• Edwin K Burkett.
• Defense Institute for Medical Operations, JBSA-Lackland, TX.
• Mil Med. 2019 Dec 1; 184 (11-12): 606-610.

IntroductionAs an innovative test of an alternative health engagement method during CONTINUING PROMISE 2011 a joint embedded health engagement team (EHET) was created and executed. EHETs may serve as US military alternatives for improved outcomes in global health engagement activities.Materials And MethodsThe EHET concept was to integrate into the host nation's public health system to collaborate in direct patient care, contribute to comprehensive preventive health, and achieve intellectual exchange between professionals of similar disciplines.ResultsEHET resulted in greater satisfaction on behalf of the host nation and US health professionals, smaller footprint of US personnel and equipment, emphasis on host nation existing infrastructure and system, action upon needs already identified by the host nation health strategy, and optimal US military and security cooperation outcomes. Although this pilot test was a military to civilian engagement the concept is applicable for military to military engagement and across the full range of US military operations. The pilot test was well received by the host nation. Participants on both sides expressed positive feedback that EHETs should be the preferred method for health engagements.ConclusionsThoroughly planned and executed EHET engagements should bring greater, measurable positive effects than typical mass patient care activities. EHETs are especially suitable for longer duration or recurrent missions to build partnership, capacity, and security. EHETs should replace legacy mass care missions as the primary health engagement capability to achieve mutual goals while using US military resources on legitimate local health needs.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2019.

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