gao-Defense Health Care - Additional Assessments Needed to Determine Effects of Active Duty Medical Personnel Reductions-此为英文文档.docx

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gao-Defense Health Care - Additional Assessments Needed to Determine Effects of Active Duty Medical Personnel Reductions-此为英文文档.docx

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美国政府Accountability办公室于2023年7月20日提交给国会委员会一份报告称，尽管美国军队正在减少军事人员，但美国国防健康服务DEAF仍在进行额外的评估来确定这些变化可能带来的影响此外，报告还提到，DOD已经制定了应对潜在减少军事人员的措施，包括招聘新兵或替换军人以及使用现有的人员来弥补空缺这些措施包括聘请医疗专业人员利用现有人员来填补空缺以及通过向公众开放其TRICARE健康计划中的医疗服务来吸收新的任务虽然目前DOD尚未全面或完全评估潜在减少军事人员可能带

UnitedStatesGovernmentAccountabilityOffice

ReporttoCongressionalCommittees

July2023

DEFENSEHEALTH

CARE

Additional

AssessmentsNeededtoDetermineEffects

ofActiveDutyMedicalPersonnelReductions

GAO-23-106094

July2023DEFENSEHEALTHCAREAdditionalAssessmentsNeededtoDetermineEffects

July2023

DEFENSEHEALTHCARE

AdditionalAssessmentsNeededtoDetermineEffectsofActiveDutyMedicalPersonnelReductions

WhatGAOFound

TheDepartmentofDefense(DOD)hasnotfullyorconsistentlyassessedthe

effectsofpotentialreductionsofactivedutymedicalpersonnel.DODidentified12,801militarypositionstoreduceorrealign,ofwhichthemajorityaremedicalpositions.Variousmedicalspecialtieswereselectedforreduction,including

about1,000positionsforspecialtiesthatarecriticalforwartimeorbehavioral

health.Tomitigatetheeffectthesereductionsmayhaveonmilitarymedical

treatmentfacilities(MTFs),DODdevelopedmitigationstrategies.Theseincludehiringcivilianorcontractorreplacements,relyingonremainingstafftoabsorbtheworkload,andsendingpatientstocivilianprovidernetworksunderitsTRICAREhealthplan.DODperformedlimitedassessmentsontheeffectthesereductionsmayhaveonMTFs.However,DODdidnotalwaysconsiderthefeasibilityofitsmitigationstrategies—suchastheabilityofTRICAREnetworkstomeetany

increaseindemandforhealthcare—becauseitdidnothaveguidanceabouthowtoassesstheseeffectsonMTFs.UntilDODdevelopsandusesguidanceto

comprehensivelyassessthepotentialeffectthatreductionsmayhaveonMTFs,itriskstakingactionsthatcoulddecreasetheabilityofthemilitaryhealthsystemtoachieveitsmissionofensuringthemedicalreadinessoftheforceandcaringformilitaryservicemembersandtheirfamilies.

ProposedMilitaryPositionstoReduceorRealignbyType,FiscalYears2020-2027

DODdevelopedamethodologyforevaluatingtheadequacyofTRICARE

networks,