Accession Number : ADA293216

Title :   Health Care in Non-Catchment Areas: Maximizing Resource Efficiency, Access, and Quality.

Descriptive Note : Final rept. Jul 91-Jul 92,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Miller, Mark A.

PDF Url : ADA293216

Report Date : DEC 1993

Pagination or Media Count : 145

Abstract : Applying coordinated care to both open allotment and civilian Health and Medical Program of the Uniformed Services (CHAMPUS) beneficiaries in non-catchment areas could yield significant improvements in access and efficiency. The Fort George G. Meade (FGGM) U.S. Army Medical Department Activity's (USAMEDDAC) Health Service Area includes a beneficiary population cluster located in western Pennsylvania in and around the city of Pittsburgh. This project compared the current health care delivery mechanism and three alternatives. These included a contract health maintenance organization, a Department of Veterans Affairs (VA) agreement, a military outpatient clinic, and the current system of open allotment, direct care, and CHAMPUS. The criteria used to evaluate the four - options included the Government criteria: (a) Government cost, (b) Control and Flexibility, (c) Unit Command and Control, (d) Cost to Patient, (e) Geographic Convenience, (f) Simplicity, and (g) Freedom of Choice.' Based on the above criteria, the optimal alternative was the military outpatient clinic option. However, the VA option ranked a close second and was the optimal alternative for the open allotment beneficiaries. The Contract option was ranked third overall but was the best option when judged against the customer satisfaction criteria alone. The current system was ranked fourth.

Descriptors :   *COSTS, *MILITARY MEDICINE, *PATIENTS, *MEDICAL SERVICES, *HOSPITALS, *OUTPATIENT CLINICS, *HEALTH CARE FACILITIES, MAINTENANCE, ORGANIZATIONS, CONTRACTS, HEALTH, EFFICIENCY, POPULATION, MEDICINE, CLUSTERING, COMMAND AND CONTROL SYSTEMS, RESOURCES, ARMY, PENNSYLVANIA.

Subject Categories : Medicine and Medical Research
      Economics and Cost Analysis
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE