基本信息
文件名称：gao-Defense Health Care - Additional Assessments Needed to Determine Effects of Active Duty Medical Personnel Reductions-此为英文文档.docx
文件大小：1.47 MB
总页数：128 页
更新时间：2024-05-23
总字数：约15.28万字
文档摘要

UnitedStatesGovernmentAccountabilityOffice

ReporttoCongressionalCommittees

July2023

DEFENSEHEALTH

CARE

Additional

AssessmentsNeededtoDetermineEffects

ofActiveDutyMedicalPersonnelReductions

GAO-23-106094

July2023DEFENSEHEALTHCAREAdditionalAssessmentsNeededtoDetermineEffects

July2023

DEFENSEHEALTHCARE

AdditionalAssessmentsNeededtoDetermineEffectsofActiveDutyMedicalPersonnelReductions

WhatGAOFound

TheDepartmentofDefense(DOD)hasnotfullyorconsistentlyassessedthe

effectsofpotentialreductionsofactivedutymedicalpersonnel.DODidentified12,801militarypositionstoreduceorrealign,ofwhichthemajorityaremedicalpositions.Variousmedicalspecialtieswereselectedforreduction,including

about1,000positionsforspecialtiesthatarecriticalforwartimeorbehavioral

health.Tomitigatetheeffectthesereductionsmayhaveonmilitarymedical

treatmentfacilities(MTFs),DODdevelopedmitigationstrategies.Theseincludehiringcivilianorcontractorreplacements,relyingonremainingstafftoabsorbtheworkload,andsendingpatientstocivilianprovidernetworksunderitsTRICAREhealthplan.DODperformedlimitedassessmentsontheeffectthesereductionsmayhaveonMTFs.However,DODdidnotalwaysconsiderthefeasibilityofitsmitigationstrategies—suchastheabilityofTRICAREnetworkstomeetany

increaseindemandforhealthcare—becauseitdidnothaveguidanceabouthowtoassesstheseeffectsonMTFs.UntilDODdevelopsandusesguidanceto

comprehensivelyassessthepotentialeffectthatreductionsmayhaveonMTFs,itriskstakingactionsthatcoulddecreasetheabilityofthemilitaryhealthsystemtoachieveitsmissionofensuringthemedicalreadinessoftheforceandcaringformilitaryservicemembersandtheirfamilies.

ProposedMilitaryPositionstoReduceorRealignbyType,FiscalYears2020-2027

DODdevelopedamethodologyforevaluatingtheadequacyofTRICARE

networks,