Reorganizing the Military Health System
Should There Be a Joint Command?
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.
Free Electronic Option
- Copyright: RAND Corporation
- Availability: Available
- Print Format: Paperback
- Paperback Pages: 110
- List Price: $15.00
- Paperback Price: $12.00
- Paperback ISBN/EAN: 0-8330-3013-2
- Document Number: MR-1350-OSD
- Year: 2001
- Series: Monograph Reports
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
This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.