On the comparative costing of military vs. civilian modes of health care delivery
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Authors
Whipple, David R.
Terasawa, Katsuaki
Subjects
Costing
Health Economics
Health Care Analysis
Hospital Costs
Dependent Care
Health Economics
Health Care Analysis
Hospital Costs
Dependent Care
Advisors
Date of Issue
1975-11
Date
1975-11
Publisher
Monterey, California. Naval Postgraduate School
Language
Abstract
The military services of the United States maintain an extensive health care delivery system in order to ensure the appropriate level and availability of care to the active duty forces. If only the active duty personnel were to use these facilities they would operate at only a fraction of that possible given the necessity to staff for the military contingency plans. Thus, given the expansion of the health care fringe benefit package of the active duty and retired personnel, the non-active duty population for whose care the military become responsible in one form or another have been allowed, and sometimes urged to utilize at least a portion of this excess system capacity. The end of the draft and the resulting need to compete in the marketplace for medical personnel, as well as the general inflation in the health care sector, has spotlighted the increasing cost of caring for these dependent groups. The question has arisen of whether it might not be cheaper to shift some of this demand for health care to the civilian sector. In this paper we examine analytically the appropriate considerations and elements to be compared in this research point out the crucial empirical work necessary to estimate such a model, discover some of the ways in which the analytical construct can provid3e bounds and directions to the hypotheses to be tested, and finally conjecture some preliminary policy recommendations. (Author)
Type
Technical Report
Description
The views expressed are not necessarily those of BUMED or the Navy.
Series/Report No
Department
Organization
Identifiers
NPS Report Number
NPS5 5WpTc75111
Sponsors
Support for this research was furnished by the Naval Bureau
of Medicine and Surgery under the contract with the Naval Postgraduate
School, BUMED Study Group to investigate "Elements of
the Military Health Care Delivery System," FY 7 5 & 76.
Funding
N00018-76-WR-00002
Format
Citation
Distribution Statement
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.