메뉴 건너뛰기




Volumn 32, Issue 11, 2013, Pages 1949-1955

US military primary care: Problems, solutions, and implications for civilian medicine

Author keywords

[No Author keywords available]

Indexed keywords

ARMY; ARTICLE; BUDGET; CLINICAL PRACTICE; COST EFFECTIVENESS ANALYSIS; HEALTH CARE; HEALTH CARE QUALITY; HUMAN; MILITARY HEALTH SYSTEM; NURSE PRACTITIONER; PENSIONER; PHYSICIAN ASSISTANT; PRIMARY MEDICAL CARE; UNITED STATES;

EID: 84888116267     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0586     Document Type: Article
Times cited : (23)

References (43)
  • 1
    • 84888079487 scopus 로고    scopus 로고
    • Department of Defense, 2012 MHS stakeholders' report [Internet]. Washington (DC): DOD, [cited 2013 Sep 25]
    • Department of Defense. 2012 MHS stakeholders' report [Internet]. Washington (DC): DOD; 2012 [cited 2013 Sep 25]. Available from: http://www.health.mil/Libraries/Documents_Word_PDF_PPT_etc/2012_MHS_Stakeholders_Report-120207.pdf
    • (2012)
  • 2
    • 84888121419 scopus 로고    scopus 로고
    • TRICARE Management Authority, Military health system patient centered medical home guide [Internet]. Falls Church (VA): TRICARE; 2011 Jun [cited 2013 Sep 25]
    • TRICARE Management Authority. Military health system patient centered medical home guide [Internet]. Falls Church (VA): TRICARE; 2011 Jun [cited 2013 Sep 25]. Available from: http://www.tricare.mil/tma/ocmo/download/MHSPCMHGuide.pdf
  • 3
    • 0003525850 scopus 로고    scopus 로고
    • Crossing the quality chasm: a new health system for the 21st century
    • Institute of Medicine, Washington (DC): National Academies Press
    • Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington (DC): National Academies Press; 2001.
    • (2001)
  • 4
    • 70349216730 scopus 로고    scopus 로고
    • Increased spending on health care:long-term implications for the nation
    • Chernew ME, Hirth RA, Cutler DM. Increased spending on health care:long-term implications for the nation. Health Aff(Millwood). 2009; 28(5):1253-5.
    • (2009) Health Aff(Millwood). , vol.28 , Issue.5 , pp. 1253-1255
    • Chernew, M.E.1    Hirth, R.A.2    Cutler, D.M.3
  • 5
    • 84888079986 scopus 로고    scopus 로고
    • Medicare Payment Advisory Commission, Report to the Congress:Medicare payment policy [Internet]. Washington (DC): MedPAC, Mar [cited 2013 Sep 25]
    • Medicare Payment Advisory Commission. Report to the Congress:Medicare payment policy [Internet]. Washington (DC): MedPAC; 2009 Mar [cited 2013 Sep 25]. Available from: http://www.medpac.gov/documents/mar09_entirereport.pdf
    • (2009)
  • 6
    • 84888092702 scopus 로고    scopus 로고
    • TRICARE Management Activity, Evaluation of the TRICARE program:access, cost, and quality: fiscal year 2013 report to Congress [Internet]. Washington (DC):Department of Defense; 2012 Jan 6 [cited 2013 Sep 25]. (Report No. 1-76742DE)
    • TRICARE Management Activity. Evaluation of the TRICARE program:access, cost, and quality: fiscal year 2013 report to Congress [Internet]. Washington (DC):Department of Defense; 2012 Jan 6 [cited 2013 Sep 25]. (Report No. 1-76742DE). Available from: http://tricare.mil/tma/dhcape/program/downloads/TRICARE2013%2002_28_13%20v2.pdf
  • 7
    • 33745664306 scopus 로고    scopus 로고
    • Population representation in the military services:fiscal year 2010 summary report
    • Department of Defense, Washington (DC): DOD, Appendix B: active component enlisted accessions, enlisted force, officer accessions, and officer corps tables
    • Department of Defense. Population representation in the military services:fiscal year 2010 summary report. Washington (DC): DOD; 2010. Appendix B: active component enlisted accessions, enlisted force, officer accessions, and officer corps tables.
