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B-133142 1 (1973-03-22)

handle is hein.gao/gaobaaggr0001 and id is 1 raw text is: 




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

MANPOWER AND WELFARE                                           3
     DIVISION
                                                  MAR 2 2 7973
   B-133142



   The Honorable Elliot L. Richardson                         LM09642
   The Secretary of Defense

        Attention: Assistant Secretary of Defense
                       (Comptroller)

   Dear Mr. Secretary:

        During a survey of medical activities in the Department
   of Defense (DOD), we noted that the av                 tQ pjtal
   stay for all diagpose -faoactie -d-t-y-pers~onnel among the
   m=taryservices varied by as much as 12 days, while the
   length of stay for retirees, dependents, and other patients
   was relatively consistent. We examined the reasons for the
   variations because some of the military services may be keep-
   ing active duty personnel in a nonduty status longer than nec-
   essary, thus increasing the cost of providing medical care.
   The costs for the additional lengths of stay are the
   incremental hospital costs which are presently unknown.

        However, according to DOD estimates, the costs (including
   physician and other costs) per patient-day averaged $57 for
   hospitalization of active duty personnel in its facilities in
   fiscal year 1971. This amount was not based solely on the
   costs of acute hospital care. It included a significant
   amount of costs for low-cost convalescent care for active duty
   personnel waiting return to duty but did not include depreci-
   ation, interest, and personnel retirement costs.

        We examined medical records for 650 active duty (Air
   Force, Army, and Navy) personnel hospitalized for 6 emergency/
   nonemergency diagnoses and analyzed the lengths of stay for
   each. We also examined medical records for 400 retired per-
   sonnel or dependents of retired personnel, dependents of ac-
   tive duty personnel, and others for 4 nonemergency diagnoses.
   Our review at the following military hospitals covered fiscal
   years 1970-72.

   Air Force

   U.S. Air Force Regional Hospital, MacDill Air Force Base,
   Tampa, Florida

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