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Updated: Aug 25, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Hospitalizations, active component, U.S. Armed Forces, 2021
In 2021, military hospitalization rates reached a decade low, with an overall rate of 48.0 per 1,000 person-years, the second lowest in ten years. Mental health, pregnancy, injury, and digestive issues were the most common reasons for admission.
Area of Science:
- Public Health
- Healthcare Management
- Military Medicine
Background:
- The hospitalization rate serves as a key indicator of population health and healthcare system utilization.
- Understanding trends in hospitalization rates is crucial for resource allocation and public health interventions.
- Previous data indicated specific diagnostic categories driving a significant portion of hospital admissions.
Purpose of the Study:
- To analyze the overall hospitalization rate in 2021 and compare it to the previous decade.
- To examine hospitalization rates specifically within military facilities for the same period.
- To identify the primary diagnostic categories contributing to hospitalizations in 2021.
Main Methods:
- Retrospective analysis of hospitalization data from 2021.
- Comparison of 2021 rates against a 10-year historical dataset.
- Categorization of hospitalizations based on diagnostic codes.
Main Results:
- The overall hospitalization rate in 2021 was 48.0 per 1,000 person-years, marking the second lowest in the past decade.
- Hospitalizations exclusively within military facilities reached their lowest point in the recorded period in 2021.
- Mental health disorders, pregnancy-related conditions, injury/poisoning, and digestive system disorders accounted for 71.2% of all hospitalizations.
Conclusions:
- Overall hospitalization rates continue a downward trend, reaching near historic lows.
- Military-specific healthcare utilization has significantly decreased, indicating potential improvements in military health or healthcare access.
- Targeted public health strategies focusing on mental health, reproductive health, injury prevention, and digestive care remain essential for managing healthcare demands.
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