RAND > Reports & Bookstore > Monograph/Reports > MR-1350

HomeGo to RAND HomeReports and Book Store Bookstore Sale: Selected publications 40% off AddThis Social Bookmark Button

Document Information

Reorganizing the Military Health System

Should There Be a Joint Command?

Cover: MR-1350 | Reorganizing the Military Health System: Should There Be a Joint Command?

By: Susan D. Hosek, Gary Cecchine

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.

See Also:

Support RAND Research — Buy This Product!

Paperback Cover Price: $15.00

Discounted Web Price: $13.50

Pages: 110

ISBN/EAN: 0-8330-3013-2

Contents

Preface PDF

Figures PDF

Tables PDF

Summary PDF

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.

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.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.

* RAND research is conducted across divisions, centers, and projects; these organizational components are represented in the "Related RAND Divisions" section above.

Stay Informed Subscribe to RSS Feeds Search RAND Publications View Cart