Changes in healthcare use across the transition from civilian to military life
Article first published online: 8 APR 2013
Published 2013. This article is a US Government work and is in the public domain in the USA.
The International Journal of Health Planning and Management
Special Issue: Continuing Policy Issues in China
Volume 29, Issue 2, pages e186–e204, April/June 2014
How to Cite
McWhorter, S. K., Stander, V. A., Thomsen, C. J., Merrill, L. L. and Milner, J. S. (2014), Changes in healthcare use across the transition from civilian to military life. Int. J. Health Plann. Mgmt., 29: e186–e204. doi: 10.1002/hpm.2176
- Issue published online: 3 JUN 2014
- Article first published online: 8 APR 2013
- Manuscript Accepted: 11 FEB 2013
- Manuscript Revised: 20 NOV 2012
- Manuscript Received: 23 AUG 2012
- healthcare use;
- young adulthood;
Patterns of healthcare use in a sample of young adults entering the US Navy (N = 1137) were examined in a longitudinal survey study. Baseline data provided information about healthcare use as a civilian, whereas follow-up data were used to examine changes in patterns of use over time following entry into the Military Health System (MHS). Entrance into the MHS was marked by increased use of preventive care. Although few systematic differences were noted with respect to socioeconomic status or race/ethnicity, women consistently used more healthcare than did men, and women's use increased more over time; however, this increase was largely driven by pregnancy during military service. Findings suggest that individuals with access to universal healthcare are likely to increase their overall use of services. However, these effects were quite small in absolute terms, and they were strongest for preventive care rather than more intensive and expensive services. Published 2013. This article is a US Government work and is in the public domain in the USA.