[PDF] Defense Health Care eBook

Author : Institute of Medicine
Publisher : National Academies Press
Page : 350 pages
File Size : 25,50 MB
Release : 2013-03-21
Category : Medical
ISBN : 0309260558

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Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 193 pages
File Size : 13,63 MB
Release : 2010-03-31
Category : Medical
ISBN : 0309152852

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Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
Page : 48 pages
File Size : 28,77 MB
Release : 2018-01-11
Category :
ISBN : 9781983714528

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DEFENSE HEALTH CARE: Applying Key Management Practices Should Help Achieve Efficiencies within the Military Health System

Author : Frederick Duncan
Publisher :
Page : 222 pages
File Size : 21,7 MB
Release : 2019-04
Category :
ISBN : 9781536151756

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For over a decade, Congress and DOD have led a series of efforts to address the governance structure of the Military Health System. In chapter1, GAO examines (1) measures DOD uses to assess the quality of direct and purchased care, and (2) the extent to which DOD has established performance standards related to the measures and corrective action requirements for providers who do not meet those standards. As reported in chapter 2, or more than a decade, partially in response to congressional mandates, DOD has worked to address inefficiencies in the Military Health System to control costs. Chapter 3 examines the military departments planning processes for determining (1) operational medical personnel requirements, including an assessment of the mix of federal civilian, contractor, and active and reserve medical personnel; and (2) the most appropriate workforce mix at MTFs and any challenges in executing their desired workforce mix. The National Defense Authorization Act (NDAA) for Fiscal Year 2008 directed DOD to conduct surveys of nonenrolled beneficiaries and civilian providers about access to care under the TRICARE Standard and Extra options. It also directed GAO to review the surveys results. Additionally, the NDAA for Fiscal Year 2017 included a provision for GAO to review access to care under TRICARE Extra. Chapter 4 addresses both provisions. The NDAA 2017 made several changes to the TRICARE program, including the establishment of a new preferred provider network health plan option called TRICARE Select. The NDAA 2017 made several changes to the TRICARE program, including the establishment of a new preferred provider network health plan option called TRICARE Select. GAO examined program policies, procedures, and contracts and interviewed DOD officials and TRICARE regional contractors as reported in chapter 5.