RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709-2194, USA.
Prev Med. 2009 Apr;48(4):389-91. doi: 10.1016/j.ypmed.2009.02.016. Epub 2009 Feb 27.
Timely preventive healthcare services are important to troop readiness and the health of Military Health System (MHS) beneficiaries. Prior studies have reported on use of preventive care among select MHS subgroups, but broader performance is undocumented. This study addresses that gap by comparing TRICARE Prime beneficiaries to select U.S. populations.
Rates of prenatal care in the first trimester, flu shots, and screening for breast cancer, cervical cancer, cholesterol, and blood pressure were estimated from the 2004 Health Care Survey of Department of Defense (DoD) Beneficiaries. Rates for U.S. populations were estimated from several national health surveys. Healthy People 2010 goals provided a comparison benchmark.
Utilization rates of TRICARE Prime enrollees significantly exceeded the U.S. population for all services examined and exceeded the insured U.S. population for flu shots, prenatal care, and screening for breast cancer and cervical cancer. Two Healthy People 2010 goals were met but three were not.
TRICARE Prime enrollees had similar rates of six clinical preventive care services as insured U.S. populations in 2004, but failed to meet several Healthy People 2010 guidelines. Increased emphasis on these services will be required in order to meet such objectives and reduce long-term health and financial pressures on the MHS.
及时的预防保健服务对军队的战备状态和医疗保健系统（MHS）受益人的健康都很重要。先前的研究报告了 MHS 特定亚组人群中预防保健的使用情况，但更广泛的表现情况尚未记录。本研究通过将 TRICARE Prime 受益人与美国特定人群进行比较，填补了这一空白。
根据 2004 年国防部（DoD）受益人的医疗保健调查，估计了初诊产前保健、流感疫苗接种、乳腺癌、宫颈癌、胆固醇和血压筛查的比例。从几项全国健康调查中估计了美国人群的比例。《2010 年健康人》目标提供了比较基准。
接受 TRICARE Prime 保险的参保人的利用率在所有检查的服务中明显高于美国人群，在流感疫苗接种、初诊产前保健和乳腺癌及宫颈癌筛查方面高于美国有保险的人群。达到了《2010 年健康人》中的两个目标，但有三个没有达到。
2004 年，TRICARE Prime 参保人有类似的六种临床预防保健服务的比例，与美国有保险的人群相似，但未能达到《2010 年健康人》的几个指导方针。为了实现这些目标，并减轻 MHS 的长期健康和财务压力，需要更加重视这些服务。
