scholarly journals Army Warrior Care Project (AWCP): Rationale and methods for a longitudinal study of behavioral health care in Army Warrior Transition Units using Military Health System data, FY2008–2015

2019 ◽  
Vol 28 (3) ◽  
Author(s):  
Nikki R. Wooten ◽  
Jordan A. Brittingham ◽  
Akhtar Hossain ◽  
Laura A. Hopkins ◽  
Nahid S. Sumi ◽  
...  
Keyword(s):  
Health Care ◽  
Longitudinal Study ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Military Health System ◽  
Military Health ◽  
Care Project ◽  
System Data ◽  
Health System Data

Child, Family, and School Behavioral Health Care in the Military Health System

2020 ◽  
Vol 8 (3) ◽  
pp. 315-326
Author(s):  
Michael E. Faran ◽  
Patti L. Johnson ◽  
Paul K. Ban ◽  
James C. Sarver ◽  
Lindaya J. Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals Impact of a Service Line Management Model on Behavioral Health Care in the Military Health System

2019 ◽  
Vol 70 (6) ◽  
pp. 522-525 ◽  
Author(s):  
Christopher G. Ivany ◽  
Kelly W. Bickel ◽  
Tari Rangel ◽  
James Sarver ◽  
Joann Dinkel-Holzer ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Management Model ◽  
Military Health System ◽  
Military Health ◽  
Service Line ◽  
The Military ◽  
Line Management

scholarly journals Purchased Behavioral Health Care Received by Military Health System Beneficiaries in Civilian Medical Facilities, 2000–2014

2018 ◽  
Vol 183 (7-8) ◽  
pp. e278-e290 ◽  
Author(s):  
Nikki R Wooten ◽  
Jordan A Brittingham ◽  
Ronald O Pitner ◽  
Abbas S Tavakoli ◽  
Diana D Jeffery ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Military Health System ◽  
Military Health ◽  
Medical Facilities

scholarly journals Incidence Rates of Gynecologic Cancers in the U.S. Active Duty Military Population

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1590-e1595
Author(s):  
Steffanie Owens ◽  
Tara Blando ◽  
Yohannes B Tesema ◽  
Elizabeth Butts ◽  
Jessica Newton ◽  
...  
Keyword(s):  
Health System ◽  
Active Duty ◽  
Incidence Rates ◽  
Data Repository ◽  
Military Health System ◽  
Gynecologic Cancers ◽  
Military Health ◽  
Tumor Registry ◽  
System Data ◽  
Health System Data

Abstract Introduction Despite an increasing number of female service members, incidence rates of gynecologic cancers (other than cervical cancer) have not been previously documented in the U.S. active duty military population. This study sought to determine the incidence rates of all gynecologic, including peritoneal, malignancies in the U.S. Active Duty population compared to the general US population as reported in the Surveillance, Epidemiology, and End Results Program database. Materials and Methods Gynecologic cancers diagnosed in U.S. Active Duty women aged 20–59 between 2004 and 2013 were retrospectively ascertained. Cancer cases were identified in both the Automated Central Tumor Registry and the Military Health System Data Repository. All cases in Automated Central Tumor Registry plus cases recorded in Military Health System Data Repository, but not duplicative of Automated Central Tumor Registry cases, were included. Age-specific and age-adjusted incidence rates were calculated in military and Surveillance, Epidemiology, and End Results cases. Results In U.S. Active Duty women, 327 incident cases of gynecologic cancer were identified. There were 110 cases of cervical cancer, 40 cases of endometrial cancer, 152 cases of ovarian cancer, and 25 other gynecologic malignancies. Of the 327 cases, 154 were ascertained from the Automated Central Tumor Registry database and the remainder from Military Health System Data Repository claims data. The age-adjusted rate of all gynecologic cancers for U.S. Active Duty women was 49.17 per 105 (95%CI 37.58, 65.12), while the age-adjusted rate for Surveillance, Epidemiology, and End Results −18 was 42.09 per 105 (95%CI 41.83, 42.35). The kappa coefficient assessing the overlap between the data sources was −0.1937. Though insufficient in numbers for statistical analysis, the observed proportion of ovarian to cervical cancer cases in active duty women < 45 years of age was substantially greater than in the general population. Conclusions U.S. Active Duty women exhibited a similar age-adjusted rate of gynecologic cancer as the general US population. There was suboptimal overlap between the Automated Central Tumor Registry and Military Health System Data Repository databases, indicating the necessity of using both databases in order to obtain reliable data in the active duty population. This study is the current best estimate of a baseline rate of gynecologic cancer in U.S. active duty military women. This rate might change over time as women’s roles and exposures in recent and future military conflicts evolve.

