The U.S. health care system has well-known problems: high costs and high numbers of uninsured. Perhaps less publicized is the system's struggle to deliver high-quality care—that is, care that's likely to improve health and is consistent with current medical science.
Improving care is a long-term, complex challenge. In a series of studies spanning decades, RAND Health has confronted this challenge by helping to establish the scientific basis for defining and measuring quality of care.
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Legislators in Indiana are considering expanding of scope of practice (SOP) for Advanced Practice Registered Nurses (APRNs). Regulations allowing a full SOP for APRNs may improve provider supply, access to care, and use of care.
There has been hope that retail clinics would help lower health care costs by diverting care from costly emergency departments to more convenient and lower-cost retail clinics, but new findings do not support that idea.