Assessment of Top Management Support for Health Promotion Programs at Military Medical Treatment Facilities

摘要

The MHSS is behind in its implementation of important UM strategies. Prior to this study there had not been a data-based assessment of top management support at the MTF level, where these strategies will be implemented to determine the feasibility of expanding the present utilization management focus by incorporating demand management strategies to use more comprehensive and efficacious health promotion (HP) programs. This graduate management project undertakes a more formal evaluation to collect reliable and valid data describing the current level of MTF top management support, understanding, and performance-outcome expectancy for more comprehensive HP programs. The relevant literature has been reviewed: (1) to discuss the well documented factors predicting individual health-related behaviors: (2) to discuss current advances in the measurement and monitoring of general health status: and (3) to illustrate how several mature civilian health services organizations and numerous HP programs have implemented cost effective efficacious demand management strategies to reduced the need and demand for health services utilization while improving beneficiary health status. In light of these current concepts this descriptive study of current attitudes and opinions of Army and Navy MTF top management compiled from mailed survey responses is intended to be used as a basis for strategic planning by headquarters activities to facilitate the development and implementation of more comprehensive utilization management strategies.