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This document describes findings and recommendations 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. Specifically, the document recommends how $135 million in funding from the tobacco settlement should be spent to strengthen the District's health care system. An interim report, RAND Working Paper 534, summarizes findings related to the first two goals. This document primarily addresses the third goal.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Summary of Findings

  • Chapter Three

    Guiding Principles for Recommendations Regarding Investment of Tobacco Settlement Funds

  • Chapter Four

    Recommendations

  • Chapter Five

    Conclusion

Research conducted by

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.

This report is part of the RAND Corporation working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

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