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Assessing Health and Health Care in the District of Columbia

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By: Nicole Lurie, Carole Roan Gresenz, Janice C. Blanchard, Teague Ruder, Anita Chandra, Bonnie Ghosh-Dastidar, Amber Price, Bruce Siegel, Marsha Regenstein, Donna Sickler, Bonnie Norton, Karen Jones

This document describes interim findings from a study of health and the health care service delivery system in the District of Columbia. The goals of the study are to: (1) conduct a comprehensive health needs assessment for Washington DC; (2) assess the quality and accessibility of the District’s health care delivery system for individuals with urgent or emergent medical needs; and (3) use information from those assessments to identify and assess various policy options for improving the health care delivery system. This document summarizes findings related to the first two goals. A final report will include findings relevant to goal (3).

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Contents

Chapter One:
Introduction

Chapter Two:
Health Outcomes

Chapter Three:
Access to Health Care: Access Facilitators

Chapter Four:
Access to Health Care: Use of Care

Chapter Five:
Access to Health Care: Quality of Care

Chapter Six:
Health Care Capacity and Infrastructure: Outpatient Care

Chapter Seven:
Health Care Capacity and Infrastructure: Inpatient Care

Chapter Eight:
Health Care Capacity and Infrastructure: Hospital Emergency Departments

Chapter Nine:
Emergency Care: Emergency Medical Transport

Chapter Ten:
Emergency Care: Transitions from EMS to the Hospital

Chapter Eleven:
Emergency Care: Findings from Interviews with Key Informants

Chapter Twelve:
Comparison to Benchmark Cities

Chapter Thirteen:
Conclusion

The research described in this report was prepared for the Executive Office of the Mayor, District of Columbia and performed under the auspices of RAND Health.

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