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     <title>RAND Research Topic: Health Care Access</title>
     <link rel="self" href="http://www.rand.org/topics/health-care-access.xml"/>
     <updated>2012-02-10T23:04:12Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="http://www.rand.org/topics/health-care-access.html" />
     <rights>Copyright (c) 2012, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>http://www.rand.org/topics/health-care-access.html</id>
	 
 <entry>
   <title type="html">How Will the Effects of the Affordable Care Act Be Monitored?</title>
   <id>http://www.rand.org/commentary/2012/01/04/JAMA.html</id>
   <published>Jan 4, 2012</published>
   <updated>Jan 4, 2012</updated>
   <summary type="html">Most will agree with the undeniable fact that a new era in US medicine and US health care begins in less than 2 years. The key question is what potential measures should be monitored to determine both anticipated and unanticipated effects of the new law on the health of the US population, writes Robert H. Brook.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/commentary/2012/01/04/JAMA.html" />
   
 </entry>
 
 <entry>
   <title type="html">What Are the Public Health Implications of Prisoner Reentry in California?</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9634.html</id>
   <published>Dec 7, 2011</published>
   <updated>Dec 7, 2011</updated>
   <summary type="html">Examines the health care needs of released California prisoners, communities most affected by reentry, safety net capacity, and provider experiences with ex-prisoners, given California&apos;s Public Safety Realignment Plan and federal health care reform.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9634.html" />
   
 </entry>
 
 <entry>
   <title type="html">California Faces Challenges Meeting Health Needs of Offenders Released from Prison</title>
   <id>http://www.rand.org/news/press/2011/11/16.html</id>
   <published>Nov 16, 2011</published>
   <updated>Nov 16, 2011</updated>
   <summary type="html">With the health care safety net in California under stress from the state&apos;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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/11/16.html" />
   
 </entry>
 
 <entry>
   <title type="html">California Faces Challenges Meeting Health Needs of Offenders Released from Prison</title>
   <id>http://www.rand.org/pubs/monographs/MG1165.html</id>
   <published>Nov 16, 2011</published>
   <updated>Nov 16, 2011</updated>
   <summary type="html">With the health care safety net in California under stress from the state&apos;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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/monographs/MG1165.html" />
   
 </entry>
 
 <entry>
   <title type="html">Use of Retail Medical Clinics Rises Tenfold Over Two-Year Period</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100245.html</id>
   <published>Nov 22, 2011</published>
   <updated>Nov 22, 2011</updated>
   <summary type="html">Use of retail medical clinics located in pharmacies and other retail settings increased tenfold between 2007 and 2009. The determining factors in choosing one over a physician&apos;s office were found to be age, health status, income, and proximity to the clinic.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100245.html" />
   
 </entry>
 
 <entry>
   <title type="html">Ensuring the ACA Helps Reduce Disparities&amp;mdash;Not Exacerbate Them</title>
   <id>http://www.rand.org/commentary/2011/10/14/AHE.html</id>
   <published>Oct 14, 2011</published>
   <updated>Oct 14, 2011</updated>
   <summary type="html">Evidence from past efforts in the U.S. and abroad suggests that the full potential of health reform will not be realized without specific efforts to reduce disparities, write Robin M. Weinick, Malcom V. Williams, and Romana Hasnain-Wynia.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/commentary/2011/10/14/AHE.html" />
   
 </entry>
 
 <entry>
   <title type="html">Understanding Disparities in Health Care Access &amp;ndash; and Reducing Them &amp;ndash; Through a Focus on Public Health</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100203.html</id>
   <published>Oct 1, 2011</published>
   <updated>Oct 1, 2011</updated>
   <summary type="html">Approaching disparities through a public health framework can provide the foundation for developing more robust evidence to inform additional policies for improving access and reducing disparities.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100203.html" />
   
 </entry>
 
 <entry>
   <title type="html">Relative Affordability of Health Insurance Premiums Under CHIP Expansion Programs and the ACA</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100157.html</id>
   <published>Oct 1, 2011</published>
   <updated>Oct 1, 2011</updated>
   <summary type="html">Affordability benchmarks and premium-contribution requirements for Children&apos;s Health Insurance Program expansions in three states vary substantially, underscoring the ambiguity and subjectivity of affordability standards.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100157.html" />
   
 </entry>
 
 <entry>
   <title type="html">Why Are Many Emergency Departments in the United States Closing?</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9607.html</id>
   <published>Sep 9, 2011</published>
   <updated>Sep 9, 2011</updated>
   <summary type="html">Between 1990 and 2009, the number of emergency rooms (ERs) in nonrural U.S. hospitals declined by 27 percent (from 2,446 to 1,779). Economic factors play a central role in an ER&apos;s ability to remain open.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9607.html" />
   
