军事医学2026，Vol.50Issue(7)：541-547,7.DOI:10.7644/j.issn.1674-9960.2026-00057
美军卫生经费管控机制分析与展望
Analysis and prospect of the US military health funding control mechanism
摘要
Abstract
Objective To analyze the organizational structure,core mechanisms and implementation effects of the US military health funding control,explore its limitations and future reform directions.Methods Using literature research and empirical analysis methods,this study systematically sorted out the organizational structure adjustment and whole-process control measures of the US military health funding control,and analyzed its implementation effects and existing problems combined with relevant audit reports and budget data.Results The US military has established a centralized control organizational structure with the Defense Health Agency(DHA)as the core.Through measures such as full-cycle management of medical insurance funds,standardization of clinical practice,and supply chain control,it has achieved phased results in stabilizing the budget and improving the efficiency of resource recovery.However,it still faces predicaments such as funding spillover caused by manpower shortage,misalignment between combat readiness and daily medical functions,and high short-term costs of informatization transformation.Conclusion The US military health funding control is characterized by"intensive management,whole-process control and value-oriented transformation".Its reform directions such as medical service repatriation and high-reliability organization construction have reference significance for optimizing the health funding control system of the Chinese military.关键词
美军/卫生经费/经费控制机制/价值医疗Key words
US military/health funding/funding control mechanism/value-based healthcare分类
医药卫生引用本文复制引用
程立,常非,刘丽华,李林..美军卫生经费管控机制分析与展望[J].军事医学,2026,50(7):541-547,7.基金项目
国家社会科学基金军事学项目(2024-SKJJ-B062) （2024-SKJJ-B062）
