Health Care Organization and Capacity
2011
Developing Custodians of Care: Military Medical Leadership — 2011
The Military Health System faces a range of challenges, and effective leadership is key to meeting them. Approaches used by other organizations could guide improvements in how military health care leaders are selected, developed, and incentivized.
How Does Health Reform Affect the Health Care Workforce? Lessons from Massachusetts — 2011
Since Massachusetts enacted health reform legislation in 2006, health care employment in the state has grown more rapidly than in the rest of the United States, primarily in administrative positions.
Should the Joint Medical Education and Training Campus Have an Office of Institutional Research? — 2011
Two goals of the joint medical training and education campus at Ft. Sam Houston are to become a high-performing learning organization and an accredited, degree-granting institution. A research and evaluation capability would help it meet these goals.
What Are the Public Health Implications of Prisoner Reentry in California? — 2011
Examines the health care needs of released California prisoners, communities most affected by reentry, safety net capacity, and provider experiences with ex-prisoners, given California's Public Safety Realignment Plan and federal health care reform.
Why Are Many Emergency Departments in the United States Closing? — 2011
Between 1990 and 2009, the number of emergency rooms (ERs) in nonrural U.S. hospitals declined by 27 percent (from 2,446 to 1,779). Economic factors play a central role in an ER's ability to remain open.
2010
Does Improved Patient Safety Reduce Malpractice Litigation? — 2010
Investigates the relationship between safety outcomes in hospitals and malpractice claiming against providers, using data for California hospitals and insurers from 2001 through 2005.
Health Care on Aisle 7: The Growing Phenomenon of Retail Clinics — 2010
Presents information on the growing phenomenon of retail medical clinics, the types of patients they serve and the types of care they provide, and whether some common claims about retail clinics are supported by evidence.
Is There a Shortage of Anesthesia Providers in the United States? — 2010
Analysis of labor market trends suggests that the United States is experiencing a shortage of anesthesiology providers.
Post-Katrina Project Demonstrates a Rapid, Participatory Assessment of Health Care and Develops a Partnership for Post-Disaster Recovery in New Orleans — 2010
Stakeholders in communities in which health care access was disrupted by Hurricane Katrina were engaged in an assessment of health priorities, as well as in data interpretation and plan design, to produce a sustainable community-academic partnership.
Private Sector Participation and Health System Performance in Sub-Saharan Africa — 2010
Researchers analyzed data on child and maternal health care use from 34 sub-Saharan African countries to examine the association between the degree of private sector participation in the health care system and outcomes related to access and equity.
Where Do Americans Get Acute Care? Not at Their Doctor's Office — 2010
Less than half of acute care visits in the United States involve a patient's personal physician. Emergency physicians, who comprise only 4 percent of doctors, handle 28 percent of all acute care encounters and nearly all after-hours and weekend care.
2009
Electronic Health Records are Associated with Higher Quality in Primary Care Practices — 2009
Demonstrating a link between use of electronic health records in community-based primary care practices and higher-quality care, this study encourages prioritization of such technologies and their advanced functionalities.
Enhancing Interoperability Among Enlisted Medical Personnel in the U.S. Military: A Case Study of Military Surgical Technologists — 2009
Air Force, Army, and Navy training programs for enlisted medical personnel are being consolidated to increase interoperability. A RAND methodology defines standards of practice across services and evaluates options for obtaining qualified personnel.
A Policy-Relevant Picture of California's Ambulatory Surgery Centers — 2009
Examines how California's ambulatory surgical centers (ASCs) compare with hospital outpatient surgery departments and how the state compares with other states in regulating ASCs.
2008
Delivery of Genomic Medicine for Common Chronic Adult Diseases — 2008
This fact sheet summarizes recommendations for health care workers, consumers, and the scientific community to prepare the health care system for genomic medicine for common chronic diseases.
A Step Forward in Accountability for Public Health Emergency Preparedness: Developing Standards for Mass Antibiotic Dispensing — 2008
This fact sheet summarizes the results of a RAND initiative to develop performance standards for distributing antibiotics and other lifesaving medical countermeasures on a large scale within the critical first 48 hours of a public health emergency.
Validating the Link Between Good Physician Process of Care and Better Health-Related Quality of Life for Patients — 2008
This fact sheet describes a study that confirms, for the first time, that better physician process of care leads to better health-related quality of life for patients receiving ambulatory care.
2007
Do Policies That Target Physicians Who Make Medical Malpractice Payments Reduce Negligent Injuries? — 2007
This fact sheet describes a study that found that policies targeting physicians' medical malpractice payment histories as a way to deter medical malpractice are ineffective, mainly because paying physicians are not the negligent ones.
2006
Effects of Medicare's Prospective Payment System on the Quality of Hospital Care — 2006
This research brief summarizes a study of how Medicare's prospective payment system (PPS) affected the quality of care for hospitalized Medicare patients.
Integrating Treatment for People with Co-Occurring Mental Health and Substance Abuse Disorders in Public Systems of Care — 2006
This fact sheet describes an analysis to review progress in, identify challenges for, and point to promising directions for future integrated financing arrangements and care of people with co-occurring mental health and substance abuse disorders.
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