The Military Health System (MHS) is one of the largest health systems in the United States, delivering health services to 9.4 million eligible patients in nearly 700 military hospitals and clinics around the world as well as through the TRICARE health plan.1 The TRICARE health plan provides care to all members of the Uniformed Forces,2 their families, and retirees, rendering TRICARE the fourth largest health plan in the United States. However, military health services are currently managed by 4 separate entities: Army, Navy, Air Force, and the Defense Health Agency (DHA), creating opportunities for variation and inefficiency. The MHS falls under the Department of Defense and is distinct from the Veterans Health Administration, which provides care to the majority of veterans and to veterans ineligible for TRICARE.3 The National Defense Authorization Act for Fiscal Year 20174 directs changes to existing management structures, enabling the MHS to collectively transform into an integrated system of readiness and health. The law provides a set of interdependent and nested initiatives to optimize delivery of the Quadruple Aim of improved readiness, better health, better care, and lower cost.

中文翻译：

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改造军事卫生系统

军事卫生系统 (MHS) 是美国最大的卫生系统之一，通过 TRICARE 健康计划为全球近 700 家军队医院和诊所的 940 万符合条件的患者提供健康服务。 1 TRICARE 健康计划为所有军警成员、2 他们的家人和退休人员提供护理，使 TRICARE 成为美国第四大健康计划。然而，军事卫生服务目前由 4 个独立的实体管理：陆军、海军、空军和国防卫生局 (DHA)，这为变化和低效创造了机会。MHS 隶属于国防部，与退伍军人健康管理局不同，后者为大多数退伍军人和不符合 TRICARE 资格的退伍军人提供护理。3 20174 财年国防授权法案指导改变现有管理结构，使 MHS 能够共同转变为一个综合的战备和健康系统。该法律提供了一套相互依存和嵌套的举措，以优化四重目标的实现，即提高准备、更好的健康、更好的护理和更低的成本。