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Health Care Evaluation

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The gap between the care patients should get and what they actually receive likely contributes to thousands of preventable deaths each year, and health care systems worldwide continue to face the challenge of delivering quality care at an affordable cost. RAND has conducted research designed to measure and improve health care quality and to provide reliable decision support data to patients, providers, and purchasers.

Report

Quality of Patient Care Drives Physician Satisfaction; Doctors Have Concerns About Electronic Health Records

Oct 9, 2013

Being able to provide high-quality health care is a primary driver of job satisfaction among physicians, and obstacles to quality patient care are a source of stress for them. For example, the systems for electronic health records in use today are cumbersome to operate and contribute to their dissatisfaction.
Journal Article

Measuring Performance in Psychiatry: A Call to Action

Apr 21, 2015

A comprehensive set of well-accepted behavioral health care quality measures—including functional outcome measures—would make it easier to demonstrate the value and impact of behavioral health treatment.

Explore Health Care Quality

Journal Article

Journal Article

Challenges Of Measuring Quality Of Community-Based Programs For Seriously Ill Individuals And Their Families

Quality measures and payment approaches for community-based programs serving seriously ill patients should incorporate core components such as communication, shared decision making, and advance care planning.

Jul 19, 2017
Journal Article

Journal Article

Using the Electronic Health Record to Understand and Minimize Overuse

Electronic health records represent a key opportunity to address overuse and the high costs of care and to realize benefit from one of the country's major health care investments.

Jul 19, 2017
Journal Article

Journal Article

Quality of Care for Work-Associated Carpal Tunnel Syndrome

Over 80 percent of a regional system's occupational clinics adhered to recommended care processes for Carpal tunnel syndrome, and differences in care quality were associated more with clinical factors than patient socioeconomics and demographics.

Jul 18, 2017
Journal Article

Journal Article

High Healthcare Utilization Near the Onset of Medically Unexplained Symptoms

Veterans who had a new onset of medically unexplained symptoms used healthcare at the same level as patients with chronic physical symptoms.

Jul 14, 2017
Journal Article

Journal Article

Using "Roll-up" Measures in Healthcare Quality Reports: Perspectives of Report Sponsors and National Alliances

"Roll-up" measures of health care quality are meant to simplify and summarize ratings, but methods for generating and reporting them vary substantially, and little is known about whether their meaning is sufficiently clear to consumers.

Jul 14, 2017
Journal Article

Black and Hispanic Patients More Likely to Use Lower-Quality Hospices

Black and Hispanic patients are more likely to receive care from poorer-quality hospices. And their family caregivers are less likely to receive the right amount of emotional and religious support in hospice care. However, caregivers of black and Hispanic patients report similar or better experiences than caregivers of white patients within a given hospice.

Jul 14, 2017
Journal Article

Journal Article

Infection Trends in US Nursing Homes, 2006–2013

The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.

Jul 13, 2017
Journal Article

Journal Article

Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission: A Systematic Review and Meta-analysis

Many interventions reduce hospital readmissions, but not all generate cost savings, and many readmissions are in the patients' best interests and not avoidable.

Jul 12, 2017
Commentary

Community Hospitals: A Traditional Solution to Help Today's NHS?

Community hospitals could be better integrated into the current healthcare system in England and can play an important role in the middle of the patient journey between home and hospital. If done correctly, community hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.

Jul 11, 2017
Project

Advancing Community Hospitals and Services in England

Community hospitals could be better integrated into the NHS England healthcare system to offer an effective and efficient alternative to acute hospitals and to provide health and social care closer to people’s homes. However, there is limited evidence on the cost effectiveness of community hospitals.

Jul 11, 2017
Journal Article

Journal Article

Community Hospitals and Their Services in the NHS: Identifying Transferable Learning from International Developments — Scoping Review, Systematic Review, Country Reports and Case Studies

Community hospitals can provide effective care and are valued by patients and their families, but there is limited evidence to understand these benefits against the costs of community hospitals.

Jul 7, 2017
News Release

Three Possible Measures for Quality Medical Care May Help Cut Deaths from Opioid Addiction by One-Third

Following three possible recommendations for medical care for people with an opioid addiction may cut deaths among such patients by as much as one-third. Deaths were much lower among patients who were not prescribed opioids or common types of anxiety medications, those who received psychosocial counseling, and those who had quarterly visits with a physician.

Jun 27, 2017
Report

Report

Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Report

This report contains an independent evaluation of the Federally Qualified Health Center Advanced Primary Care Practice Demonstration for the Centers for Medicare and Medicaid.

Jun 26, 2017
Project

Innovation as a driver of quality and productivity in UK healthcare

The United Kingdom's (UK's) National Health Service (NHS), as with all national health and care systems, is under pressure to meet the growing and changing demand for services with limited resources. Innovations spanning technologies, products, services and new ways of working, provide opportunities to respond creatively and effectively to growing health demands across all age groups. However, such innovations need to be accomplished within well-recognised resource constraints, while achieving efficiencies and improvements in how healthcare is delivered.

Jun 15, 2017
Journal Article

Journal Article

Implementation and Evaluation of a Prototype Consumer Reporting System for Patient Safety Events

A prototype hotline showed the feasibility of a consumer-oriented method to patient safety reporting, though further research is needed to understand how to increase consumers' use of these systems.

Jun 14, 2017
Journal Article

Journal Article

The Role of Antipsychotic Plasma Levels in the Treatment of Schizophrenia

Antipsychotic plasma levels may be used to guide the management of patients with schizophrenia who exhibit poor response or poor tolerance.

Jun 12, 2017
Journal Article

Journal Article

Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing

Despite growing availability of cost and quality information, hip and knee replacement patients almost always focus on the choice of a surgeon, primarily based on reputation, as opposed to a hospital.

Jun 12, 2017
Journal Article

Journal Article

Provision of Peer Specialist Services in VA Patient Aligned Care Teams: Protocol for Testing a Cluster Randomized Implementation Trial

Assessing the impact of outside assistance on the deployment of peer specialists in Veterans Health Administration Patient Aligned Care Teams will provide critical data to administrators and policy makers.

Jun 7, 2017
Journal Article

Journal Article

The Association Between Implementation Strategy Use and the Uptake of Hepatitis C Treatment in a National Sample

Veterans Health Administration sites that used more ERIC-recommended implementation strategies delivered more evidence-based Hepatitis C treatments.

Jun 6, 2017
Journal Article

Journal Article

Relationship Between Provider Stigma and Predictors of Staff Turnover Among Addiction Treatment Providers

Addiction treatment providers are less likely to be satisfied with their work if they hold negative views towards patients with substance abuse disorders.

Jun 6, 2017

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RAND Topic:
Health Care Quality

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