Economic implications of reduced binge drinking among the military health system's TRICARE Prime plan beneficiaries
This study examines the economic burden of alcohol misuse to the Department of Defense (DoD) and the benefits of reduced binge drinking among beneficiaries in the DoD's TRICARE Prime plan. Data analyzed include administrative records for approximately 3 million beneficiaries age 18 to 64, DoD...
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Veröffentlicht in: | Military medicine 2009-07, Vol.174 (7), p.728-736 |
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creator | Harwood, Henrick J Zhang, Yiduo Dall, Timothy M Olaiya, Samuel T Fagan, Nancy K |
description | This study examines the economic burden of alcohol misuse to the Department of Defense (DoD) and the benefits of reduced binge drinking among beneficiaries in the DoD's TRICARE Prime plan. Data analyzed include administrative records for approximately 3 million beneficiaries age 18 to 64, DoD's Survey of Health Related Behaviors Among Military Personnel, and the National Survey on Drug Use and Health. Alcohol misuse among Prime beneficiaries cost the DoD an estimated $1.2 billion in 2006--$425 million in higher medical costs and $745 million in reduced readiness and misconduct charges. Potential annual gross benefits to the DoD of reduced binge drinking are simulated for three scenarios: (1) implementing a comprehensive alcohol screening with referral to brief intervention or treatment by primary care ($87 million/$129 million in short/long-term benefits); (2) increasing the price of alcoholic beverages on military installations by 20% ($75 million/$115 million); and (3) implementing a Web-based education program ($81 million/$123 million). |
doi_str_mv | 10.7205/MILMED-D-03-9008 |
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Data analyzed include administrative records for approximately 3 million beneficiaries age 18 to 64, DoD's Survey of Health Related Behaviors Among Military Personnel, and the National Survey on Drug Use and Health. Alcohol misuse among Prime beneficiaries cost the DoD an estimated $1.2 billion in 2006--$425 million in higher medical costs and $745 million in reduced readiness and misconduct charges. Potential annual gross benefits to the DoD of reduced binge drinking are simulated for three scenarios: (1) implementing a comprehensive alcohol screening with referral to brief intervention or treatment by primary care ($87 million/$129 million in short/long-term benefits); (2) increasing the price of alcoholic beverages on military installations by 20% ($75 million/$115 million); and (3) implementing a Web-based education program ($81 million/$123 million).</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED-D-03-9008</identifier><identifier>PMID: 19685845</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Alcohol ; Alcoholic beverages ; Alcoholic Intoxication - economics ; Alcoholic Intoxication - epidemiology ; Alcoholic Intoxication - prevention & control ; Behavior ; Beneficiaries ; Beverages ; Cost control ; Cost estimates ; Drug use ; Health care expenditures ; Health Policy - economics ; Humans ; Intervention ; Mass Screening - economics ; Military health care ; Military Medicine - economics ; Military Personnel ; Models, Theoretical ; Organizational Policy ; Pilot projects ; Prevalence ; Prices ; Program Development ; Program Evaluation ; United States - epidemiology</subject><ispartof>Military medicine, 2009-07, Vol.174 (7), p.728-736</ispartof><rights>Copyright Association of Military Surgeons of the United States Jul 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-605c56f6a1376e11756e9cef4d982397b55ad7036ce847ac92914a46b432535e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19685845$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harwood, Henrick J</creatorcontrib><creatorcontrib>Zhang, Yiduo</creatorcontrib><creatorcontrib>Dall, Timothy M</creatorcontrib><creatorcontrib>Olaiya, Samuel T</creatorcontrib><creatorcontrib>Fagan, Nancy K</creatorcontrib><title>Economic implications of reduced binge drinking among the military health system's TRICARE Prime plan beneficiaries</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>This study examines the economic burden of alcohol misuse to the Department of Defense (DoD) and the benefits of reduced binge drinking among beneficiaries in the DoD's TRICARE Prime plan. Data analyzed include administrative records for approximately 3 million beneficiaries age 18 to 64, DoD's Survey of Health Related Behaviors Among Military Personnel, and the National Survey on Drug Use and Health. Alcohol misuse among Prime beneficiaries cost the DoD an estimated $1.2 billion in 2006--$425 million in higher medical costs and $745 million in reduced readiness and misconduct charges. Potential annual gross benefits to the DoD of reduced binge drinking are simulated for three scenarios: (1) implementing a comprehensive alcohol screening with referral to brief intervention or treatment by primary care ($87 million/$129 million in short/long-term benefits); (2) increasing the price of alcoholic beverages on military installations by 20% ($75 million/$115 million); and (3) implementing a Web-based education program ($81 million/$123 million).