Enhancing Military-Civilian Medical Synergies: The Role of Army Medical Practice in Civilian Facilities

Abstract

The Armys Office of the Surgeon General (OTSG) and U.S. Army Medical Command (MEDCOM) oversee the staffing and operations associated with their missions to support military operations and provide care to a wide range of beneficiaries. These services require different types of medical and auxiliary personnel and are provided in both deployed and garrison environments. Army medical professionals must acquire and maintain the high level of proficiency required to fulfill the Armys medical missions. The medical care demands in a combat setting often do not mirror those in U.S. medical treatment facilities (MTFs). Further, the demands of beneficiary care sometimes outweigh the capacity of MTFs in garrison. Although the Army takes MTF capacity and beneficiary demand into account in assigning medical personnel to MTFs, MTFs sometimes enter into agreements with civilian organizations in local communities to meet shortfalls in proficiency training and to provide beneficiary care. One type of agreement allows for MTF-based care providers, mostly physicians, to provide direct care to Military Health System (MHS) beneficiaries at civilian hospitals; there are similar resource-sharing agreements with U.S. Department of Veterans Affairs (VA) medical centers; and, at some locations, Army MTFs share medical resources with other services in multiservice markets (MSMs). These arrangements are largely intended to improve the timing, quality, and efficiency of care for beneficiaries, but they also help military medical professionals maintain clinical proficiency. Yet another type of agreement, which is intended solely to enhance proficiency, enables such military medical personnel to provide care to civilian patients, in a training context.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2016
Accession Number
AD1013837

Entities

People

  • Gary Cecchine
  • Melinda Moore
  • Michael A. Wermuth
  • Paul M. Colthirst

Organizations

  • RAND Corporation

Tags

DTIC Thesaurus Topics

  • Delivery Of Health Care
  • Health Services
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Personnel Management
  • Physicians
  • Students
  • Test And Evaluation
  • Therapy

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.