118... ...
This administrative mechanism would encourage the CIC director and representatives of other agencies to consider the scope of what is being done, in view of the various agency mandates, and to avoid inappropriate duplication of effort. An independent review of CIC should be conducted within 5 years of its establishment to assess its progress in accomplishing the objectives recommended in this report.
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