When these beneficiaries receive care from Tricare's civilian network, they will incur co-payments,' it states. Retirees and their families who receive care at MTFs generally do not incur out-of-pocket copays for that care. 'Some beneficiaries may see some increased out-of-pocket costs. Some military retirees and their families will also see increased out-of-pocket costs, the memo notes, since care received off-base by those users require copays. On-base pharmacies are currently the only way for all Tricare beneficiaries, including elderly Tricare for Life enrollees, to receive no-cost, same-day medications. That means that some of those facilities may stop offering pharmacy support for users not on active duty. 'It is estimated that approximately 200,000 Military Health System beneficiaries who receive care at the MTFs identified for reduction in operations will transition to civilian providers' in the Tricare network. Under a section of the document noted as 'not for public release,' the memo lays out a proposed plan to 'reduce operations at 48 facilities and to expand or recapitalize operations at two others.'Īt 38 of those 50 MTFs, 'DoD recommends reducing the scope of operations to active duty and occupational health services only, while in many cases maintaining pharmacy services for all beneficiaries,' it states. It's also unclear how feedback from lawmakers might impact the current transition plan. The memo does not include the locations of the 50 affected MTFs, or a specific timeline for the changes. 'With a challenging array of threats around the world, we need our military medical facilities to keep combat forces healthy and prepare our medical personnel to support them.' 'DoD must adapt the military health system to focus more on readiness of the combined force, while continuing to meet our access to health care obligations for active duty families, retirees and their families,' the Feb. The report to Congress detailed in the memo lays out the Pentagon's path for those changes.

Medication Indicators were significantly higher in winter than in the summer.Conclusion: In this Study, prescribing indicators were far from international recommended criteria, however, it is necessary to improve this conditions because Inappropriate use of drugs leads to low quality of medical and public health care's and therefore wasting human and financial resources and can be harmful for patient and community health and economy.But to do so, the hospitals must cull the number of family members and retirees to whom they currently offer care. World Health Organization Indicators for Prescribing such as Average of items per prescription, Rate of Antibiotics, Injectable Drugs and corticosteroid was analyzed.Results: Average of items per prescription was 3.93 and the proportion of prescriptions for injectable drugs was 58.9%, for antibiotics 49.71% and for Corticosteroid 18.35%. The aim of this study was to explore drug prescription habits by using WHO standard indicators.Materials and Methods: The study is descriptive, cross-sectional and retrospective, sample of 1035 prescriptions of GENERAL PRACTITIONERS selected randomly from Outpatient clinic in a MILITARY HOSPITAL at Tehran In both summer and winter seasons. Rational prescribing is associated with improved safety in drug use, better quality of life for patients and cost-effective care. Analysis of prescriptions would be helpful in recognition of physicians' behavior and population beliefs. Abstract Background: Rational use of drugs is one of the major issues in healthcare systems.

War hospital perscriptions