Health and Health Care

RAND advances understanding of health and health behaviors and examines how the organization and financing of care affect costs, quality, and access. RAND's body of research—conducted primarily through the RAND Health division—includes innovative studies of health insurance, health care reform, health information technology, and women's health, as well as topical concerns such as obesity, complementary and alternative medicine, and PTSD in veterans and survivors of catastrophe.

Research conducted by: RAND Health; Military Health Policy Research; RAND Europe; RAND Drug Policy Research Center; RAND Justice, Infrastructure, and Environment; RAND Labor and Population; RAND Gulf States Policy Institute

Featured at RAND

The Affordable Care Act: Four Key Policy Areas

Obama signing the ACA

With the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.

Four Strategies to Contain America's Growing Health Care Spending

pills and coins

In its second term, the Obama Administration can restrain further health care spending growth—without compromising quality—by employing four broad strategies: fostering efficient and accountable providers, engaging and empowering consumers, promoting population health, and facilitating high-value innovation.

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Commentary

Ruling Can Lead to Tougher New York Soda Ban — Mar 12, 2013

a glass of cola with ice cubes

New York should see the judge's ruling as an opportunity to revise the law to close the loopholes, including the Big Gulp exemption, and develop regulations in line with the scientific consensus that even 16 ounces is way too much, writes Deborah Cohen.

Commentary

Tuberculosis Outbreak in LA Reminds Us of Importance of 'Bread and Butter' Public Health Capabilities — Mar 12, 2013

Center for Domestic Preparedness Training

In this fiscally uncertain climate, we should continue to leverage the dual-use benefit of bioterrorism investments by building and maintaining those routine (but essential) public health capabilities that can also be used in response to a variety of public health emergencies.

Commentary

The SSDI Program's Impact on Human Capital — Mar 8, 2013

The combined effects of having potentially employable individuals receive SSDI benefits, and the loss of skills among those who are denied benefits, are significant, write Nicole Maestas and Kathleen Mullen.

Commentary

A National Strategy for Supporting Military Caregivers — Mar 7, 2013

The act of caring for a veteran takes a physical, mental, and economic toll on caregivers and their families. Giving caregivers the skills and resources they need to cope and thrive should be as much a priority as giving veterans medical care.

News Release

Military Caregivers Aid Injured Warriors, but Little Is Known About Their Needs — Mar 7, 2013

Spouses, family members, and others who provide informal care to U.S. military members after they return home from conflict often toil long hours with little support, putting them at risk for physical, emotional, and financial harm.

Report

Military Caregivers Aid Injured Warriors, but Little Is Known About Their Needs — Mar 7, 2013

Spouses, family members, and others who provide informal care to U.S. military members after they return home from conflict often toil long hours with little support, putting them at risk for physical, emotional, and financial harm.

Blog

RAND Is Helping Santa Monica Measure the City's Overall Well-being — Mar 1, 2013

RAND is helping its hometown of Santa Monica, Calif., become the first city in America to use a measurement of overall wellbeing to drive public policy.

Journal Article

Measuring Client Perceptions of Motivational Interviewing: Factor Analysis of the Client Evaluation of Motivational Interviewing Scale — Mar 1, 2013

Motivational interviewing (MI) is an intervention approach that has solid evidence of efficacy with substance use disorders.

Journal Article

The Evolution of Patient-Based Outcome Assessment Instruments in Acupuncture Research: Choosing Patient-Based Outcomes — Mar 1, 2013

In this chapter, we present the PBOA instruments that have been used to determine outcomes in acupuncture clinical research, and highlight measures that are feasible, practical, economical, reliable, valid, and responsive to clinical change.

Journal Article

Reducing Quality-of-Care Disparities in Childhood Asthma: La Red De Asma Infantil Intervention in San Juan, Puerto Rico — Mar 1, 2013

The objective of this study was to describe our experience in reducing quality-of-care disparities among Puerto Rican children with asthma by adapting 2 existing evidence-based asthma interventions.

Journal Article

Race and Beliefs About Mental Health Treatment Among Anxious Primary Care Patients — Mar 1, 2013

There are large racial disparities in the use of mental health care. But they are not explained by different treatment preferences across ethnic and racial groups.

Journal Article

The Accuracy of Diagnostic Coding for Acute Kidney Injury in England: A Single Centre Study — Mar 1, 2013

Acute kidney injury (AKI) is an independent risk factor for mortality and is responsible for a significant burden of healthcare expenditure, so accurate measurement of its incidence is important.

Journal Article

Well-child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools — Mar 1, 2013

Providing care in groups, using non-face-to-face formats, and adding a developmental specialist can increase the effectiveness and efficiency of well-child care.

Journal Article

Evaluating the Economics of Complementary and Integrative Medicine — Mar 1, 2013

If CIM is to be considered in broader healthcare strategies, its economic impact must be determined.

Journal Article

Using Patient-Facing Kiosks to Support Quality Improvement at Mental Health Clinics — Mar 1, 2013

Patients used kiosks in mental health clinics to provide routine data on clinical status and treatments. The data were used to improve quality of care.

Journal Article

Inpatient Fall Prevention Programs as a Patient Safety Strategy: A Systematic Review — Mar 1, 2013

The purpose of this updated review is to reassess the benefits and harms of fall prevention programs in acute care settings and to identify factors associated with successful implementation of these programs.

Journal Article

The Top Patient Safety Strategies That Can Be Encouraged for Adoption Now — Mar 1, 2013

This paper describes the first phase of a three-phase effort to conduct an evidence-based assessment of patient safety strategies. The paper describes a framework for reviewing existing studies and prospectively evaluating new studies of the implementation of patient safety practices.

Journal Article

Nurse-Patient Ratios as a Patient Safety Strategy: A Systematic Review — Mar 1, 2013

A small percentage of patients die during hospitalization or shortly thereafter, and it is widely believed that more or better nursing care could prevent some of these deaths.

Journal Article

Redesign of an Electronic Clinical Reminder to Prevent Falls in Older Adults — Mar 1, 2013

The authors redesigned an electronic clinical reminder to improve identification and management of Veterans at high risk for falls, and piloted the reminder in 3 Veterans Health Administration community-based outpatient clinics.

Journal Article

Strategies to Improve Patient Safety: The Evidence Base Matures — Mar 1, 2013

The Agency for Healthcare Research and Quality commissioned a team to reexamine the evidence behind key patient safety strategies (PSSs).

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