</description><subject>Alcohol</subject><subject>Alcoholic beverages</subject><subject>Alcoholic Intoxication - economics</subject><subject>Alcoholic Intoxication - epidemiology</subject><subject>Alcoholic Intoxication - prevention & control</subject><subject>Behavior</subject><subject>Beneficiaries</subject><subject>Beverages</subject><subject>Cost control</subject><subject>Cost estimates</subject><subject>Drug use</subject><subject>Health care expenditures</subject><subject>Health Policy - economics</subject><subject>Humans</subject><subject>Intervention</subject><subject>Mass Screening - economics</subject><subject>Military health care</subject><subject>Military Medicine - economics</subject><subject>Military Personnel</subject><subject>Models, Theoretical</subject><subject>Organizational Policy</subject><subject>Pilot projects</subject><subject>Prevalence</subject><subject>Prices</subject><subject>Program Development</subject><subject>Program Evaluation</subject><subject>United States - epidemiology</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdUU1v1DAUtBCILoU7J2Rx6SnwHH8fUXeBSluBqiJxsxznhXVJ4sVODv33uNqVkLi89w4zo3kzhLxl8EG3ID_e3uxvd9tm2wBvLIB5RjbMcmgU4z-fkw1AqxoBWl6QV6U8ADBhDXtJLphVRhohN6TsQprTFAON03GMwS8xzYWmgWbs14A97eL8C2mf4_y7XtRPqc7lgHSKY1x8fqQH9ONyoOWxLDhdFXp_d3P96W5Hv-c4IT2OfqYdzjjEEH2OWF6TF4MfC74570vy4_Pu_vprs__2pTL3TRBMLI0CGaQalGdcK2RMS4U24CB6a1pudSel7zVwFdAI7YNtLRNeqE7wVnKJ_JJcnXSPOf1ZsSxuiiXgWA1hWovTnFvRKmYq8v1_yIe05rmacy3TII1pRQXBCRRyKiXj4I71wRqAY-Ce6nCnOtzWAXdPdVTKu7Pu2k3Y_yOc8-d_AUKghbw</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Harwood, Henrick J</creator><creator>Zhang, Yiduo</creator><creator>Dall, Timothy M</creator><creator>Olaiya, Samuel T</creator><creator>Fagan, Nancy K</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88F</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20090701</creationdate><title>Economic implications of reduced binge drinking among the military health system's TRICARE Prime plan beneficiaries</title><author>Harwood, Henrick J ; Zhang, Yiduo ; Dall, Timothy M ; Olaiya, Samuel T ; Fagan, Nancy K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-605c56f6a1376e11756e9cef4d982397b55ad7036ce847ac92914a46b432535e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Alcohol</topic><topic>Alcoholic beverages</topic><topic>Alcoholic Intoxication - economics</topic><topic>Alcoholic Intoxication - epidemiology</topic><topic>Alcoholic Intoxication - prevention & control</topic><topic>Behavior</topic><topic>Beneficiaries</topic><topic>Beverages</topic><topic>Cost control</topic><topic>Cost estimates</topic><topic>Drug use</topic><topic>Health care expenditures</topic><topic>Health Policy - economics</topic><topic>Humans</topic><topic>Intervention</topic><topic>Mass Screening - economics</topic><topic>Military health care</topic><topic>Military Medicine - economics</topic><topic>Military Personnel</topic><topic>Models, Theoretical</topic><topic>Organizational Policy</topic><topic>Pilot projects</topic><topic>Prevalence</topic><topic>Prices</topic><topic>Program Development</topic><topic>Program Evaluation</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harwood, Henrick J</creatorcontrib><creatorcontrib>Zhang, Yiduo</creatorcontrib><creatorcontrib>Dall, Timothy M</creatorcontrib><creatorcontrib>Olaiya, Samuel T</creatorcontrib><creatorcontrib>Fagan, Nancy K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Military Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Military Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harwood, Henrick J</au><au>Zhang, Yiduo</au><au>Dall, Timothy M</au><au>Olaiya, Samuel T</au><au>Fagan, Nancy K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Economic implications of reduced binge drinking among the military health system's TRICARE Prime plan beneficiaries</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>174</volume><issue>7</issue><spage>728</spage><epage>736</epage><pages>728-736</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>This study examines the economic burden of alcohol misuse to the Department of Defense (DoD) and the benefits of reduced binge drinking among beneficiaries in the DoD's TRICARE Prime plan. Data analyzed include administrative records for approximately 3 million beneficiaries age 18 to 64, DoD's Survey of Health Related Behaviors Among Military Personnel, and the National Survey on Drug Use and Health. Alcohol misuse among Prime beneficiaries cost the DoD an estimated $1.2 billion in 2006--$425 million in higher medical costs and $745 million in reduced readiness and misconduct charges. Potential annual gross benefits to the DoD of reduced binge drinking are simulated for three scenarios: (1) implementing a comprehensive alcohol screening with referral to brief intervention or treatment by primary care ($87 million/$129 million in short/long-term benefits); (2) increasing the price of alcoholic beverages on military installations by 20% ($75 million/$115 million); and (3) implementing a Web-based education program ($81 million/$123 million).</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19685845</pmid><doi>10.7205/MILMED-D-03-9008</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Alcohol Alcoholic beverages Alcoholic Intoxication - economics Alcoholic Intoxication - epidemiology Alcoholic Intoxication - prevention & control Behavior Beneficiaries Beverages Cost control Cost estimates Drug use Health care expenditures Health Policy - economics Humans Intervention Mass Screening - economics Military health care Military Medicine - economics Military Personnel Models, Theoretical Organizational Policy Pilot projects Prevalence Prices Program Development Program Evaluation United States - epidemiology |
title | Economic implications of reduced binge drinking among the military health system's TRICARE Prime plan beneficiaries |
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