Selection of policies for military dependent primary medical care delivery systems.
Hull, Kent Sherwood
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Some contrasts between civilian and military facility sources of military dependent outpatient medical care sectors of the Uniformed Services Health Benefits Program system are examined. Decreasing the proportion of patient utilization of civilian sources is selected as a system improvement, and increasing military physician accession and retention is seen as a necessary adjunct. Preference as expressed in choice behavior is identified as the proximate mechanism in present utilization patterns and is suggested as a predictor for utilization patterns under alternative policies. A method for assessing preference predictions is proposed and selection of an optimal policy discussed. The procedures developed have continuing applicability for policy selection to meet other goals. Policies that improve the system are seen to have applicability to the current problems in medical care delivery systems at the national level.
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