Reorganizing the Military Health System
Subtitle: Should There Be a Joint Command
Publisher: Rand Corporation
Published: July 25, 2001
Language: eng
Format: Paperback
Number of pages: 95
ISBN-13: 9780833030139
Subjects: Military Science; Technology & Industrial Arts; Military; Health systems & services; Other warfare & defence issues; Armed Forces; Medical care; United States
First sentence: The National Defense Authorization Act for Fiscal Year 2000 requested that the Secretary of Defense submit a study identifying areas with respect to the Defense Health Program for which joint operations might be increased, including organizations, training, patient care, hospital management, and budgeting.
Description: "Since the end of World War II, the question of whether to create a unified military health system has arisen repeatedly. Despite a variety of answers to this question, the system has largely retained its traditional structure, with separate Army, Navy, and Air Force medical departments. Now that a new managed-care program--called TRICARE--is operational, the military health system organization is once again in the spotlight. This book documents research on the organization of the military health system. It considers five alternative organizational structures for their likely impact on peacetime health care and wartime readiness. It also examines organizational models in the civilian managed-care sector that might be applied to TRICARE. The authors recommend modification of the current system organization to unify health-plan management in TRICARE and separate it from military treatment facility management. The authors also find that there is insufficient evidence to predict the necessity or effectiveness of establishing a joint command to direct the restructured TRICARE organization and other military medical activities. The outcome of a regional test, now underway, can better inform this decision."--Rand abstracts.