Racial Disparities in the Military Health System: A Framework Synthesis

2021 ◽  
Author(s):  
Tracey Pérez Koehlmoos ◽  
Jessica Korona-Bailey ◽  
Miranda Lynn Janvrin ◽  
Cathaleen Madsen
Keyword(s):  
Health Care ◽  
Health System ◽  
Racial Disparities ◽  
Women’S Health ◽  
Women's Health ◽  
Military Health System ◽  
Electronic Health Record Data ◽  
Military Health ◽  
Racial Disparities In Health ◽  
The Military

ABSTRACT Introduction Racial disparities in health care are a well-documented phenomenon in the USA. Universal insurance has been suggested as a solution to mitigate these disparities. We examined race-based disparities in the Military Health System (MHS) by constructing and analyzing a framework of existing studies that measured disparities between direct care (care provided by military treatment facilities) and private sector care (care provided by civilian health care facilities). Materials and Methods We conducted a framework synthesis on 77 manuscripts published in partnership with the Comparative Effectiveness and Provider-Induced Demand Collaboration Project that use MHS electronic health record data to present an overview of racial disparities assessed for multiple treatment interventions in a nationally representative, universally insured population. Results We identified 32 studies assessing racial disparities in areas of surgery, trauma, opioid prescription and usage, women’s health, and others. Racial disparities were mitigated in postoperative complications, trauma care, and cancer screenings but persisted in diabetes readmissions, opioid usage, and minimally invasive women’s health procedures. Conclusion Universal coverage mitigates many, but not all, racial disparities in health care. An examination of a broader range of interventions, a closer look at variation in care provided by civilian facilities, and a look at the quality of care by race provide further opportunities for research.

scholarly journals A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis–McChord

2018 ◽  
Vol 184 (5-6) ◽  
pp. e394-e399 ◽  
Author(s):  
Elizabeth I Deans ◽  
Alison L Batig ◽  
Sarah Cordes ◽  
Alicia N Scribner ◽  
Peter E Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health System ◽  
Health Care Providers ◽  
Care Providers ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals Health Care Experience Among Women Who Completed Group Prenatal Care (CenteringPregnancy) Compared to Individual Prenatal Care Within Military Treatment Facilities

2020 ◽  
Vol 7 (6) ◽  
pp. 1234-1240
Author(s):  
Tara Trudnak Fowler ◽  
Kimberley Marshall Aiyelawo ◽  
Chantell Frazier ◽  
Craig Holden ◽  
Joseph Dorris
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Health System ◽  
Care Program ◽  
The United States ◽  
Successful Implementation ◽  
Military Health System ◽  
Military Health ◽  
Individual Care ◽  
Enhanced Prenatal Care

This study compared TRICARE, the health care program of the United States Department of Defense Military Health System, beneficiaries in CenteringPregnancy, an enhanced prenatal care model, to women in individual prenatal care within the same military treatment facility. Maternity patient experience ratings from May 2014 to February 2016 were compiled from the TRICARE Outpatient Satisfaction Survey. Centering patients had 1.91 higher odds of being satisfied with access to care ( p < .01, 95% CI = 1.2-3.1) than women in individual care. Specifically, the saw provider within 15 minutes of appointment measure found Centering patients to have 2.00 higher odds of being satisfied than women in individual care ( p < .01, 95% CI = 1.2-3.3). There were no other statistically significant differences between cohorts. Qualitative responses indicate most Centering patients surveyed had good experiences, appreciated the structure and communication with others, and would recommend the program. Providers identified command/leadership support, dedicated space, and buy-in from all staff as important factors for successful implementation. Enhanced prenatal care models may improve access to and experiences with care. Program evaluation will be important as the military health system continues to implement such programs.

Sign in / Sign up

Export Citation Format

Share Document