RAND researchers tested whether exposing ordering clinicians to appropriateness guidelines for advanced imaging procedures would reduce or eliminate inappropriate orders. The study identified many opportunities to refine decision support systems.
Nov 10, 2014
Ongoing efforts to profile physicians on their relative cost of care have been criticized because they do not account for differences in patients' socioeconomic status (SES).
Apr 26, 2013
We analyze published evidence on strategies to optimize the management and allocation of scarce resources across a wide range of mass casualty event contexts and study designs.
Jan 1, 2013
The creation of treatment guidelines and recommendations for future research represents an effort by leading experts to improve access to services for children with ASDs while acknowledging that the research evidence has many gaps.
Nov 1, 2012
Dissemination and Adoption of Comparative Effectiveness Research Findings When Findings Challenge Current Practices
An analysis of factors that impede the translation of comparative effectiveness research (CER) into clinical practice and those that facilitate it, based on case studies of five recent CER studies.
Oct 10, 2012
Five Reasons That Many Comparative Effectiveness Studies Fail to Change Patient Care and Clinical Practice
Results from comparative effectiveness research seldom influence clinical practice.
Oct 1, 2012
A Conceptual Framework and Protocol for Defining Clinical Decision Support Objectives Applicable to Medical Specialties
We developed a conceptual framework and protocol that combines evidence review with expert opinion to elicit clinically meaningful objectives for CDS directly from specialists.
Sep 1, 2012
Developing a Framework for Establishing Clinical Decision Support Meaningful Use Objectives for Clinical Specialties
This report describes a protocol for eliciting high-priority targets for electronic clinical decision support for individual clinical specialties, a central requirement of the federal electronic health record incentive program.
Apr 2, 2012
Medical Care Provided Under California's Workers' Compensation Program: Effects of the Reforms and Additional Opportunities to Improve the Quality and Efficiency of Care
This book examines changes to California's workers' compensation affecting medical care provided to injured workers and identifies areas in which more changes could improve quality and efficiency of care.
Aug 22, 2011
Diminishing Efficacy of Combination Therapy, Response-Heterogeneity, and Treatment Intolerance Limit the Attainability of Tight Risk Factor Control in Patients with Diabetes
Evaluate the attainability of tight risk factor control targets for three diabetes risk factors and to assess the degree of polypharmacy required.
Dec 31, 2009
Variation in the Net Benefit of Aggressive Cardiovascular Risk Factor Control Across the US Population of Patients with Diabetes Mellitus
This study examined the benefits of aggressively controlling blood pressure and cholesterol in diabetes patients and found that the potential benefits depend on a patient's underlying risk for cardiovascular disease.
Dec 31, 2009