Jan 1, 2002
Note: Many electronic documents posted prior to 2003 are available as chapter PDFs or HTML files linked from the Contents.
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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.
Introduction and Background PDF
Options for Organizing the Military Health System PDF
Organization in the Private Sector and TRICARE PDF
Medical Readiness and Operational Medicine PDF
Other Assessments of the MHS Organization PDF
Assessing the Organizational Alternatives PDF
Unifying the Training Curriculum PDF
Principles of Organizational Structure PDF
Interviewee List PDF