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HRD-79-22 1 (1978-12-28)

handle is hein.gao/gaobaaykh0001 and id is 1 raw text is: 
                                                       101-31



                  UNITED STATES GENERAL ACCOUNTING OFFICE
                         WASHINGTON, D.C. 20548


HUMAN RNSOIURC
   DIVISION
   B-192159                                     DECEMBER 28,1978


   The Honorable Harold Brown
   The Secretary of Defense

   Dear Mr. Secretary:

         We have completed a survey of the practices followed by
    the Army and Air Force in screening the dependents of active
    duty personnel, who are being assigned overseas, to identify
    special educational and medical problems that cannot be
    adequately handled oveseas. We found that the screening
    regulations of the Army and Air Force are similar; however,
    the Army's practices were much less effective than the Air
    Force's. As a result, considerable numbers of Army depend-
    ents have apparently been allowed to transfer to overseas
    locations that do not have the resources or capability to
    provide the necessary medical and educational attention.
    These dependents may be placing a burden on certain overseas
    medical and educational facilities. Also, the families
    could be experiencing hardships because of their inability
    to obtain the care and attention needed.

         During our survey, we visited three military hospitals
    in the United States, and two Army hospitals and a dependents'
    school for handicapped children in Germany. We also had
    discussions with medical and personnel officials in both
    services.

         We selected the 97th General Hospital at Frankfurt and
    the 2nd General Hospital at Landstuhl because they are major
    medical centers in Europe serving both Army and Air Force
    personnel. Landstuhl is also the neurosurgical center for
    Europe, and both Air Force and Army neurosurgical specialists
    provide care at that hospital.

    CERTAIN MEDICAL AND EDUCATIONAL
    CAPABILITIES LIMITED IN EUROPE

         Physicians from Landstuhl and Frankfurt told us that,
    in some specialties, patient requirements for specialized
    care greatly exceed the capability to provide such services.


                    II  IIHRD-79-22
                                                       (101009)  V


      108238

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