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Original Article | Publishing Language: Chinese

Analysis and prospect of the US military health funding control mechanism

Li CHENG1, Fei CHANG2, Lihua LIU3, Lin LI3( )
Internal Control Review Center, Service Guarantee Center of PLA General Hospital, Beijing 100853, China
Financial Support Office, Logistics Department of Air Force Medical Center, Beijing 100142, China
Medical Innovation Research Department of PLA General Hospital, Beijing 100853, China
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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.

CLC number: R821.1 Document code: A Article ID: 1674-9960(2026)007-0541-07

References

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Military Medical Sciences
Pages 541-547

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Cite this article:
CHENG L, CHANG F, LIU L, et al. Analysis and prospect of the US military health funding control mechanism. Military Medical Sciences, 2026, 50(7): 541-547. https://doi.org/10.7644/j.issn.1674-9960.2026-00057

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Received: 13 March 2026
Published: 25 July 2026
© 2026 Military Medical Sciences