End of life care needs both clarification and standardization

A national consultation held in the United Kingdom to identify major issues in end-of-life care for general practitioners found that such care is not understood in a uniform way and that more needs to be known about models of end-of-life care and how these can be integrated in a generalist's workload.

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Facilitating diffusion of innovation in health services

Prepared for the UK Department of Heath, this interim paper presents a briefing on a Canadian strategy for facilitating diffusion of innovation in health sciences research.

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Measuring progress in public health collaborations presents challenges

Public health collaborations frequently struggle to evaluate their progress. Analysts used network theory and social network analysis to outline the core dimensions for measuring progress in such collaborations.

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Physical restraint may promote mental and physical health decline

Using physical constraint causes mental and physical health decline in nursing home residents. Adverse health consequences include falls, pressure ulcers, depression, and behavior problems

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Subsidizing in vitro fertilization could have long-term economic benefits

Subsidizing in vitro fertilization might represent a net return to the government given the taxes that the child would pay over his/her lifetime.

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Reducing smoking in elderly Medicaid populations

Reimbursement for a telephone Quitline and low-cost pharmacotherapy were effective ways to help elderly Medicaid patients stop smoking.

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Administrative barriers reduce the availability of rapid HIV testing

Reducing administrative barriers could increase access to rapid HIV testing. Non-laboratory staff also need training.

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Young, bisexual women show high risk factors for substance use

Pro-drug social influences and beliefs when bisexual women are 18 are linked with serious substance abuse problems five years later.

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Health disparities may stem from location

Health disparities may be explained by variations in neighborhood composition rather than by socio-economic status or health behaviors.

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September RAND Health Congressional Newsletter

The September RAND Health Congressional newsletter highlights research revealing that few families with chronically ill children are benefiting from the paid family leave program.

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