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.

Reports (1033)

Improving the Professional Development System for California's Early Child Education Workforce — Feb 28, 2012

California has taken steps to implement components of a comprehensive professional development system for its early child education workforce. However, further advances are needed and more information is required to identify possible inefficiencies in the current system.

The Use of Early Care and Education by California Families — Feb 28, 2012

Describes child care and early learning arrangements for the approximately 2.8 million California children ages 0 to 5 who are younger than the age at which they would enter kindergarten.

Ending Individual Mandate Would Cut Health Coverage, but Not Dramatically Hike Insurance Price — Feb 16, 2012

Eliminating a key part of health care reform that requires all Americans to have health insurance would sharply lower the number of people gaining coverage, but would not dramatically increase the cost of buying policies through new insurance exchanges.

Sustainable Development in the National Health Service (NHS): The views and values of NHS leaders — Jan 31, 2012

A first systematic picture of United Kingdom National Health Service (NHS) leaders' views of priorities and approaches regarding sustainable development (SD). Survey and interview responses are drawn on to show the importance of SD and ways forward.

California Workplace Safety Program Can Reduce Injuries When Inspectors Enforce It — Jan 26, 2012

The first evaluation of the California Injury and Illness Prevention Program found that it reduces workplace injuries, but only at businesses that had been cited for not addressing the regulation's more-specific safety mandates. Having inspectors conduct more in-depth assessments and linking the violations and injuries to the program would have more impact.

Preventing emergency readmissions to hospital: A scoping review — Jan 25, 2012

The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.

Research Gaps and Measurement Challenges for Studying the Influence of New Media on Adolescent Sexual Health — Jan 24, 2012

An expert panel was convened to develop a working knowledge base about the use of new media (the Internet, social networking sites, cell phones, online video games, MP3 players) among adolescents and the potential impact on their sexual health.

Los Angeles County Juvenile Justice Crime Prevention Act: Fiscal Year 2009-2010 Report — Jan 24, 2012

The Juvenile Justice Crime Prevention Act funds programs that curb crime among juvenile probationers and young at-risk offenders. This report summarizes, for fiscal year 2009-2010, state- and county-determined outcome measures from each program.

Support for Students Exposed to Trauma (Japanese translation) — Jan 13, 2012

Japanese translation of Support for Students Exposed to Trauma, a series of lessons aimed at reducing distress for middle school students who have been exposed to a traumatic life event.

Promoting Vaccines in Office-Based Medical Settings Is Needed to Boost Adult Immunization Rates — Jan 11, 2012

Promoting immunizations as a part of routine office-based medical practice is needed to improve adult vaccination rates, a highly effective way to curb the spread of diseases across communities, prevent needless illness and deaths, and lower health care costs.

Threats Without Threateners? Exploring Intersections of Threats to the Global Commons and National Security — Jan 10, 2012

National security implications and interconnections are explored among climate change, water scarcity, and pandemics, using examples of familiar and new policy approaches to inspire innovative thinking about threats to the global commons.

National Evaluation of Safe Start Promising Approaches: Assessing Program Outcomes — Jan 4, 2012

Shares the results of Safe Start Promising Approaches, a community-based initiative that implemented and evaluated promising and evidence-based programs to prevent and reduce the impact of children's exposure to violence in 15 U.S. program sites.

More Transparency, Efficiency Needed to Improve Impact of HIV Funding in Developing Countries — Dec 14, 2011

With the need for HIV services in developing countries rising and the availability of funding flat or declining, existing resources should be better leveraged to help provide life-saving services to more people in need.

An Evaluation of the Use of Performance Measures in Health Care — Dec 9, 2011

This report presents the results of an evaluation of health care performance measures, describes how performance measures are being used, summarizes key barriers and facilitators to their use, and identifies opportunities for easing that use.

Suicide Prevention Efforts and Behavioral Health Treatment in the Veterans Health Administration — Dec 2, 2011

Testimony presented before the House Veterans' Affairs Committee, Subcommittee on Health on December 2, 2011.

Patient Incentives to Motivate Doctor Visits and Reduce Hypertension Disparities — Nov 30, 2011

Examines whether small financial incentives for patients can motivate physician visits and reduce racial/ethnic disparities in hypertension.

A New Approach for Assessing the Needs of Service Members and Their Families — Nov 21, 2011

A survey tool based on a new methodological framework can be used by the Department of Defense and local military commanders to gauge the problems and problem-related needs of service members and their families, how well those needs are being met, and the barriers and bridges to accessing services.

California Faces Challenges Meeting Health Needs of Offenders Released from Prison — Nov 16, 2011

With the health care safety net in California under stress from the state's continuing financial crisis, jurisdictions across the state face unprecedented challenges caring for the health and social service needs of people released from state prisons.

Multicomponent Dietary Supplements for the Military — Nov 14, 2011

An expert panel considered issues pertaining to the development, assessment, and regulation of multicomponent dietary supplements for the military to enhance performance and promote health.

Better Coordination of Psychological Health, Traumatic Brain Injury Programs for Military Needed — Nov 9, 2011

Despite the recent drawdown in Iraq, the high operational tempo of the past decade that has included longer and more-frequent deployments has resulted in significant mental health problems among some servicemembers. More than 200 programs are available to help treat psychological health and traumatic brain injury issues, but better coordination of those efforts is needed.

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