Emergency departments account for a rising proportion of hospital admissions and serve increasingly as an advanced diagnostic center for primary care physicians. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere.
Assesses the perspectives of Washington, D.C., stakeholders, including parents and providers, about the oral health of children.
The United States should respond to China's increasing sea power in the Western Pacific region by exploiting technology to make its naval forces less vulnerable, while also pursuing regional maritime security cooperation that includes China.
Explores the role entrepreneurship plays in the lives of the economically disadvantaged in both India and the United States.
If Pennsylvania opts into Medicaid expansion under the Affordable Care Act, more residents would have health coverage and the state would enjoy a positive economic effect. However, benefits would have a long-term cost, with uneven regional results.
The authors identified and characterized population groups that would likely be interested in enrolling in the multistate plans established by the Affordable Care Act and developed a methodology to project participation and estimate premiums.
Widespread cost, schedule, and performance shortfalls point to ongoing and expensive problems in the Department of Homeland Security acquisition process. Providing a common problem definition, conceptual framework, and recommendations that DHS officials can use should help improve efficiency and effectiveness.
The RAND Gulf States Policy Institute was established after Hurricane Katrina to inform policies for long-term recovery and economic development in Louisiana, Mississippi, and Alabama. This two-page flyer highlights some of its research.
California health regulators should begin collecting physician identifiers as part of their routine data collection efforts about the services provided at the state's hospitals. Such a move would help providers improve quality by aiding efforts to benchmark performance and reduce variations in the delivery of care.
Most interventions in the past 25 years have been followed by improved security, some degree of democratization, and significant economic growth—with only a modest commitment of international military and civilian manpower and economic assistance.
The evolution of the U.S. global defense posture from 1783 to the present offers important lessons for dealing with similar problems in the future.
A federal government corporation and an independent government agency are the two most promising models for a new organization to manage and dispose of spent nuclear fuel and high-level radioactive waste in the United States.
For Arkansas, the Affordable Care Act will result in an increase in GDP of around $550 million and the creation of about 6,200 jobs. The new law will also increase health insurance coverage by 400,000 newly insured individuals.
Student mental health programs can improve staff, faculty, and student knowledge of mental health problems, provide skills for identifying and referring students in need, and change attitudes toward mental health problems.
Prevention and early intervention initiatives aim to reduce the incidence of suicide and other mental health problems, and the authors evaluate these initiatives by reviewing suicide prevention (SP) literature to learn about SP program effectiveness and methodologies.
A number of programs aim to reduce the stigma and discrimination associated with mental illness, and they can include a variety of components such as training, education, media campaigns, and contact with people with mental illness.
Incremental operations and maintenance costs for new hurricane protection infrastructure vary considerably across Louisiana's levee districts, but most can cover costs for infrastructure within their boundaries. Stakeholders will need to determine an equitable cost allocation for infrastructure that spans district boundaries.
Ninety-two percent of U.S. employers with 200 or more employees reported offering workplace wellness programs in 2009. However, participation remains limited; a 2010 survey suggests that typically less than 20 percent of eligible employees participate in wellness interventions.
Across the United States in 2009, overall cancer incidence was 4 percent higher among blacks than among whites. The disparity was more striking in Washington, D.C., where the overall cancer incidence among black residents was 54 percent higher than the incidence among white residents.
This report describes a collection of frameworks for evaluating prevention and early intervention funding for mental health services for the California population.