The pandemic has made Americans less free, confining us to our homes, and separating us from the people we love and the activities we value. This experience may help people learn the importance of planning to preserving and expanding freedom.
Use of clinical decision support (CDS) in ambulatory clinics is increasing but remains modest. The CDS function with the greatest use is basic medication screening, which increased from 52% of clinics nationally in 2014 to 61% in 2016.
This study builds on recent advances in methods and tools for decisionmaking under deep uncertainty to demonstrate analytic approaches that help reduce the tension between quantitative decision support tools and approaches for addressing wicked problems.
Defense acquisition, personnel, and management systems have long been seen as areas in need of reform, as costs and man-hours continue to increase over the years. Gaming new policies that govern these areas can offer early insights into potential stumbling blocks and provide leaders valuable feedback on decisions before major costs are incurred.
The U.S. Marine Corps is not alone in its avid use of wargaming to shape its decisions of the future. The other services are conducting similar efforts with equal rigor and zeal. And as the national deficit grows and budgetary constraints mount, the Department of Defense will most likely increasingly leverage all its analytical tools, including wargaming.
In this remote video conversation, RAND's Osonde A. Osoba discusses the use of AI systems in governance processes—from facial recognition technologies in state surveillance applications to risk-predictive tools applied in the criminal justice system. Brandon Baker hosts.
Patients, their family members, and the general public have historically been excluded from contributing to health care value assessment models. But methods for including patient voices in research are far less complicated or demanding than some researchers believe they will be.
Even as the public discussion about COVID-19 risk becomes increasingly polarized, many Americans are slowly and quietly balancing the threat of infection against valued daily activities, and learning to live in a riskier world.
The public interest can be an elusive concept, especially when trying to distinguish between shared and individual interests, a problem brought into sharper focus as we try to find the right path to a post COVID-19 world. Governments are seeking to do the best for their societies with limited information. As more data is being acquired, how can public policy achieve common interest?
The Core Guidance Checklist can help health systems and policymakers make choices about how to allocate scarce but lifesaving resources—for patients and for health care workers—during the COVID-19 crisis.
Wargames are abstracted models of national security challenges, where players' decisions and their consequences are adjudicated within a rules-based environment. Due to its inherent flexibility as a tool, wargaming can be applied to a wide range of issues. Yet, it is important to understand what wargaming can and cannot do.
The phrase “flatten the curve” familiarized Americans with epidemiological models used to estimate virus transmission, cases, and potential deaths from COVID-19. But new models are needed as the country enters a different stage of the crisis.
Robust Decision Making offers a promising complement and possibly future alternative to current prediction-based and scenario approaches that could help planners better manage in today's conditions of fast-paced change.
The authors describe decisionmaker needs for assessments of space mission assurance (SMA), challenges for conducting SMA assessments, the shortfalls that may result from the challenges, and options for addressing the shortfalls.
RAND's new COVID-19 interventions impact tool uses epidemiological and economic models and continually refreshed data to estimate what could happen as restrictions are eased. The tool won't make the choices confronting state leaders less painful. But it can provide clear, evidence-based estimates of the health and economic trade-offs.
Our study depicts a generally positive picture of age-related changes in three important aspects of decision-making competence and it shows that starting levels of decision-making competence are predictive of decision-making performance over time.
The need for immediate answers in the face of severe public health and economic distress may create a temptation to relax statistical standards. But urgency should not preclude expert analysis and honest assessments of uncertainty. Mistaken assumptions could lead to counterproductive actions.
Evidence only has scientific meaning when it is part of a body of disciplinary knowledge produced by a community of scientists. Leading with scientific evidence, coupled with a wider values framework, may result in better outcomes for all.