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HRD-85-23 1 (1985-05-24)

handle is hein.gao/gaobabfbz0001 and id is 1 raw text is: BY THE U.S, GENERAL ACCOUNTING OFFICE Report To The Secretary Of Defense Implementing Outpatient Surgery Programs In Military Hospitals Can Reduce DOD's Health Care Outpatient (or same day) surgery has received wide- spread attention from nonfederal health care providers as a way to reduce health care costs. GAO found that mil- itary hospitals have made limited use of outpatient surgery to reduce military health care costs. At the six military hospitals reviewed, GAO estimates that in 1982 about 5,600, or about 65 percent, of about 8,600 inpatient surgeries that had outpatient surgery potential could have been performed on an outpatient basis. Mil- itary surgeons helped GAO make this determination. GAO believes that if these inpatient surgeries had been done on an outpatient basis, hospital beds and other resources at these six hospitals would have been avail- able and could have been used to treat patients who had been referred to the civilian sector under the Department of Defense (DOD)-financed Civilian Health and Medical Program of the Uniformed Services. Based on (1) the private sector's experience that out- patient surgery is a safe and cost-effective alternative to inpatient surgery for many surgical procedures and (2) GAO's findings concerning the potential for wider use of such surgery in the military services, GAO recommends that the Secretary of Defense direct the Assistant Secretary (Health Affairs) to develop a DOD-wide policy on outpatient surgery programs in military hospitals where analyses show that such programs would reduce DOD's total health care costs. Costs 127039 C) Tm GAO/HRD-85-23 MAY 24, 1985

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