Contents
Page
DISCLAIMER ................................................................................................................ ii
LIST OF ILLUSTRATIONS.......................................................................................... iv
LIST OF TABLES.......................................................................................................... v
PREFACE...................................................................................................................... vi
ABSTRACT................................................................................................................. viii
INTRODUCTION .......................................................................................................... 1
MOOTW AND HCA: CONCEPTS AND TRENDS ...................................................... 5
Definitions, Distinctions and Operational Relationships: HCA and HA ....................... 5
Current Statistical Trends: How Big is the DOD Program? ...................................... 11
WEAKNESSES AND IMPROVEMENTS IN THE DOD HCA PROGRAM................ 17
U.S. Government Accounting Office Review: Process and Findings .......................... 17
GAO Recommendations and DOD Follow-up........................................................... 18
THE MEDICAL HCA EXPERIENCE: BENEFITS AND CHALLENGES.................. 23
Medical Readiness Training: Results, Effectiveness, Outcomes................................. 24
Policies and Politics: HCA and the Issue of a Long Term Medical Benefit................ 28
CONCLUSION............................................................................................................. 32
APPENDIX A: FY95-96 HCA PROJECTS ................................................................. 36
GLOSSARY ................................................................................................................. 37
BIBLIOGRAPHY......................................................................................................... 41
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