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The military provides health services to dependents and retirees both through the on-base military health system; Military Treatment Facilities (MTFs), and through the private health care system; CHAMPUS (Civilian Health and Medical Plan for the Uniformed Services). Because the average cost per visit has been estimated to be less in the MTFs, it has been suggested that increasing MTF staffing levels might draw into the MTFs patients who otherwise would use CHAMPUS, thereby decreasing total military health expenditures. This report addresses this assumption. The report uses data on variation in staffing levels between WY 1988 and WY 1992 to generate estimates of the effects of increasing MTF staffing on the utilization of MTF care and on the utilization of CHAMPUS care. Two considerations are examined that might diminish the projected cost savings. First, increased staffing levels may yield a less than proportional increase in patients served. Second, with better care available in the MTFs, total utilization may increase. This report was initially prepared in 1996. It reflects research carried out in 1993-1995. The findings of this study will be of special interest to government and other agencies concerned with the efficient use of resources in the military health care system.
The findings of this study will be of special interest to government and other agencies concerned with the efficient use of resources in the military health care system.
What is the impact of demographics on the prospective production of military power and the causes of war? This monograph analyzes this issue by projecting working-age populations through 2050; assessing the influence of demographics on manpower, national income and expenditures, and human capital; and examining how changes in these factors may affect the ability of states to carry out military missions.
This is a print on demand edition of a hard to find publication. Military medical personnel, who are essential to maintaining one of the largest and most complex health systems in the nation, are in great demand due to the need to treat injured or ill servicemembers, and advances in technology that require specialized personnel. To determine how well the Department of Defense and the services are developing their medical and dental personnel requirements, this report evaluated: (1) the extent to which the services have incorporated cross-service collaboration in their medical personnel requirement processes; and (2) the service-specific processes for determining their requirements for military and civilian medical personnel. Includes recommendations. Charts and tables.
The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely increase the difficulty of creating military policies, programs and practices that adequately support families in the performance of military duties. Strengthening the Military Family Readiness System for a Changing American Society examines the challenges and opportunities facing military families and what is known about effective strategies for supporting and protecting military children and families, as well as lessons to be learned from these experiences. This report offers recommendations regarding what is needed to strengthen the support system for military families.