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; Center for Military Health Policy Research; RAND Europe; RAND Drug Policy Research Center; RAND Law, Business, and Regulation; RAND Labor and Population; RAND Gulf States Policy Institute

Featured at RAND

How Will Eliminating the Individual Mandate Affect Health Coverage and Premium Costs?

The individual mandate of the Patient Protection and Affordable Care Act of 2010 (ACA) requires that most Americans either obtain health coverage or pay an annual fine. How much will overturning the individual mandate affect costs and coverage?

Journal Articles (4355)

Influence of Peers and Friends on Children's and Adolescents' Eating and Activity Behaviors — Jun 1, 2012

In this article, we synthesize the empirical literature on the influence of peers and friends on youth's eating and physical activity.

Global Dimensions of Public Health Preparedness and Implications for US Action — Jun 1, 2012

This study suggests four timely US actions to address today's competing realities of globalization and economic austerity: raise awareness among clinicians and local health departments; capture and share exemplary disaster management practices across countries; ensure that US global health investments are effective, efficient, and sustainable; and think globally while acting locally to enhance US health security.

Some Menus of U.S. Sit-down Chain Restaurants Are as Unhealthy as Fast Food — May 21, 2012

A review of menu nutrition information in U.S. sit-down chain restaurants found that 96 percent of main entrées exceeded the daily limits for calories, sodium, fat, and saturated fat recommended by the USDA.

Probiotics Can Reduce Risk of Diarrhea Caused by Antibiotics — May 8, 2012

Probiotics are believed to improve health by maintaining a normal balance of microorganisms in the human intestines. Evidence shows that they can reduce the risk of developing diarrhea, which is a common side effect of taking antibiotics.

Expanding Consumer-Directed Health Plans Could Help Cut Overall Health Care Spending — May 7, 2012

If consumer-directed health plans grow to account for half of all employer-sponsored insurance in the United States, health costs could drop by $57 billion annually—about 4 percent of all health care spending among the nonelderly.

What Is the Evidence That Vitamin C Supplements Lower Blood Pressure? — May 1, 2012

This editorial uses a recent meta-analysis on the effects of vitamin C on blood pressure to highlight pitfalls in nutrition research design.

Attitudes and Beliefs Related to HIV/AIDS in Urban Religious Congregations: Barriers and Opportunities for HIV-related Interventions — May 1, 2012

Affirming norms and attitudes are not a prerequisite for urban congregations to initiate HIV prevention and care activities, a finding relevant for HIV services providers and researchers seeking to engage congregations on this issue.

Parental and Societal Values for the Risks and Benefits of Childhood Combination Vaccines — May 1, 2012

Respondents in a representative sample of the US adult thought combination vaccines were safe and were willing to pay extra to avoid minor side effects and increase vaccination coverage in their communities.

Medication Adherence to Multi-Drug Regimens — May 1, 2012

The objective of this article was to provide background information about medication adherence and its measurement, the development of the conceptual model for use in adherence research, and supportive intervention strategies such as pharmaceutical care by pharmacists to improve chronic medication use in older adults.

Cost-effectiveness Analysis of Interferon Beta-1b for the Treatment of Patients with a First Clinical Event Suggestive of Multiple Sclerosis — May 1, 2012

This study assesses, from a Swedish societal perspective, the cost effectiveness of interferon β-1b (IFNB-1b) after an initial clinical event suggestive of multiple sclerosis (MS) (ie, early treatment) compared with treatment after onset of clinically definite MS (CDMS) (ie, delayed treatment).

Trends in Risk Perceptions and Vaccination Intentions: A Longitudinal Study of the First Year of the H1N1 Pandemic — Apr 1, 2012

This study seeks to evaluate longitudinal trends in people's risk perceptions and vaccination intentions during the 2009 H1N1 pandemic.

Socioeconomic Support Reduces Nonretention in a Comprehensive, Community-Based Antiretroviral Therapy Program in Uganda — Apr 1, 2012

The authors evaluated the benefit of socioeconomic support (S-E support), comprising various financial and nonfinancial services that are available based on assessment of need, in reducing mortality and lost to follow-up (LTFU) at Reach Out Mbuya, a community-based, antiretroviral therapy program in Uganda.

Patient Experience of Care in the Safety Net: Current Efforts and Challenges — Apr 1, 2012

Tailored measurement and quality improvement resources, coupled with policy mandates to give all patients a voice, would improve the quality of patient-centered care in safety-net organizations.

Concurrent Mental Health Therapy Among Medicaid-enrolled Youth Starting Antipsychotic Medications — Apr 1, 2012

The authors of this study examined the extent to which youths being prescribed antipsychotic medications were receiving concurrent mental health therapy.

Implementation of the CALM Intervention for Anxiety Disorders: A Qualitative Study — Apr 1, 2012

Investigators recently tested the effectiveness of a collaborative-care intervention for anxiety disorders, Coordinated Anxiety Learning and Management(CALM), in 17 primary care clinics around the United States.

Multicultural Web-Based Motivational Interviewing for Clients with a First-Time DUI Offense — Apr 1, 2012

A culturally relevant web-based Motivational Interviewing in English and Spanish was developed to serve as a standalone or adjunctive program in DUI educational settings. This study evaluated its feasibility and acceptability among clients.

Survey Results Show That Adults Are Willing to Pay Higher Insurance Premiums for Generous Coverage of Specialty Drugs — Apr 1, 2012

This study estimated how healthy people value insurance coverage of specialty drugs, defined as high-cost drugs that treat cancer and other serious health conditions like multiple sclerosis, by quantifying willingness to pay via a survey.

An Analysis of Whether Higher Health Care Spending in the United States Versus Europe Is 'Worth It' in the Case of Cancer — Apr 1, 2012

The higher-cost US system of cancer care delivery may be worth it, although further research is required to determine what specific tools or treatments are driving improved cancer survival in the United States.

Consumers' and Providers' Responses to Public Cost Reports, and How to Raise the Likelihood of Achieving Desired Results — Apr 1, 2012

Public reporting of health care costs is intended to motivate consumers to choose lower cost providers, and motivate providers to lower costs to retain market share. Measures should be chosen based on which pathway policymakers intend to influence.

Junk Foods in Schools and Childhood Obesity — Apr 1, 2012

The availability of junk food does not significantly increase BMI or obesity among a group of fifth-graders even though they are likely to buy junk food.

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