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How Deployments Affect the Capacity and Utilization of Army Treatment Facilities

How Deployments Affect the Capacity and Utilization of Army Treatment Facilities

Adam C. Resnick
Mireille Jacobson
Srikanth Kadiyala
Nicole K. Eberhart
Susan D. Hosek
Copyright Date: 2014
Published by: RAND Corporation
Pages: 92
  • Book Info
    How Deployments Affect the Capacity and Utilization of Army Treatment Facilities
    Book Description:

    The Army wished to understand whether the Army’s Force Generation (ARFORGEN) cycle created ebbs and flows in the ability of military treatment facilities to provide care and respond to changing family needs as soldiers and care providers deploy and return home. This study examines how the cycle affects capability and soldier health care utilization at Army military treatment facilities and how it affects family health care utilization.

    eISBN: 978-0-8330-9005-8
    Subjects: Health Sciences, History, Management & Organizational Behavior

Table of Contents

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  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Table of Contents
    (pp. v-vi)
  4. Figures
    (pp. vii-viii)
  5. Table
    (pp. ix-x)
  6. Summary
    (pp. xi-xxii)
  7. Acknowledgments
    (pp. xxiii-xxiv)
  8. List of Acronyms
    (pp. xxv-xxvi)
  9. CHAPTER ONE Introduction
    (pp. 1-6)

    Ongoing deployments since 2004 have affected the population dynamics at military installations and military treatment facilities (MTFs). When operational Army units such as infantry brigades deploy, active-duty health care providers assigned to the units go with them, and so do some active-duty providers who are assigned to work full-time at MTFs. So when large Army units deploy and leave the installations at which they train, the number of providers available to provide care for soldiers and other beneficiaries at the installation decreases, as does the number of beneficiaries seeking care through the large-scale departure of soldiers deploying with the units....

  10. CHAPTER TWO Analysis of Deployment Cycle Effects on MTF Staffing and Aggregate Workloads
    (pp. 7-46)

    In this chapter we describe the findings from our analysis of the effects of the deployment cycle on the Army’s ability to provide health care and the utilization of care by beneficiaries. We discuss the effects of the deployment cycle in the following areas: (1) beneficiary population and enrollment at the MTF, (2) health care provider availability, (3) beneficiary utilization of health care, and (4) MTF provider workload.

    This chapter draws upon data from 14 installations in the United States that deploy BCTs—the fundamental unit of Army deployments—and that host Army hospitals. These installations are referred to as...

  11. CHAPTER THREE How Does Family Health Care Utilization Change in Response to the Deployment Cycle?
    (pp. 47-60)

    We now summarize the ways in which deployment cycle events affect individual family member health care utilization. The VCSA, sponsor of this project, expressed concern that families’ health care needs may change in relation to the deployment cycle, and that these needs may not be fully addressed by Army policies. Based on prior research, we have further reason for concern that deployments may have adverse effects on the well-being of Army families, thus increasing their need for care. Mansfield et al. (2010) document higher rates of depressive, sleep, and anxiety disorders among the wives of deployed versus non-deployed soldiers, and...

  12. CHAPTER FOUR Conclusions
    (pp. 61-64)

    This report describes how deployment cycle events affected the ability of MTFs to provide care to Army beneficiaries, as well as the aggregate change in care utilized by Army beneficiaries.

    Soldier utilization decreases with deployments, but nondeploying soldiers use more care during these times. Several factors contribute to these effects: visits by nonenrolled soldiers, differences in utilization rates between soldiers in deployable and nondeployable units, and apparent changes in access for nondeploying soldiers during large deployments. However, further study would help the Army gain greater insight into the way its soldiers use health care, so it can better meet their...

  13. References
    (pp. 65-66)