Study of the Problems Associated with Reliance on Civilian Medical Manpower and Non-DoD Facilities during Periods of National Emergency, Mobilization, and War. Volume I

摘要

This report presents the findings and recommendations of a project undertaken by Maximus, Inc., to assess the facility and manpower capabilities of the civilian health care sector to support the Department of Defense in time of war. For several years, Defense health program guidance has stipulated that '...wartime requirements...be met to the extent possible by civilian...manpower and by non-Defense...facilities.' However, detailed planning about how to use the civilian health care sector in time of war had never been comprehensively examined. Specifically, this study presents an assessment of the extent to which DoD can legally and realistically rely on non-DoD civilian medical manpower and facilities in time of war; develops, tests and evaluates alternative linkages with civilian health resources; recommends establishment of a Civilian-Military Contingency Hospital System; and presents a proposed implementation plan, in the form of a proposed DoD directive, to formalize and, if necessary, operationalize, DoD use of civilian medical resources to provide treatment for uniformed Service personnel in the event of mobilization. The body of the report is contained in Volume I. Appendices are in Volume II.