Quality of Care Research Briefs
This fact sheet describes the results of research into the factors influencing physician professional satisfaction and their implications for health care.
RAND Health research supports four strategies to restrain health care spending growth and maintain quality: foster efficient and accountable providers, engage and empower consumers, promote population health, and facilitate high-value innovation.
Cost-sharing leads consumers to reduce both highly beneficial and less beneficial care, so they must be empowered with useful information to make informed decisions. Public cost and quality reports must be accurate, accessible, and understandable.
Flattening the Trajectory of Health Care Spending: Foster Efficient and Accountable Providers — 2012
Providers can dramatically improve American health care by focusing on "value" instead of "volume," eliminating wasteful and inappropriate care, applying the best available evidence to their practices, and enhancing patient safety.
A team from RAND and the University HealthSystem Consortium developed a toolkit to help hospitals enhance their quality improvement efforts using quality indicators from the Agency for Healthcare Research and Quality.
When Patients Don't Take Their Medicine: What Role Do Doctors Play in Promoting Prescription Adherence? — 2012
Analyses indicated that although physicians uniformly felt responsible for assessing and promoting adherence to prescriptions, only a minority of them asked detailed questions about adherence.
Current initiatives to report health care provider costs are unlikely to motivate consumers to select lower-cost providers. Public reports could better engage consumers by focusing on out-of-pocket costs and high-value providers.
The quality of mental health care delivered by the U.S. Department of Veterans Affairs (VA) is generally as good or better than care delivered by private health plans, although it falls short of the high standards set in VA guidelines.
Large variations exist across medical specialties in the frequency of malpractice claims and the amount paid on them. Most physicians face at least one claim during their careers, but most claims do not result in a payment.
Shares findings on the potential effects of electronic health records (EHRs) on health care quality, based on analysis of extensive data from 2003 and 2006 on EHR adoption, hospital characteristics, and hospital quality in nearly 2,100 hospitals.
Creating an effective PBAS requires careful attention to selecting an appropriate design for the PBAS, given the context in which it is to operate, and to monitor, evaluate, and adjust the system, as appropriate.
Investigates the relationship between safety outcomes in hospitals and malpractice claiming against providers, using data for California hospitals and insurers from 2001 through 2005.
Results of a pilot program in RAND Health's Assessing Care of Vulnerable Elders-2 project indicate that quality indicators for dementia care are improved when primary care practices are coupled with links to local Alzheimer's Association chapters.
A "Quiet Revolution" in Nephrology: Challenges and Opportunities for Advancing the Treatment of Chronic Kidney Disease — 2010
Shares results of a study examining changes in nephrology as it evolves from a focus on end-stage renal disease to the treatment of all stages of chronic kidney disease (CKD). Earlier stages of CKD progression can be slowed, halted, or even reversed.
Assessing Parolees' Health Care Needs and Potential Access to Health Care Services in California — 2009
California parolees' health care, mental health care, and drug- and alcohol-treatment needs, as well as where parolees go when they return to counties, place significant demands on counties' safety-net resources and on their ability meet those needs.
Children's Health in Washington, D.C.: Access and Health Challenges Despite High Insurance Coverage Rates — 2009
Assesses children's health issues in Washington, D.C., including the health care delivery system and neighborhood health environments.
RAND recommends policy actions and investments to increase the likelihood of success of pay-for-performance systems of educator compensation in the United States and identify the practices most likely to succeed.
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.
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.
Room for improvement: Strong patient safety systems could limit health, social and economic harms from medical error — 2009
RAND Europe reviewed the problem of patient harm in Europe, assessed expected effects of three policy action areas to improve safety and modelled the potential health benefits that could be achieved by reducing numbers of harmful events.