 </entry>
 
 <entry>
   <title type="html">Spillover Effects of Community Uninsurance on Working-Age Adults and Seniors: An Instrumental Variables Analysis</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100168.html</id>
   <published>Sep 1, 2011</published>
   <updated>Sep 1, 2011</updated>
   <summary type="html">Access to care and care quality for those with insurance are poorer in communities in which many individuals are uninsured.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100168.html" />
   
 </entry>
 
 <entry>
   <title type="html">Insurance Expansion and Health Literacy</title>
   <id>http://www.rand.org/commentary/2011/08/09/JAMA.html</id>
   <published>Aug 9, 2011</published>
   <updated>Aug 9, 2011</updated>
   <summary type="html">The ongoing evolution of the health care system is leading US households toward greater responsibility for their own well-being. With this responsibility, however, comes an increasing need to be able to find, trust, use, and act on relevant information to make informed choices, write Laurie T. Martin and Ruth M. Parker.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/commentary/2011/08/09/JAMA.html" />
   
 </entry>
 
 <entry>
   <title type="html">Insurance Expansion and Health Literacy</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100161.html</id>
   <published>Aug 1, 2011</published>
   <updated>Aug 1, 2011</updated>
   <summary type="html">If the Affordable Care Act is to successfully expand health care coverage and access for those who most need it, states must implement strategies to ensure that those eligible for coverage are appropriately and efficiently enrolled.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100161.html" />
   
 </entry>
 
 <entry>
   <title type="html">RAND COMPARE Releases Revised Website</title>
   <id>http://www.rand.org/health/projects/compare.html</id>
   <published>Jul 20, 2011</published>
   <updated>Jul 20, 2011</updated>
   <summary type="html">Policymakers are facing new challenges as they implement&#160;the Patient Protection and Affordable Care Act (ACA). RAND COMPARE is&#160;a modeling tool that simulates the impact of implementation decisions&#160;on insurance coverage, premiums, and health care spending.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/health/projects/compare.html" />
   
 </entry>
 
 <entry>
   <title type="html">Healthy Partnerships: How Governments Can Engage the Private Sector to Improve Health in Africa</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100136.html</id>
   <published>Jun 1, 2011</published>
   <updated>Jun 1, 2011</updated>
   <summary type="html">Given the current realities of African health systems, governments will need to rely more heavily on the private health sector. This report assesses and compares the ways in which African governments are engaging with their private health sectors.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100136.html" />
   
 </entry>
 
 <entry>
   <title type="html">Health Innovation Transfer from South to North</title>
   <id>http://www.rand.org/pubs/documented_briefings/DB616.html</id>
   <published>May 25, 2011</published>
   <updated>May 25, 2011</updated>
   <summary type="html">This report presents findings from a study of health innovations transferred from South to North. This briefing examines technologies developed for developing country settings, which may have an application in the UK National Health Service.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/documented_briefings/DB616.html" />
   
 </entry>
 
 <entry>
   <title type="html">Factors Associated with Closures of Emergency Departments in the United States</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110092.html</id>
   <published>May 18, 2011</published>
   <updated>May 18, 2011</updated>
   <summary type="html">This study found that the number of emergency departments operating in the US from 1990 to 2009 declined by 27%. EDs with safety-net status, for-profit ownership, and low profit margin were at higher risk of closure.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110092.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Current State of Quality of Care Measurement in the California Department of Corrections and Rehabilitation</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110091.html</id>
   <published>Apr 1, 2011</published>
   <updated>Apr 1, 2011</updated>
   <summary type="html">California&apos;s prisons, which are operating under receivership for medical care, need help in improving the quality of health care they provide.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110091.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Impact of Patient Choice of Provider on Equity: Analysis of a Patient Survey</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110050.html</id>
   <published>Apr 1, 2011</published>
   <updated>Apr 1, 2011</updated>
   <summary type="html">&lt;p&gt;More educated, affluent patients were no more likely to be offered a choice than other population groups, but there does appear to be a social gradient in who chose to travel beyond the local area for treatment. If these results were replicated across England, there is at least the potential risk that when local hospitals are failing, patient choice could result in inequitable access to high quality care, rather than enhancing equity as the policy&apos;s architects had hoped.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110050.html" />
   
 </entry>
 
 <entry>
   <title type="html">Faith-based Organizations, Science, and the Pursuit of Health</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110019.html</id>
   <published>Feb 1, 2011</published>
   <updated>Feb 1, 2011</updated>
   <summary type="html">A faith-based health research network could create a framework for evaluating such efforts.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110019.html" />
   
 </entry>
 
 <entry>
   <title type="html">Is Choice of Physician and Hospital an Essential Benefit</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110004.html</id>
   <published>Jan 12, 2011</published>
   <updated>Jan 12, 2011</updated>
   <summary type="html">This research brief summaries results of a longitudinal study of military families, which found that spouses and children faced major challenges when one parent was deployed overseas.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110004.html" />
   
 </entry>
 
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