Military Health Policy Research Briefs
The Veterans Health Administration can improve allocation of its scarce resources by better coordinating with the private sector to reduce potential redundancies, provide access to high-quality care, and meet rapidly changing needs.
A RAND study of the challenges that reserve component service members and their families face after deployment and the factors that contribute to successful reintegration led to a series of recommendations for the U.S. Department of Defense.
With regard to Army families, the study examines the effects of long and frequent parental deployments on children’s academic performance as well as their emotional and behavioral well-being in the school setting.
Describes options for Department of Defense policy that would help the reserve components of the U.S. military achieve higher levels of individual medical readiness, including dental readiness.
Describes a new survey design framework that is centered on what service members and their families believe are their greatest needs.
Shares results of a study assessing the broad array of challenges that returning veterans face at the state level, including a range of mental health concerns, problems finding jobs commensurate with their skills, and complicated health care systems.
The quality of mental health care delivered by the U.S. Department of Veterans Affairs (VA) is generally as good or better than care delivered by private health plans, although it falls short of the high standards set in VA guidelines.
The Military Health System faces a range of challenges, and effective leadership is key to meeting them. Approaches used by other organizations could guide improvements in how military health care leaders are selected, developed, and incentivized.
Describes a new equipping strategy for the Army's Combat Support Hospitals.
Should the Joint Medical Education and Training Campus Have an Office of Institutional Research? — 2011
Two goals of the joint medical training and education campus at Ft. Sam Houston are to become a high-performing learning organization and an accredited, degree-granting institution. A research and evaluation capability would help it meet these goals.
Reports the results of a longitudinal study of youth from military families and their caregivers concerning their emotional well-being and how well they are coping with servicemembers' extended deployments.
The increasing number of suicides is causing concern in the U.S. Department of Defense (DoD). Suicide-prevention programs in DoD and across the services have some (but not all) of the characteristics of comprehensive programs.
What Is the Impact of Using Evidence-Based Treatments for Posttraumatic Stress Disorder and Depression in Veterans? — 2011
If all veterans suffering from major depression and posttraumatic stress disorder were to receive evidence-based treatments, policy simulations suggest that cost savings generated would be $138 million (15 percent) over two years.
Summarizes analyses of existing posttraumatic stress disorder (PTSD) studies for war zone veterans, finding that the prevalence estimates vary widely and are linked to the use of different PTSD diagnostic definitions and divergent study samples.
Assesses the Department of Defense (DoD) response to three potential anthrax-related incidents at DoD facilities in March 2005 and recommends ways that DoD can improve its incident-response capabilities.
Enhancing Interoperability Among Enlisted Medical Personnel in the U.S. Military: A Case Study of Military Surgical Technologists — 2009
Air Force, Army, and Navy training programs for enlisted medical personnel are being consolidated to increase interoperability. A RAND methodology defines standards of practice across services and evaluates options for obtaining qualified personnel.
Evaluates a one-year trial in which two administrative requirements governing the provision of mental health care under TRICARE (the health care system for military personnel) were lifted, focusing on whether this increased access to such care.
Identifies barriers to mental health care access for military servicemembers and veterans in community settings.
To maintain relevant medical skills, some military medical personnel stationed at military treatment facilities could be stationed in civilian emergency rooms and trauma centers, where cases more closely resemble those found during deployment.
Gauging Future Demand for Veterans' Health Care: Does the VA Have the Forecasting Tools It Needs? — 2008
This research highlight summarizes an evaluation of the Enrollee Health Care Projection Model's accuracy and validity; identifies potential model enhancements; and assesses the risks posed by the VA's reliance on the model for budgeting and planning.