    • (2010)
  • 8
    • 0035513648 scopus 로고    scopus 로고
    • Weighing in on type 2 diabetes in the military:characteristics of U.S. military personnel at entry who develop type 2 diabetes
    • Paris RM, Bedno SA, Krauss MR, Keep LW, Rubertone MV. Weighing in on type 2 diabetes in the military:characteristics of U.S. military personnel at entry who develop type 2 diabetes. Diabetes Care. 2001; 24(11):1894-8.
    • (2001) Diabetes Care. , vol.24 , Issue.11 , pp. 1894-1898
    • Paris, R.M.1    Bedno, S.A.2    Krauss, M.R.3    Keep, L.W.4    Rubertone, M.V.5
  • 9
    • 84888106883 scopus 로고    scopus 로고
    • Military medical care: questions and answers
    • Internet]. Washington (DC):Congressional Research Service, Jul 24 [cited 2013 Sep 25]. (Report No. RL33537)
    • Jansen DJ, Blakeley K. Military medical care: questions and answers [Internet]. Washington (DC):Congressional Research Service; 2013 Jul 24 [cited 2013 Sep 25]. (Report No. RL33537). Available from: https://www.fas.org/sgp/crs/misc/RL33537.pdf
    • (2013)
    • Jansen, D.J.1    Blakeley, K.2
  • 10
    • 84888079507 scopus 로고    scopus 로고
    • Department of Defense. Evaluation of the TRICARE program: FY 2006 report to Congress [Internet]. Washington (DC): DOD, [cited 2013 Sep 25]
    • Department of Defense. Evaluation of the TRICARE program: FY 2006 report to Congress [Internet]. Washington (DC): DOD; 2006 [cited 2013 Sep 25]. Available from: http://www.tricare.mil/tma/congressional information/downloads/FY2006_5.01.06.pdf
    • (2006)
  • 11
    • 84888080671 scopus 로고    scopus 로고
    • ACQuipedia. Program objective memorandum (POM)/budget formulation [Internet]. Fort Belvoir (VA): Defense Aquisition University; [modified 2012 Sep 27; cited, Sep 25, Available from
    • ACQuipedia. Program objective memorandum (POM)/budget formulation [Internet]. Fort Belvoir (VA): Defense Aquisition University; [modified 2012 Sep 27; cited 2013 Sep 25]. Available from: https://dap.dau.mil/acquipedia/Pages/ArticleDetails.aspx?aid=79420a26-7a89-4e94-aad2-6d5d61bb7511
    • (2013)
  • 12
    • 0034340832 scopus 로고    scopus 로고
    • The impact of military presence in local labor markets on the employment of women
    • Booth B, Falk WW, Segal DR, Segal MW. The impact of military presence in local labor markets on the employment of women. Gender and Society. 2000;14(2):318-32.
    • (2000) Gender and Society. , vol.14 , Issue.2 , pp. 318-332
    • Booth, B.1    Falk, W.W.2    Segal, D.R.3    Segal, M.W.4
  • 13
    • 84888100383 scopus 로고    scopus 로고
    • Department of Defense. Joint publication 4-02: health service support [Internet]. Washington (DC): DOD, Jul 26 [cited 2013 Sep 25]
    • Department of Defense. Joint publication 4-02: health service support [Internet]. Washington (DC): DOD; 2012 Jul 26 [cited 2013 Sep 25]. Available from: http://www.dtic.mil/doctrine/new_pubs/jp4_02.pdf
    • (2012)
  • 14
    • 84888100401 scopus 로고    scopus 로고
    • NHRC provides modeling solutions for joint medical planners
    • Global Biodefense [serial on the Internet], Mar 21 [cited 2013 Sep 25]
    • Wing V. NHRC provides modeling solutions for joint medical planners. Global Biodefense [serial on the Internet]. 2013 Mar 21 [cited 2013 Sep 25]. Available from: http://globalbiodefense.com/2013/03/21/nhrc-provides-modeling-solutionsfor-joint-medical-planners/
    • (2013)
    • Wing, V.1
  • 15
    • 84888083837 scopus 로고    scopus 로고
    • Medical Expense and Performance Reporting System (MEPRS) overview
    • TMA MEPRS Program Office, Washington (DC): Department of Defense
    • TMA MEPRS Program Office. Medical Expense and Performance Reporting System (MEPRS) overview. Washington (DC): Department of Defense; 2008.
