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.
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Document Details
- 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
Contents
Preface PDF
Figures PDF
Tables PDF
Summary PDF
Acknowledgements
Acknowledgments PDF
Acronyms PDF
Chapter One
Introduction and Background PDF
Chapter Two
Options for Organizing the Military Health System PDF
Chapter Three
Organization in the Private Sector and TRICARE PDF
Chapter Four
Medical Readiness and Operational Medicine PDF
Chapter Five
Other Assessments of the MHS Organization PDF
Chapter Six
Assessing the Organizational Alternatives PDF
Appendix A
Unifying the Training Curriculum PDF
Appendix B
Principles of Organizational Structure PDF
Appendix C
Interviewee List PDF
Bibliography PDF
This research was conducted within RAND's National Security Research Division and RAND Health.
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