Abstract：
:Like all health care delivery systems, the U.S. Department of Defense Military Health System (MHS) strives to achieve top preventative care and population health outcomes for its members while operating at an efficient level and containing costs. The objective of this study is to understand the overall efficiency performance of military hospitals and investigate the relationship between efficiency and wellness. This study uses data envelopment analysis and stochastic frontier analysis to compare the efficiency of 128 military treatment facilities from the Army, Navy, and Air Force during the period of 2011 to 2013. Fixed effects panel regression is used to determine the association between the hospital efficiency and wellness scores. The results indicate that data envelopment analysis and stochastic frontier analysis efficiency scores are congruent in direction. Both results indicate that the majority of the MHS hospitals and clinics can potentially improve their productive efficiency by managing their input resources better. When comparing the performance of the three military branches of service, Army hospitals as a group outperformed their Navy and Air Force counterparts; thus, best practices from the Army should be shared across service components. The findings also suggest no statistically significant, positive association between efficiency and wellness over time in the MHS.
journal_name
Mil Medjournal_title
Military medicineauthors
Bastian ND,Kang H,Swenson ER,Fulton LV,Griffin PMdoi
10.7205/MILMED-D-15-00309subject
Has Abstractpub_date
2016-08-01 00:00:00pages
827-34issue
8eissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
杂志文章abstract：:Of 782 Army families with children that were surveyed, over 10% reported one or more member with health problems or handicapping conditions requiring special ongoing treatment. However, less than half of these were enrolled in the Exceptional Family Member Program. Families with illnesses/handicaps that were enrolled ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00158
更新日期：2015-01-01 00:00:00
abstract：:To compare the effects of a pedometer-based behavioral intervention (Fitness for Life [FFL] program) and a traditional high-intensity fitness (TRAD) program on physical activity (PA), Army Physical Fitness Test (APFT), and coronary heart disease risk factors in Army National Guard members who failed the APFT 2-mile ru...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed-d-10-00256
更新日期：2011-05-01 00:00:00
abstract：:We showed previously that treatment of gamma-irradiated female B6D2F1 mice with 5-androstenediol (AED) enhanced survival, stimulated myelopoiesis, and ameliorated radiation-induced decreases in circulating neutrophils and platelets. We have now tested survival in male CD2F1 mice, and we have investigated molecular and...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：:Using a gas mask (GM) may involve considerable inconvenience, impairment of respiration and communication, and serious psychological reactions. The medical literature is primarily focused on the occupational aspects of using the GM by young and healthy workers. In contrast, there is hardly any information concerning t...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
abstract：INTRODUCTION:To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population. MATERIALS AND METHODS:Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.) obtained ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz096
更新日期：2019-12-01 00:00:00
abstract：:Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy401
更新日期：2019-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.10.1084
更新日期：2007-10-01 00:00:00
abstract：:Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00367
更新日期：2016-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00606
更新日期：2015-12-01 00:00:00
abstract：:The prevalence of traumatic event exposure and post-traumatic stress disorder (PTSD) were surveyed in a cohort of 198 full-time operational members of the South African National Defence Force stationed in their "home" unit between deployments. Approximately 90% of members reported having experienced or witnessed traum...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00370
更新日期：2011-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx024
更新日期：2018-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：INTRODUCTION:Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluat...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-17-00060
更新日期：2017-11-01 00:00:00
abstract：:In combat, the tactical situation can prevent rapid evacuation to definitive care, or casualty overload can tie up the surgical teams. All medical personnel and their supporting cadre should have the ability to manage wounds and burns. Controlling bleeding and airways, cleaning and debriding wounds, and dressing or sp...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-08-01 00:00:00
abstract：:From May 21 to June 4, 1993, a collaborative training project involving U.S. Army veterinary personnel, the Lao-American Integrated Rural Development Project, and the Lao Department of Livestock and Veterinary Services occurred in the Houa Muang District of Houa Phan Province in northeastern Laos. The project focus wa...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：OBJECTIVES:To explore the relationship between adult attention deficit hyperactivity disorder (ADHD) subtypes and neuropsychological functioning among U.S. soldiers. METHODS:Deploying soldiers (N = 260) completed the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener. Cognitive tests, a deployment ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00340
更新日期：2012-06-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00265
更新日期：2013-10-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa400
更新日期：2020-11-24 00:00:00
abstract：:Military graduate medical education has come under increasing scrutiny in recent years as the size of the military medical force declines. To document the outcomes of military graduate medical education in internal medicine, a cohort of Air Force internal medicine residency graduates from Wright-Patterson Medical Cent...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：INTRODUCTION:The role of testosterone in health and quality of life has become increasingly visible and overtly marketed to the public. Some evidence suggests that testosterone levels in men may be low because of a variety of reasons, including stress and environmental exposures. OBJECTIVE:This study examines trends i...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00496
更新日期：2015-07-01 00:00:00
abstract：:Mass casualties during war, civil unrest, or natural disasters can generate chaos and disarray in the emergency room setting. The influx of numerous casualties in a short period of time can paralyze the medical facility and cause irreparable damage to the injured. Maintaining calm and order is very essential for triag...
journal_title：Military medicine
pub_type：
doi：
更新日期：2001-12-01 00:00:00
abstract：:With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:Blunt impact assessment of the Advanced Combat Helmet (ACH) is currently based on the linear head response. The current study presents a methodology for testing the ACH under complex loading that generates linear and rotational head motion. Experiments were performed on a guided, free-fall drop tower using an instrume...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy282
更新日期：2019-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
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更新日期：2021-01-25 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：BACKGROUND:Malaria prevention and treatment are big challenges for the French forces deployed in sub-Saharan Africa. Since December 2013, 1,800 French soldiers have been deployed at any one time in the Central African Republic in the framework of "Operation Sangaris" and European Union Force (EUFOR). Over the 2014-2015...
journal_title：Military medicine
pub_type： 杂志文章
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更新日期：2018-09-01 00:00:00