    • (2008)
  • 16
    • 84888105740 scopus 로고    scopus 로고
    • Office of the Chief Financial Officer, TRICARE Management Authority. MHS business planning update. Paper presented at: Tri Service Symposium, Jul 13; Boston, MA
    • Office of the Chief Financial Officer, TRICARE Management Authority. MHS business planning update. Paper presented at: Tri Service Symposium; 2006 Jul 13; Boston, MA.
    • (2006)
  • 17
    • 84888105820 scopus 로고    scopus 로고
    • Centers for Medicare and Medicaid Services. National health expenditures; aggregate and per capita amounts, annual percent change, and percent distribution: selected calendar years 1960-2011 [Internet]. Baltimore (MD): CMS, [cited 2103 Sep 26]
    • Centers for Medicare and Medicaid Services. National health expenditures; aggregate and per capita amounts, annual percent change, and percent distribution: selected calendar years 1960-2011 [Internet]. Baltimore (MD): CMS; 2012 [cited 2103 Sep 26]. Available from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trendsand-Reports/NationalHealthExpend Data/downloads/tables.pdf
    • (2012)
  • 18
    • 84888101783 scopus 로고    scopus 로고
    • Department of Defense. Evaluation of the TRICARE program: fiscal year 2010 report to Congress [Internet]. Washington (DC): DOD, [cited 2013 Sep 26]
    • Department of Defense. Evaluation of the TRICARE program: fiscal year 2010 report to Congress [Internet]. Washington (DC): DOD; 2010 [cited 2013 Sep 26]. Available from: http://tricare.mil/tma/dhcape/program/downloads/TRICARE_2010.pdf
    • (2010)
  • 19
    • 84888125485 scopus 로고    scopus 로고
    • Government Accountability Office. Medical readiness: efforts are underway for DOD training in civilian trauma centers [Internet]. Washington (DC): GAO, Apr [cited 2013 Sep 26]. (Report No. GAO/NSIAD-98-75)
    • Government Accountability Office. Medical readiness: efforts are underway for DOD training in civilian trauma centers [Internet]. Washington (DC): GAO; 1998 Apr [cited 2013 Sep 26]. (Report No. GAO/NSIAD-98-75). Available from: http://www.gao.gov/assets/160/156122.pdf
    • (1998)
  • 20
    • 84875421450 scopus 로고    scopus 로고
    • Retention of military physicians: the differential effects of practice opportunities across the three services [dissertation]
    • Santa Monica (CA): Pardee RAND Graduate School
    • Mundell BF. Retention of military physicians: the differential effects of practice opportunities across the three services [dissertation]. Santa Monica (CA): Pardee RAND Graduate School; 2010.
    • (2010)
    • Mundell, B.F.1
  • 21
    • 77955322499 scopus 로고    scopus 로고
    • The cost of pursuing a medical career in the military: a tale of five specialties
    • Cronin WA, Morgan JA, Weeks WB. The cost of pursuing a medical career in the military: a tale of five specialties. Acad Med. 2010;85(8):1316-20.
    • (2010) Acad Med. , vol.85 , Issue.8 , pp. 1316-1320
    • Cronin, W.A.1    Morgan, J.A.2    Weeks, W.B.3
  • 22
    • 0026343348 scopus 로고
    • The military physician assistant
    • Hooker RS. The military physician assistant. Mil Med. 1991;156(12):657-60.
    • (1991) Mil Med. , vol.156 , Issue.12 , pp. 657-660
    • Hooker, R.S.1
  • 24
    • 84888123060 scopus 로고    scopus 로고
    • Central Intelligence Agency. The world factbook [Internet]. Washington (DC), CIA; [cited, Sep 26, Available from
    • Central Intelligence Agency. The world factbook [Internet]. Washington (DC): CIA; [cited 2013 Sep 26]. Available from: https://www.cia.gov/library/publications/the-world-factbook/
    • (2013)
  • 25
    • 84888083941 scopus 로고    scopus 로고
    • Congressional Budget Office. The 2012 long-term budget outlook [Internet]. Washington (DC): CBO, Jun [cited 2013 Sep 26]
    • Congressional Budget Office. The 2012 long-term budget outlook [Internet]. Washington (DC): CBO; 2012 Jun [cited 2013 Sep 26]. Available from: http://www.cbo.gov/sites/default/files/cbofiles/attachments/06-05-Long-Term_ Budget_Outlook_2.pdf
    • (2012)
  • 26
    • 77958110637 scopus 로고    scopus 로고
    • Primary care: current problems and proposed solutions
    • Bodenheimer T, Pham HH. Primary care: current problems and proposed solutions. Health Aff(Millwood). 2010;29(5):799-805.
    • (2010) Health Aff(Millwood). , vol.29 , Issue.5 , pp. 799-805
    • Bodenheimer, T.1    Pham, H.H.2
  • 27
    • 84867338648 scopus 로고    scopus 로고
    • Burnout and satisfaction with worklife balance among US physicians relative to the general US population
    • Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with worklife balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-85.
    • (2012) Arch Intern Med. , vol.172 , Issue.18 , pp. 1377-1385
    • Shanafelt, T.D.1    Boone, S.2    Tan, L.3    Dyrbye, L.N.4    Sotile, W.5    Satele, D.6
  • 29
    • 84888121910 scopus 로고    scopus 로고
    • Association of American Medical Colleges. The impact of health care reform on the future supply and demand for physicians: updated projections through 2025 [Internet].Washington (DC): AAMC, [cited 2010 May 23]
    • Association of American Medical Colleges. The impact of health care reform on the future supply and demand for physicians: updated projections through 2025 [Internet].Washington (DC): AAMC; 2010 [cited 2010 May 23]. Available from: https://www.aamc.org/download/158076/data/updated_ projections_through_2025.pdf
    • (2010)
  • 30
    • 84875454541 scopus 로고    scopus 로고
    • The patient-centered medical home: a case study in transforming the military health system
    • Hudak RP, Julian R, Kugler J, Dorrance K, Ramchandani S, Lynch S, et al. The patient-centered medical home: a case study in transforming the military health system. Mil Med. 2013;178(2):146-52.
    • (2013) Mil Med. , vol.178 , Issue.2 , pp. 146-152
    • Hudak, R.P.1    Julian, R.2    Kugler, J.3    Dorrance, K.4    Ramchandani, S.5    Lynch, S.6
  • 31
    • 84888110262 scopus 로고    scopus 로고
    • Policy memorandum:implementation of the "patientcentered medical home" model of primary care in MTFs
    • [Internet]. Washington (DC): Department of Defense; [cited 2013 Sep 26]
    • Embry EP. Policy memorandum:implementation of the "patientcentered medical home" model of primary care in MTFs [Internet]. Washington (DC): Department of Defense; 2009 [cited 2013 Sep 26]. Available from: http://www.health.mil/libraries/HA_Policies_and_ Guidelines/09-015.pdf
    • (2009)
    • Embry, E.P.1
  • 32
    • 84867502663 scopus 로고    scopus 로고
    • Foundation for integrating employee health activities for active duty personnel in the Department of Defense
    • [Internet]. Santa Monica (CA):RAND Corporation, [cited 2013 Sep 26]
    • Cecchine G, Sloss EM, Nelson C, Fisher G, Sama PR, Pathak A, et al. Foundation for integrating employee health activities for active duty personnel in the Department of Defense [Internet]. Santa Monica (CA):RAND Corporation; 2009 [cited 2013 Sep 26]. Available from: http://www.rand.org/content/dam/rand/pubs/monographs/2009/RAND_ MG799.pdf
    • (2009)
    • Cecchine, G.1    Sloss, E.M.2    Nelson, C.3    Fisher, G.4    Sama, P.R.5    Pathak, A.6
  • 33
    • 84888118354 scopus 로고    scopus 로고
    • Patient-centered medical home:baseline view across the services and HA/TMA
    • [Internet]. Presented at:2010 Military Health System Conference, Jan 25; National Harbor, MD [cited 2013 Sep 30]
