Community-based Health Care

Contents:

Research conducted by: RAND Health; RAND Labor and Population

All Items (36)

PERIODICAL

Prisoner Reentry: As California Releases Prisoners, It Must Confront the Public Health Consequences — Jan 13, 2012

The confluence of three events has broadened the public health implications of prisoner reentry into California communities: the recession, state realignment, and federal health care reform.

REPORT

Mapping the Gaps: Ideas for Using GIS to Enhance Local Health Department Priority Setting and Program Planning — Oct 19, 2011

Geographic information system (GIS) mapping software is a promising tool for enhancing priority-setting and resource allocation in local health departments (LHDs) by displaying complex geospatial information in an integrated, visual way, enabling comparison of where health services are needed with where they are provided. The study describes options for accessing GIS data and suggests ways for LHDs to integrate GIS into their planning…

JOURNAL ARTICLE

Community-based Partnered Research: New Directions in Mental Health Services Research — Jun 1, 2011

This article presents the content and lessons learned from a national conference designed to stimulate application of community-based participatory mental health services research.

JOURNAL ARTICLE

Accountable Care Organizations and Community Empowerment — May 3, 2011

This commentary argues that involving communities in the formation of accountable care organizations would be a dramatic step toward more patient-centered care.

JOURNAL ARTICLE

Bridging the Gap Between Basic Science and Clinical Practice: A Role for Community Clinicians — Apr 5, 2011

A paradigm shift involving acknowledgement of the value of clinicians in the context of community research, establishment of a stable infrastructure to support a cohort of clinicians across time and research studies, and realignment of incentives to encourage participation in clinical research is required.

JOURNAL ARTICLE

Bridging the Gap Between Basic Science and Clinical Practice: The Role of Organizations in Addressing Clinician Barriers — Apr 3, 2011

New National Institutes of Health policies call for expansion of practice-based research to improve the clinical research enterprise and facilitate dissemination of evidence-based medicine. This paper describes organizational strategies that influence clinicians' decisions to participate in clinical research.

JOURNAL ARTICLE

Reengineering the Clinical Research Enterprise to Involve More Community Clinicians — Apr 3, 2011

This paper presents a model for the reorganization of clinical research to foster long-term participation by community clinicians.

JOURNAL ARTICLE

Where Do Poor Women in Developing Countries Give Birth? A Multi-Country Analysis of Demographic and Health Survey Data — Jan 31, 2011

Since most poor women deliver at home in developing countries, efforts to reduce maternal deaths should prioritize community-based interventions aimed at making home births safer.

JOURNAL ARTICLE

Comparing the Costs of Alternative Models of End-of-Life Care — Jan 1, 2011

The authors estimated at pounds 1.8 billion the cost to the taxpayer of care for the 127,000 patients dying from cancer in 2006. The equivalent cost for the 30,000 people dying from organ failure was pounds 553 million. Resources of pounds 16 to pounds 171 million could be released for cancer.

JOURNAL ARTICLE

Using a Cross-Study Design to Assess the Efficacy of Motivational Enhancement Therapy-Cognitive Behavioral Therapy 5 (MET/CBT5) in Treating Adolescents with Cannabis-Related Disorders — Dec 31, 2010

Youth with marijuana problems who received a research-based treatment (motivational enhancement therapy plus cognitive behavioral therapy [MET/CBT5]) had better outcomes than similar youth treated in community-based programs.

JOURNAL ARTICLE

Using a Community Partnered Participatory Research Approach to Implement a Randomized Controlled Trial: Planning Community Partners in Care — Jul 31, 2010

Community-based participatory research promotes community engagement in improving depression care.

JOURNAL ARTICLE

Small Area Variations in Out-of-Hospital Cardiac Arrest: Does the Neighborhood Matter? — Jun 30, 2010

Using surveillance data, researchers identified neighborhoods in a Georgia county with a persistently high incidence of cardiac arrest and low rates of bystander CPR. Such neighborhoods are promising targets for community-based interventions.

NEWS RELEASE

Colon Cancer Treatment Often Is Less Aggressive Than Recommended by Research — Mar 16, 2010

New results from a major initiative on the quality of cancer care in the U.S. have found that patients with a common type of colon cancer—especially older patients—often are not treated as aggressively with chemotherapy as research shows is necessary to improve survival.

RESEARCH BRIEF

South Los Angeles Ban on Fast-Food Chains Misses the Mark — Nov 2, 2009

Summarizes the evidence for the ban on new fast-food chain restaurants in South Los Angeles (LA), including the density of such restaurants in the area and the eating habits of South LA residents, and concludes that the data do not support the ban.

JOURNAL ARTICLE

Community Partners in Care: Leveraging Community Diversity to Improve Depression Care for Underserved Populations — Dec 31, 2008

This article describes the planning phase of the Community Partners in Care (CPIC) initiative, a community-based effort to improve quality and outcomes of depression treatment for adults.

JOURNAL ARTICLE

Community-based Participatory Research: Partnering with Communities for Effective and Sustainable Behavioral Health Interventions — Dec 31, 2008

The authors describe a community based participatory research (CBPR) effort to develop, pilot test, and conduct a randomized controlled trial of a school-based adolescent obesity prevention program.

RESEARCH BRIEF

Do Neighborhood Economic Conditions Influence the Consumption of Fruits and Vegetables? — Aug 11, 2008

This fact sheet summarizes a study examining the variation of the intake of fruits and vegetables for blacks, whites, and Mexican Americans, in addition to the relationship between neighborhood socioeconomic status and this intake.

RESEARCH BRIEF

Constrained Choice: Why Are Some Women and Men Able To Create and Maintain Healthy Lifestyles, While Others Are Not? — Apr 10, 2008

This fact sheet describes a model of constrained choice that explains how policy decisions at the family, work, community, and government levels can have unintended consequences that ultimately produce differences in men's and women's health.

JOURNAL ARTICLE

Does Place Explain Racial Health Disparities? Quantifying the Contribution of Residential Context to the Black/white Health Gap in the United States — Dec 31, 2007

Estimates place effects on racial health disparities. Controlling for a single point-in-time measure of residential context results in a 15-76% reduction of black/white disparities in self-rated health not accounted for by individual-level controls.

JOURNAL ARTICLE

The Relationship Between the Dimensions of Change Instrument and Retention in Therapeutic Community Treatment: The Moderating Influence of Time in Treatment — Dec 31, 2007

The Dimensions of Change Instrument (DCI) assesses aspects of the therapeutic community treatment process. The DCI predicts retention at the next stage, but the direction of the scale prediction varies as a function of client tenure in treatment.

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Researcher Spotlight

Anita Chandra

Manager, Behavioral and Social Sciences Group

Anita Chandra

Anita Chandra is a behavioral scientist and manager of the Behavioral and Social Sciences Group at the RAND Corporation, as well as a professor at the Pardee RAND Graduate School. Her background is in public health, child and adolescent health, and community-based participatory research and…

Laura Werber

Management Scientist

Laura Werber

Laura Werber is a management scientist at the RAND Corporation. She applies organizational theories and methods to a wide array of policy issues, including community partnerships, workforce management, and military families. Her recent military-sponsored projects include ones related to local…

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