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Provider workforce model for regional TRICARE networks

J E LaMar1, I Jacoby, M G Meyer

  • 1Division of Health Services Administration, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.

Military Medicine
|September 18, 1997
PubMed
Summary
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This model estimates healthcare provider needs for defined populations. It helps military leaders plan civilian provider contracts for TRICARE regions, ensuring adequate healthcare services.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Military Health Systems

Background:

  • Managed care organizations utilize specific physician staffing patterns to determine provider-to-patient ratios.
  • Accurate healthcare workforce planning is essential for military health systems, particularly within TRICARE regions.
  • Estimating civilian provider needs requires understanding the enrolled beneficiary population and active duty provider availability.

Purpose of the Study:

  • To present a model for estimating the total number and specialty mix of healthcare providers required for a specific population.
  • To provide military commanders (lead agents) with a tool for assessing provider workforce composition in their TRICARE regions.
  • To guide the contracting of civilian healthcare providers to meet the needs of the regional military network.

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Main Methods:

  • The model is based on provider-to-patient proportions derived from managed-care organization physician staffing patterns.
  • It utilizes data on the regional enrolled beneficiary population.
  • It incorporates data on the number of active duty providers within the region.

Main Results:

  • The model estimates the number and type of civilian healthcare providers necessary for a defined population.
  • It offers a data-driven approach for TRICARE lead agents to determine workforce requirements.
  • The output aids in planning civilian provider contracts to adequately serve the military network.

Conclusions:

  • The developed model provides a reliable method for estimating healthcare provider needs in military health systems.
  • It supports efficient resource allocation and contracting of civilian providers within TRICARE regions.
  • This tool can enhance the adequacy of healthcare services for the military beneficiary population.