Health Care Accessibility

Access to health care refers to the ease with which an individual can obtain needed medical services. RAND research has examined the social, cultural, economic, and geographic factors that influence health care access worldwide; the effects of changes in access; and the relationship between access and health for specific U.S. populations—including racial and ethnic minorities, people with limited English proficiency, the uninsured, the elderly, children, and veterans.

Research conducted by: RAND Health; RAND National Security Research Division; Global Health; Military Health Policy Research

All Items (283)

Report

Barts or Basildon? — Mar 11, 2010

Are patients willing to travel for healthcare? RAND Europe's report on patient choice.

Research Brief

Post-Katrina Project Demonstrates a Rapid, Participatory Assessment of Health Care and Develops a Partnership for Post-Disaster Recovery in New Orleans — Mar 10, 2010

Stakeholders in communities in which health care access was disrupted by Hurricane Katrina were engaged in an assessment of health priorities, as well as in data interpretation and plan design, to produce a sustainable community-academic partnership.

Research Brief

The Teen Depression Awareness Project: Building an Evidence Base for Improving Teen Depression Care — Jan 15, 2010

Presents findings from the Teen Depression Awareness Project, which explored how depression affects teens, the factors that influence teens' readiness to seek treatment for depression, and the barriers that teens and parents face when seeking care.

Report

Require Individuals to Obtain Coverage — Jan 8, 2010

This document explores how requiring individuals to obtain health insurance (an individual mandate) would affect health system performance along nine dimensions.

Report

Require Employers to Offer Coverage — Jan 8, 2010

This document explores how requiring employers to offer health insurance (an employer mandate) would affect health system performance along nine dimensions.

Report

Increase the Use of "Bundled" Payment Approaches — Jan 8, 2010

This document explores how increased use of bundled payment approaches would affect health system performance along nine dimensions.

Report

Ease Medicaid/SCHIP Eligibility Rules — Jan 8, 2010

This document explores how expanding Medicaid/SCHIP eligibility would affect health system performance along nine dimensions.

Report

Modify Federal Tax Code to Create Incentives for Individuals to Obtain Coverage — Jan 8, 2010

This document explores how a refundable tax credit to offset the cost of health insurance premiums would affect health system performance along nine dimensions.

Journal Article

Why Do Patients Seek Care at Retail Clinics, and What Alternatives Did They Consider? — Jan 1, 2010

This study found that patients were satisfied with the overall experience and were attracted to retail clinics because of their convenient locations and fixed, transparent pricing.

Journal Article

Sociodemographic Characteristics of Communities Served By Retail Clinics — Jan 1, 2010

To better understand the potential for retail clinics, the authors describe the sociodemographic characteristics of the communities in which they operate.

Journal Article

What If Physicians Actually Had to Control Medical Costs? — Jan 1, 2010

This commentary suggests that rationing health care is inevitable and urges physicians to lead the way in developing a plan to do it reasonably and equitably.

Journal Article

Private Sector Participation and Health System Performance in Sub-Saharan Africa — Jan 1, 2010

The participation of the private sector in providing health care in developing countries is associated with greater access to care and reduced disparities between rich and poor and urban and rural populations.

Journal Article

Risk-adjusted Capitation Rates for Children: How Useful Are the Survey-Based Measures? — Jan 1, 2010

National health surveys can provide information, including measures of special health care needs, that can improve risk-adjustment models and help provide appropriate payments to managed-care plans serving vulnerable children.

Journal Article

Financial Barriers to the Adoption of Combination Vaccines By Pediatricians — Jan 1, 2010

One in 5 pediatricians reported that inadequate reimbursement prevented their using 1 or more combination vaccines. Vaccination was less likely in smaller practices, and those with a lower proportion of publicly insured patients.

Journal Article

Rapid Community Participatory Assessment of Health Care in Post-Storm New Orleans — Dec 1, 2009

Community members emphasized healthcare access challenges; unmet needs of specific vulnerable populations; and opportunities, resources, and community adaptations to improve healthcare access.

Journal Article

Improving Disaster Mental Health Care in Schools: A Community-Partnered Approach — Dec 1, 2009

School-based mental health counselors and administrators need greater organizational structure that supports school counselors and provides system-level support for services after a disaster.

Journal Article

Recent Trends in State Children's Health Insurance Program Eligibility and Coverage for CSHCN — Dec 1, 2009

This study found that a dramatic increase between 2001 and 2005 in the number of uninsured children with special health care needs who were eligible for SCHIP.

Research Brief

Children's Health in Washington, D.C.: Access and Health Challenges Despite High Insurance Coverage Rates — Oct 28, 2009

Assesses children's health issues in Washington, D.C., including the health care delivery system and neighborhood health environments.

Report

National Evaluation of the Demonstration to Improve the Recruitment and Retention of the Direct Service Community Workforce — Oct 21, 2009

Evaluates ten demonstrations to increase recruitment and retention among direct service workers -- workers who provide personal assistance or nonmedical services to people who need help with activities of daily living.

Report

Create or Expand Access to Purchasing Pools — Oct 12, 2009

This document explores how creating or expanding access to purchasing pools would affect health system performance along nine dimensions.

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