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.
The performance of health systems is a key determinant of the inclusiveness of economic growth. With Kenya and Tanzania as case studies, RAND Europe is exploring whether potential synergies between industrial development and health systems can contribute to faster and more inclusive growth.
By using newly available data from more than 15 countries, researchers are analyzing how the interaction between individual behavior, social context, institutions, and policies shapes health and well-being in old age.
An evaluation of 16 integrated care pilot programs in England revealed that greater integration of health and social care led to improved care processes and more satisfied staff, but some aspects of patient experience were less positive, and the intended reduction in emergency admissions was not seen.
Employment trajectories following the onset of disability are poorly understood. Employer-focused policy interventions may reduce uptake in public disability insurance and disability-induced early retirement.
As the Affordable Care Act expands health insurance coverage in the U.S., the "cost" of applying for SSDI will decline for many. Studying the effect of Massachusetts health care reform in 2006 may provide insights into the impact the ACA may have on SSDI applications and awards.
RAND Europe is working to capture a broader view of malaria's impacts on the economy and to estimate the potential effects that reduced malaria could have over time on consumption inequality, poverty, and dynamic growth.
RAND Europe is conducting an independent evaluation of the Department of Health's drug and alcohol recovery payment-by-results pilots to determine whether market forces can encourage the development of better recovery programmes.
Previous research has shown that changes in income and health insurance are associated with changes in health and/or mortality. An examination of administrative data may show whether receipt of Social Security Disability Insurance and participation in related programs causally affect survival rates among applicants.
The Agency for Healthcare Research and Quality (AHRQ) has released a free toolkit designed to guide hospitals in using the AHRQ Patient Safety Indicators and Inpatient Quality Indicators to improve hospital performance. A RAND Health team, in partnership with UHC, developed and field-tested the toolkit.
A new online tool, called the "Unintended Consequences Guide," is available from the U.S. Agency for Healthcare Research and Quality to help hospitals and other health care organizations anticipate, avoid, and address problems that can occur when adopting and using electronic health records.
Given the worldwide trend of aging populations, it is important to learn about the long- and short-term effects of non-contributory social security programs. With the State of Yucatan, CLASP designed such a program for towns with more than 20,000 inhabitants. The project team is now evaluating its impact on the welfare of residents ages 70 and older.
By measuring the quality of care for carpal tunnel syndrome (CTS) in a large workers' compensation provider organization in California and assessing value to workers and employers, RAND laid the groundwork for ongoing quality assessment and improvement programs in workers' compensation settings within California and elsewhere.
Leaving the work force early has become commonplace in developed countries. Understanding the financial incentives and other factors that induce individuals to retire early, can help policymakers design effective reforms to help guarantee the financial stability of pension systems.
The U.S. Department of Defense sponsors many programs for servicemembers and their families. RAND compiled a searchable online catalog of 211 programs that address psychological health and traumatic brain injury.
Changing the Social Security Disability Insurance program rules could reduce caseload costs by encouraging a return to work, but it could also create unintended consequences by inducing more workers to apply for benefits.
How does policy support science and how does science in turn support policy? What works in terms of funding science and in maximizing academic, social and economic 'payback' from investment in science? RAND Europe is a leader in understanding the returns from different kinds of investment in science and research.
Policymakers are facing new challenges as they implement the Patient Protection and Affordable Care Act (ACA). RAND COMPARE is a modeling tool that simulates the impact of implementation decisions on insurance coverage, premiums, and health care spending.
The sustained ability of a community to withstand and recover from adversity, at both the infrastructure and human levels, is a key policy issue. This project asks, what are the key levers for building and strengthening community resilience and what specific activities can communities undertake?
Many complex issues surround the use of antiretroviral therapy as HIV prevention. RAND Europe is partnering with several organisations on Mapping Pathways, a project that will explore potential treatment regimes and conduct research, community engagement, and policy work in the U.S., India, and South Africa.
The RAND Center for Disability Research aims to better understand the social and economic causes and consequences of disability. Research themes include examining the roles of employers, health-care markets, knowledge networks, and social insurance programs.
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