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.

Journal Articles (4919)

HIV Risk Behavior and Access to Services: What Predicts HIV Testing Among Heterosexually Active Homeless Men — May 3, 2013

This study examined the association between individual (HIV risk) and structural (service access) factors and past year HIV testing.

Can Tobacco Control Endgame Analysis Learn Anything from the U.S. Experience with Illegal Drugs? — May 1, 2013

The goals of tobacco control endgame strategies are specified in terms of the desired levels of tobacco use and/or tobacco related health consequences.

Impact of Socioeconomic Adjustment on Physicians' Relative Cost of Care — Apr 26, 2013

Ongoing efforts to profile physicians on their relative cost of care have been criticized because they do not account for differences in patients' socioeconomic status (SES).

California's Historic Effort to Reduce the Stigma of Mental Illness: The Mental Health Services Act — Apr 24, 2013

In a historic effort to reduce the stigma of mental illness, California voters approved the Mental Health Services Act in 2004.

Insomnia: Can't Sleep, Can't Get Diagnosed — Apr 15, 2013

insomnia

Insomnia is very common, but most of its sufferers don't receive a diagnosis or treatment. However, educating primary care providers and other professionals about insomnia can help.

Cost of Dementia Tops $157 Billion Annually in the United States — Apr 3, 2013

an elderly couple, man possibly with dementia

The monetary cost of dementia in the United States ranges from $157 billion to $215 billion annually, making the disease more costly to the nation than either heart disease or cancer. The greatest cost is associated with providing institutional and home-based long-term care rather than medical services.

The Carrot and the Stick: A Cross-Sectional Study of the Influences on Responsible Merchant Practices to Reduce Underage Drinking — Apr 2, 2013

Merchants who hold more pro-enforcement attitudes engage in more responsible beverage service training practices, which in turn is associated with greater enforcement of underage drinking. These attitudes are potential targets of prevention efforts.

Hervormingenvan Brandweer - En Reddingsdiensten in Europa: (Lighting the Touch Paper of Reform? Case Studies in Fire and Rescue Service Reform in Europe) — Apr 1, 2013

In the age of austerity, Fire and Rescue Services (FRS) provision is now the focus of policymakers' efficiency drives.

Using a Hospital Quality Improvement Toolkit to Improve Performance on the AHRQ Quality Indicators — Apr 1, 2013

A team from RAND and the University HealthSystem Consortium (UHC) developed a toolkit to help hospitals enhance their quality improvement efforts using quality indicators from the Agency for Healthcare Research and Quality.

How Much Does "How Much" Matter? Assessing the Relationship Between Children's Lifetime Exposure to Violence and Trauma Symptoms, Behavior Problems, and Parenting Stress — Apr 1, 2013

The study explores whether and how lifetime violence exposure is related to a set of negative symptoms: child internalizing and externalizing behavior problems, child trauma symptoms, and parenting stress.

The Nursing Workforce in an Era of Health Care Reform — Apr 1, 2013

Despite the projections of severe shortages made just 10 years ago, a combination of policy efforts, a responsive education system, private-sector initiatives, and the effects of the recession has led to unexpected growth in the nursing workforce.

Livelihood Experiences and Adherence to HIV Antiretroviral Therapy Among Participants in a Food Assistance Pilot in Bolivia: A Qualitative Study — Apr 1, 2013

Health and development organizations increasingly promote livelihood interventions to improve health and economic outcomes for people living with HIV (PLHIV) receiving treatment with antiretroviral therapy (ART).

Discounts on Healthy Foods Can Improve Diet Quality; First Result from a National Program — Mar 19, 2013

fruits and vegetables

Lowering the costs of healthy foods in supermarkets increases the amount of fruits, vegetables, and whole grain foods that people eat, while also appearing to reduce consumption of nutritionally less-desirable foods.

The Relationship Between Urban Sprawl and Coronary Heart Disease in Women — Mar 13, 2013

housing sprawl

Women living in more compact communities had a lower probability of experiencing a coronary heart disease (CHD) event or dying as a result of CHD.

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.

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.

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.

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.

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.

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.

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