The U.S. army medical care system

The U.S. army medical care system
U.S. military health care system after the end of the cold war, American soldiers, system reform and some military bases close, make the health systems of health care facilities and the corresponding reduction in the number of medical staff, medical treatment difficult cause U.S. military personnel and their families.Due to enjoy military health care benefits at the same time, the continued increase in the number of dod for army medical care expenses burden is heavier.U.S. military hospitals in 1997 decreased by 35%, but depend on the total number of U.S. military health service system to obtain health care only by 9%.To effectively solve the army medical units supply and the contradiction between the actual health care needs of continuous growth, the United States is multiplicity, defense and medical security system formulated the "army joint care plan".The reform plan focused on increasing range of medical treatment insurance, control medical cost and improve the medical and health accessibility, strive to 8.1 million with the beneficiary of the military health care benefits to provide the best medical services."Army joint care plan" is a on the basis of the regional management, in the service of current, former and family health care system.Its comprehensive health care resources of the land, sea and air forces, supplemented by private medical service network, for the active service, veterans and their families, and military survivor to provide health care services."Army joint health care plan" is divided into the main body, supplement and standard three types.Army medical care beneficiaries according to his own will choose a different health care plan.Army joint medical institutions is to provide healthcare services of main unit, supplemented by sign a contract with the military relationship of private medical institutions service network.Normally, the military medical institutions to provide most of the medical services;For some illness, can be arranged by the army medical authority to the provisions of the private hospitals or clinics for inspection and make a diagnosis and give treatment.

The number and strength the existing medical and health institutions, 75 hospital and medical center, 461 health clinics, all kinds of medical staff of 130000 people.But the American health care system, including military hospitals of 180000 beds, 190000 beds and the department of veterans affairs belong to "the national disaster medical system" of 100000 beds.The defense department's more than 800 medical beneficiary including 1.39 million active servicemen, 88 national guard and reserve troops and more than 500 veterans and their families, can be free to go to a doctor in the three systems.The army hospital beds for military use, 65% and 35% for military families.The department of veterans affairs there are dedicated to serving veterans hospital, rehabilitation center, 206 by 163, currently in 43, 137 nursing homes, the staff of nearly 180000.In the veterans health care services, the United States formed is given priority to with the federal government, the local government is complementary, social organizations to participate in supervision, other departments cooperate with each other the operation of the system.The department of veterans affairs budget every year nearly $60 billion, including $25 billion for medical services, $3.3 billion for welfare benefits.Military medical treatment as a professional army, the americans have always attaches great importance to the health benefits of a soldier.American law, active servicemen and their families can enjoy free medical care.Every disease or illness during the service of veterans all can enjoy

By the department of veterans affairs hospital or other medical institutions with contract relationship provides a lifetime of free medical services.Death on business personnel and business completely or permanently disabled veterans of family members also enjoy free medical care.Officers and soldiers can at any time at a local hospital for medical examination, as long as the report, a doctor can be assigned or private doctor for its services;To a military hospital in any military all hospital () go to a doctor.If you specify a hospital cannot provide necessary medical services, will be recommended to you want to go to any hospital.The United States for all active servicemen and their families to purchase medical insurance and life insurance, military personnel and their families are two kinds of medical insurance card, namely ordinary medical and dental CARDS, cardholder can go to the military hospital, also can go to the medical insurance to pay for the local hospital for medical treatment, and health care costs are paid by medical insurance organization to medical service institutions, military personnel and their families don't have to spend a penny.According to the regulations of the department of veterans affairs the existing system, serving more than 2 years in active service or for more than six months 'duty in the battlefield, all can enjoy free medical care for life.Died in the war of the children, before the age of 26 free medical treatment.Dod in 2006 military medical coverage (medical insurance) will be extended to the mobilization of reservists and family.

Medical insurance model American medical insurance model in essence, is a collection of providing medical services and funds management for the integration of medical insurance management mode.Its characteristic is insurance organizations directly involved in the management of the medical service institutions.This by medical treatment service institutions and medical organization in the United States participants of medical system and medical insurance, medical insurance management mode plays a coordinating role.Patients according to the prescribed procedures to find the specified medical service provider cure, can enjoy preferential.Medical insurance organization will process in the process of reviewing of the doctor's medical doctors in a number of major surgery or provide service for patients before need to be approved by the insurance organization.At the same time, the cost of each patient every time a doctor cap, patients receive additional services will be deducted from a limited amount.

Health care investment after the cold war, American spending on health care has been on the rise.In the past five years, the U.S. military medical BaoZhangFei respectively is: $2002 in 14 billion, for $14.7 billion, 2003 in 2004 to $15.3 billion, $2005 in 18.2 billion, for $2006 in 20 billion, for $2007 in 20.6 billion, will reach $22.5 billion in 2008.The proportion of health care cost of military also is on the rise, with about 4.1% - 5%.In addition, in recent years, the department of veterans affairs for veterans and disabled veterans and their families every year medical budget increase year by year, this year reached $35.6 billion, will reach $39.6 billion in 2008.President bush took office, the department of veterans affairs medical budget by more than 10% a year growth, has increased by 83% in 6 years.Dod 5101.9 order medical product supply system, specify the dla for medical security of actuators, is responsible for carrying out the unified army medical security, the department of defense agencies and all the services of the medical product security responsibilities to the dla, dla tied to combine suppliers establish medical supply chain.Us the purpose of this reform is to establish a joint health

Security structure, the services and health care units into the department of defense joint coordination, overall plan and mutual support of medical security mode, to maximize synergies to achieve.In 2001 the department of defense military health system and the combination of the dla existing health care system, the safeguard way, the medical product supply program of reform, set up headquarters level joint medical security system.Dod major reform measures: one is relying on private companies rather than military inventory implementation strategy level medical product support.Army medical product supply warehouse and inventory control station will be the exiting medical supplies, military users directly to the supplier on the purchase order, by the supplier on theater users "door to door delivery.Used direct suppliers supply mode, drugs and medical equipment can be delivered to users within 24 hours, so that the medical product inventory by 85%.2 it is to use advanced information technology and business software to establish a "national defense medical standard automated information system", and "theater medical logistics system" forms a network connection, for army medical products and supplies for the intensive management.Three is managed by a single organization against the medical security implementation of integrated management.War zone level medical product supply of command and management shall be the responsibility of the army, and usually dla to send help.Dla dispatched personnel and army command of health sent units joint actuator medical product supply management, command and supervision of medical products from suppliers to the war zone distribution by the user.Army of health headquarters are in a war zone and deploy a multifunctional medical security system, to provide health care and all the troops of the theater to implement various medical product supply support tasks.