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ACTIVE DUTY SATISFACTION FOCUS GROUPS

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Womack AMC (Ft. Bragg) 1st Med. Grp. (Langley AFB) NH Lemoore (NAS Lemoore) ... 'I can go into theater and have a medical problem...and be in Landstuhl within 3 ... – PowerPoint PPT presentation

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Title: ACTIVE DUTY SATISFACTION FOCUS GROUPS


1
  • ACTIVE DUTY SATISFACTION FOCUS GROUPS
  • .

2
Qualitative Research
  • Advantages
  • Allows for in-depth examination of individual
    attitudes
  • Provides degree of nuance that is difficult to
    replicate in quantitative research
  • Data represents stakeholders own voices
  • Limitations
  • Does not use standardized measures
  • No statistical basis for generalization of
    findings
  • Highly sensitive to researcher interpretation

3
Focus Group Methodology
  • Focus groups with officers, junior and senior
    enlisted personnel (all under 45 years old)
  • Participants were prescreened for at least a
    minimum level of dissatisfaction with MHS
  • 12 groups conducted at a diverse set of 6 CONUS
    MTFs

4
Selected MTFs
  • MTFs (Bases)
  • Womack AMC(Ft. Bragg)
  • 1st Med. Grp.(Langley AFB)
  • NH Lemoore(NAS Lemoore)
  • 30th Med. Grp. (Vandenberg AFB)
  • NH Corpus Christi (NAS Corpus Christi)
  • Reynolds ACH (Ft. Sill)
  • Groups
  • Jr. Enlisted Officers
  • Sr. Enlisted Officers
  • Sr. Enlisted (2 groups)
  • Jr. Enlisted Officers
  • Jr. Enlisted
  • Jr. Enlisted Sr. Enlisted Officers

5
Topics Addressed
  • Access Issues
  • Quality of Care
  • Communications
  • Expectations

6
Purpose of Study
  • Identify components of TRICARE that ADSM find
    most dissatisfying
  • We deserve the right to have good health care...
    people say they dont pay you enough to go out
    and die on a battlefield or do whatever you do.
    How about at least giving us the benefits.

7
Organizational Barriers
  • Timely appointments unavailable
  • Understaffing of physicians
  • Overuse of physician substitutes
  • PCM discontinuity

8
Delivery of Care Issues
  • Receipt of care is time-consuming
  • Poor communications
  • Generic diagnoses and treatment
  • Dismissive culture of military medicine

9
Impacts on ADSM
  • Lack of faith in MHS
  • MHS staff and leadership viewed as uncaring
  • Military care seen as inferior to civilian care
  • Health system avoidance
  • Postponing care
  • Hiding health problems

10
Key Dissatisfier
  • Lack of timely care viewed as greatest
    shortcoming
  • I can go into theater and have a medical
    problemand be in Landstuhl within 3 days, get
    diagnosed, treated and return to theater in less
    than 30 days. But I come here and it takes a
    year to get anything done.
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