    • Kugler JP, Padden M, Miller P, Kosmatka T, Motsinger C, Caffrey T, et al. Patient-centered medical home:baseline view across the services and HA/TMA [Internet]. Presented at:2010 Military Health System Conference; 2010 Jan 25; National Harbor, MD [cited 2013 Sep 30]. Available from: http://www.health.mil/Libraries/2010_MHS_ Conference_Presentations/Patient-Centered_Medical_Home_-_ Baseline_View_Across_the_ Services_and_HA-TMA.pdf
    • (2010)
    • Kugler, J.P.1    Padden, M.2    Miller, P.3    Kosmatka, T.4    Motsinger, C.5    Caffrey, T.6
  • 35
    • 0036778070 scopus 로고    scopus 로고
    • Continued growth for military PAs
    • Salyer SW. Continued growth for military PAs. JAAPA. 2002;15(10):35-9.
    • (2002) JAAPA. , vol.15 , Issue.10 , pp. 35-39
    • Salyer, S.W.1
  • 36
    • 84888111237 scopus 로고    scopus 로고
    • Access to the care continuum
    • Department of the Air Force, Air Force Instruction No. 44-176. Washington (DC): DAF
    • Department of the Air Force. Access to the care continuum. Air Force Instruction No. 44-176. Washington (DC): DAF; 2011.
    • (2011)
  • 37
    • 84888082688 scopus 로고    scopus 로고
    • Navy medicine primary care team: definitions and standards
    • Department of the Navy, BUMED Instruction No. 6300.19. Washington (DC):DON
    • Department of the Navy. Navy medicine primary care team: definitions and standards. BUMED Instruction No. 6300.19. Washington (DC):DON; 2010.
    • (2010)
  • 38
    • 84877298526 scopus 로고    scopus 로고
    • Comparison of chronic disease prevalence between U.S. Navy ships without medical doctors and a similar shore-based population
    • Hurd ES, Rockswold PD, Westphal RJ. Comparison of chronic disease prevalence between U.S. Navy ships without medical doctors and a similar shore-based population. Mil Med. 2013;178(5):543-8.
    • (2013) Mil Med. , vol.178 , Issue.5 , pp. 543-548
    • Hurd, E.S.1    Rockswold, P.D.2    Westphal, R.J.3
  • 39
    • 84860605191 scopus 로고    scopus 로고
    • Role of the battalion surgeon in the Iraq and Afghanistan war
    • Moawad FJ, Wilson R, Kunar MT, Hartzell JD. Role of the battalion surgeon in the Iraq and Afghanistan war. Mil Med. 2012;177(4):412-6.
    • (2012) Mil Med. , vol.177 , Issue.4 , pp. 412-416
    • Moawad, F.J.1    Wilson, R.2    Kunar, M.T.3    Hartzell, J.D.4
  • 41
    • 84877957093 scopus 로고    scopus 로고
    • Lessons from Boston
    • Kellermann AL, Peleg K. Lessons from Boston. N Engl J Med. 2013;368(21):1956-7.
    • (2013) N Engl J Med. , vol.368 , Issue.21 , pp. 1956-1957
    • Kellermann, A.L.1    Peleg, K.2
  • 42
    • 84872073145 scopus 로고    scopus 로고
    • Primary care physician shortages could be eliminated through use of teams, nonphysicians, and electronic communication
    • Green LV, Savin S, Lu Y. Primary care physician shortages could be eliminated through use of teams, nonphysicians, and electronic communication. Health Aff(Millwood). 2013;32(1):11-9.
    • (2013) Health Aff(Millwood). , vol.32 , Issue.1 , pp. 11-19
    • Green, L.V.1    Savin, S.2    Lu, Y.3
  • 43
    • 84877746007 scopus 로고    scopus 로고
    • Primary care workforce shortages:nurse practitioner scope-ofpractice laws and payment policies [Internet]
    • Washington (DC):National Institute for Health Care Reform, Feb [cited 2013 Sep 26]. (NIHCR Research Brief No, 13)
    • Yee T, Boukus ER, Cross D, Samuel DR. Primary care workforce shortages:nurse practitioner scope-ofpractice laws and payment policies [Internet]. Washington (DC):National Institute for Health Care Reform; 2013 Feb [cited 2013 Sep 26]. (NIHCR Research Brief No, 13). Available from: http://www.nihcr.org/PCP-Workforce-NPs
    • (2013)
    • Yee, T.1    Boukus, E.R.2    Cross, D.3    Samuel, D.R.4


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.